Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Form
Under section 501(c), 527, or 4947( a)(1) of the Internal Revenue Code (except black lung
benefit trust or private foundation )
In spec
and ending
applicable
201
Open to
^ The organ i zati o n m ay h ave to use a copy of this return to satisfy s t ate reporting require m ents.
OMB No 1!
use IRS
Address
label or
-1 change
Name
Initial
Inc
type
Doing Business As
See
Number and street (or P.O. box if mail is not delivered to street address)
Specific
OTerminInstrucated
Amen fed tans
Oretum
Otonlica
65-0350357
Room/suite
05
305-371-2711
G Gross rece i pts $
pending
for affiliates?
=Yes No
H(b) Are all affiliates included? =Yes = No
If "No ," attach a list. (see instructions)
H ( c) GrouD exemotlon number ^
J Website : ^ www_dadecommunitvfoundation-ora
Part I
1
I Trust
I Association
I Other ^
Summary
Briefly describe the organization's mission or most significant activities. Dade Community Foundatiorfds
mission is to encoura g e philanthro py and charitable g ivin g by
35615489 . 9
33131- 5330
FL
E Telephone number
if the oraanlzatton discontinued its oneratlons or dlsoosed of more than 25% of its net assets
Number of voting members of the governing body (Part VI, line 1a)
Number of independent voting members of the governing body (Part VI, line 1 b)
5 Total number of employees (Part V, line 2a)
6 Total number of volunteers (estimate if necessary)
7a Total gross unrelated business revenue from Part VIII, column (C), line 12
b Net unrelated business taxable income from Form 990-T, line 34
3
4
5
6
7a
7b
3
4
Prior Year
4)
9
10
11
12
ar
a
X
W
^n is
7d)
q1^p al I1ecp^t^M
es 1-3)
15
4462469.22
685963 45
19605352.71
542502, 02
19636215.75
6785734.07
13960711.40
1458412 , 07
1421369.92
313070.60
18 Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25)
19
3245574.46
4)
e)
=
on A Ilte
16a Professional fundrais g fee
^
b Total fundraising expenses (Part IX, column (D), line 25)
17
14631244.51
19.73
13
ene
Current Year
15673795.07
14
n et, o
22
21
15
2
0.00
0.00
3053924 25
1486558.25
11298070 39
16868639.57
8307282 32
oU
2767576 ,18
End of Year
V)C
`O 20
21
,d C
?ti 22
117891084 46
13810475 66
104080608 80
130939639.07
16695895 , 56
114243743
Under penalties of perjury, I declare that I have examined this return , including accompanying schedules and statements , and to the best of my knowledge and belief, it is true, correct,
and complete Declaration
e
than officer) is based on all information of which preparer has any knowledge
6X
o flp rer
U
Sign
ere
Slgnat
Icer
President
Preparer's
signature
Preparers Firm's name(
Use Only
yours
Paid
saltployed
address, and
ZIP + 4
May the IRS discuss this return with the preparer shown above? (see instl
932001 02 -04-10
51
Pag e 2
65-0350357
3
4
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990EZ?
If "Yes," describe these new services on Schedule 0.
Did the organization cease conducting, or make significant changes in how it conducts, any program services?
If "Yes," describe these changes on Schedule 0.
Describe the exempt purpose achievements for each of the organization's three largest program services by expenses.
Section 501 (c)(3) and 501 (c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and
Li Yes No
=Yes No
allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a
(Code.
) (Expenses $
13960711.40 )(Revenue $
The Dade Community Foundation makes grants that support programs that
further our community building mission in the broad fields of
education,
health.
human services.
environment,
and
HIV/AIDS,
Alzheimer's.
4b
(Code
) (Expenses $
including grants of $
) (Revenue $
4c
(Code:
) (Expenses $
including grants of $
) (Revenue $
4d
4e
including grants of $
) (Revenue $
16641424.59
Pa g e 3
65-0350357
1
2
3
4
5
6
7
8
9
10
11
12
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX,
column (A), lines 6 and 11 e? If "Yes,' complete Schedule G, Part I
...
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines
1 c and 8a? If 'Yes,' complete Schedule G, Part II
_
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If 'Yes,"
complete Schedule G, Part 111
Did the org anization o p erate one or more hos p itals? If 'Yes, " complete Schedule H
9
10
11
12
13
142
19
x
20
x
Form 990 (2009)
932003
02-04-10
Form
Yes I No
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the
United States on Part IX, column (A), line 1? If "Yes,' complete Schedule 1, Parts I and 11
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX,
column (A), line 2? If 'Yes,' complete Schedule 1, Parts 1 and Ill
23 Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization's current
and former officers, directors, trustees, key employees, and highest compensated employees? If 'Yes,' complete
Schedule J
24a Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the
last day of the year, that was issued after December 31, 2002? If "Yes,' answer lines 24b through 24d and complete
Schedule K If 'No', go to line 25
b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?
c Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease
any tax-exempt bonds?
d Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?
21
22
23
22
25a Section 501(c)(3) and 501 (c)(4) organizations . Did the organization engage in an excess benefit transaction with a
disqualified person during the year? If "Yes," complete Schedule L, Part I
b Is the organization 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 I
26 Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified
person outstanding as of the end of the organization's tax year? If "Yes, " complete Schedule L, Part II
27 Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial
contributor, or a grant selection committee member, or to a person related to such an individual? If "Yes, " complete
Schedule L, Part 111
28 Was the organization a party to a business transaction with one of the following parties, (see Schedule L, Part IV
instructions for applicable filing thresholds, conditions, and exceptions)a A current or former officer, director, trustee , or key employee? If "Yes, " complete Schedule L, Part IV
b A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV
c An entity of which a current or former officer, director, trustee, or key employee of the organization (or a family member) was
an officer, director, trustee , or direct or indirect owner? If "Yes," complete Schedule L, Part IV
29 Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M
30 Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation
contributions? If 'Yes,' complete Schedule M
Did the organization liquidate, terminate, or dissolve and cease operations?
31
If "Yes," complete Schedule N, Part I
32 Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets'lf 'Yes," complete
Schedule N, Part 11
33 Did the organization own 100% of an entity disregarded as separate from the organization under Regulations
sections 301.7701-2 and 301.7701-3? If 'Yes,' complete Schedule R, Part
34 Was the organization related to any tax-exempt or taxable entity?
If "Yes,' complete Schedule R, Parts ll, lll, IV, and V, line 1
35 Is any related organization a controlled entity within the meaning of section 512(b)(13)?
If 'Yes,' complete Schedule R, Part V, line 2
36 Section 501(c)( 3) organizations . Did the organization make any transfers to an exempt non-chantable related organization?
If 'Yes,' complete Schedule R, Part V, line 2
37 Did the organization conduct more than 5% of its activities through an entity that is not a related organization
and that is treated as a partnership for federal income tax purposes ? If 'Yes,' complete Schedule R, Part VI
38 Did the organization complete Schedule 0 and provide explanations in Schedule 0 for Part VI, lines 11 and 19?
Note. All Form 990 filers are reauired to complete Schedule 0.
24a
24b
24c
24d
25a
25b
26
27
28a
28b
932004
02-04-10
4
2009.04010 Dade Community Foundation I DCF
Page 5
65-0350357
3b
5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?
b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
c If "Yes," to line 5a or 5b, did the organization file Form 8886-T, Disclosure by Tax-Exempt Entity Regarding Prohibited
Tax Shelter Transaction?
6a Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit
any contributions that were not tax deductible?
b If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts
were not tax deductible?
5a
4a
7a
7e
f Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
g For all contributions of qualified intellectual property, did the organization file Form 8899 as required?
h For contributions of cars, boats, airplanes, and other vehicles, did the organization file a Form 1098-C as required?
8
Sponsoring organizations maintaining donor advised funds and section 509(a )(3) supporting organizations . Did the
supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings
at any time during the year?
a
b
10
a
b
11
a
b
8
9a
10a
10b
11a
11b
12a Section 4947( a)(1) non-exempt charitable trusts . Is the organization filing Form 990 in lieu of Form 1041?
b If "Yes." enter the amount of tax-exempt interest received or accrued durina the year
119h
Form 990 (2009)
932005
02-04-10
5
2009.04010 Dade Community Foundation I DCF
No
10a Does the organization have local chapters, branches, or affiliates?
b If "Yes," does the organization have written policies and procedures governing the activities of such chapters, affiliates,
and branches to ensure their operations are consistent with those of the organization?
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11
11A Describe in Schedule 0 the process, if any, used by the organization to review this Form 990.
12a Does the organization have a written conflict of interest policy? If "No, go to line 13
b Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise
to conflicts?
c Does the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe
in Schedule 0 how this is done
13 Does the organization have a written whistleblower policy?
14 Does the organization have a written document retention and destruction policy?
15 Did the process for determining compensation of the following persons include a review and approval by independent
persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a The organization's CEO, Executive Director, or top management official
b Other officers or key employees of the organization
If "Yes" to line 15a or 15b, describe the process in Schedule 0 (See instructions.)
16a Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a
taxable entity during the year?
.
b If "Yes," has the organization adopted a written policy or procedure requiring the organization to evaluate its participation
in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization's
19
20
List the states with which a copy of this Form 990 is required to be filed ^
None
Section 6104 requires an organization to make its Forms 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for
public inspection . Indicate how you make these available . Check all that apply.
0 Another' s websrte
Own website
Upon request
Describe in Schedule 0 whether (and if so , how), the organization makes its governing documents , conflict of interest policy , and financial
statements available to the public
State the name , physical address , and telephone number of the person who possesses the books and records of the organization: PoDade Community Foundation.
Inc.
- 305-371-2711
33131-5330
6
2009.04010 Dade Community Foundation I DCF,
Pag e 7
65-0350357
Part VII Compensation of Officers, Directors , Trustees, Key Employees , Highest Compensated
Employees , and Independent Contractors
Section A. Officers, Directors , Trustees , Key Employees, and Highest Compensated Employees
la Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization's tax
year Use Schedule J-2 if additional space is needed.
List all of the organization' s current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation
Enter -0- in columns (D), (E), and (F) if no compensation was paid.
List all of the organization' s current key employees. See instructions for definition of "key employee."
List the organization' s five current highest compensated employees (other than an officer, director, trustee, or key employee) who received reportable
compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the organization and any related organizations.
List all of the organization' s former officers, key employees, and highest compensated employees who received more than $100,000 of
reportable compensation from the organization and any related organizations.
List all of the organization' s former directors or trustees that received, in the capacity as a former director or trustee of the organization,
more than $10,000 of reportable compensation from the organization and any related organizations.
List persons in the following order individual trustees or directors; institutional trustees; officers, key employees, highest compensated employees,
and former such persons.
0 Check this box if the oroarnzation did not compensate anv current officer. director. or trustee.
(A)
(B)
(C)
(D)
Average
Name and Title
Position
Reportable
hours
(check all that apply)
compensation
per
from
week
the
organization
(W-2/1099-MISC)
(E)
Reportable
compensation
from related
organizations
(W-2/1099-MISC)
(F)
Estimated
amount of
other
compensation
from the
organization
and related
organizations
Sit
Ruth Shack
President
George W.
Chair
Jorge L.
50.00
1.00
1.00
232693.96
0.00
62499.97
0.00
0 . 00
0.00
0 . 00
0.00
0 . 00
1.00
0 . 00
0 . 00
0 . 00
1.00
0 . 00
0.00
0 . 00
1.00
0.00
0.00
0 . 00
1.00
0 . 00
0.00
0.00
1.00
0 . 00
0.00
0.00
1.00
0 . 00
0.00
0.00
1 00
0 . 00
0.00
0.00
1.00
0 . 00
0.00
0 . 00
1.00
0 . 00
0 . 00
0.00
1.00
0.00
0 . 00
0.00
1.00
0.00
0.00
0.00
1.00
0.00
0.00
0 , 00
1.00
0.00
0.00
0.00
1 - 00
0 , 00 1
0 , 00 1
Foyo
Lopez
Vice-Chair
Juan C. Antunez
Secretar y
Elizabeth Gadinsky
Treasurer
Mario J. Artecona
Board Member
Sergio Bendixen
Board Member
Hunting F. Deutsch
Board Member
Jane Fox-Johnson
Board Member
Alex Fraser
Board Member
Robert C. Gilbert
Board Member
John J. Grundhauser
Board Member
Louis-Albert H. Jolivert
Board member
Hank Klein
Board member
Regine Monestime
Board Member
Beverly A. Parker
Board Member
Raul L. Rodriguez
Board Member
932007 02-04-10
0 . 00
Form 990(2009)
Inc
(A)
Name and title
(B)
Average
hours
per
week
Page 8
65-0350357
(C)
Position
(check all that apply)
(D)
Reportable
compensation
from
the
organization
(W-2/1099-MISC)
(E)
Reportable
compensation
from related
organizations
(W-2/1099-MISC)
(F)
Estimated
amount of
other
compensation
from the
organization
and related
organizations
E
o
sE
Joseph H. Serota
Board Member
Penny S.
1.00
0.00
0.00
0.00
1.00
0 . 00
0 . 00
0.00
1 . 00
0 . 00
0 . 00
0.00
1 . 00
0 . 00
0 . 00
0 . 00
1 . 00
0.00
0.00
0 . 00
50 , 00
128131.75
0.00
7958 . 76
Shaffer
Board Member
Roger Soman
Board Member
Larry Spring
Board Member
Jose Vilarello
Board Member
Javier Alberto Soto
President
Charisse L.
Grant
Vice President
for P
50 . 00
153154.49
0.00
38977.37
50 . 00
153397.85
0.00
41410.85
667378 05
0.00
150846.95
Todd C. Weeks
1b Total
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on
line la? If "Yes, " complete Schedule J for such individual
For any individual listed on line 1 a, is the sum of reportable compensation and other compensation from the organization
and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual
Yes
Did any person listed on line 1 a receive or accrue compensation from any unrelated organization for services rendered to
the org anization? If "Yes, " complete Schedule J for such person
Section B. Independent Contractors
No
x
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from
the organization
(A)
Name and business address
Hammond Associates,
3rd Floor .
St. Louis
MO 63105
I nvestment Advisor
Bo yn ton Beach
140000.00
3847 NE
(C)
Compensation
Tree Terrace
(B)
Description of services
120559 08
10590 Pine
FL 33436
107723 69
Total number of independent contractors (including but not limited to those listed above) who received more than
$100 ,000 in com p ensation from the org anization
3
Form 990 (2009)
932008 02-04-10
8
2009.04010 Dade Community Foundation I DCF
Part VIII
Total (A)
revenue
1 a Federated campaigns
b Membership dues
"
0)0
yE
Fundraising events
1c
d Related organizations
1d
le
1058646.15
if
13564883.36
00
o
-a
c
(C)
Unrelated
business
revenue
Re v n ue
excluded
e from
tax under
sections 512,
513, or 514
7715.00
5393534.8 8
O ^9
(B) or
Related
exempt function
revenue
la
lb
59
6E
Paae 9
tc-n1snls7
Statement of Revenue
Poo,
14631244 51
Business Code
v
c
Ed
w
2a
b
c
d
f
3
2665938.49
2665938.49
1796530.73
1796530.73
4
5
^
(ii) Other
(i) Securities
17368925.08
15572394.35
c Gain or (loss)
1796530.73
^
including $
7715.00 of
631040 49
406879 88
^
224160.61
224160.6
256919.26
256919.26
61422.15
61422.15
and allowances
a
b Less: cost of goods sold
b
c Net income or (loss) from sales of invento ry
Miscellaneous Revenue
Business Code
11 a Administrative Fees
b Leave a Legacy
c
d All other revenue
e Total. Add lines 11a-11d
12
02-0a 0
- -
^
^
318341.4
19636215.75
542502.02
0.00
4462469.22
Pag e 10
65-0350357
A
Total expenses
Program service
exp enses
Management and
g eneral eenses
(
Fun raising
exp enses
13960711 40
13960711.40
2
3
254961.5
127480 76
50992.30
76488 45
769030 87
412712 51
260192 30
96126 06
182475 01
96262 21
55452 97
30759 83
144581.02
76271 75
43937.23
24372.04
70321 . 5 1
37097.16
21370.25
11854 10
Payroll taxes
10
11
40795.00
40795 00
268878.06
268878 06
27500 00
27500 00
d Lobbying
e Professional fundraising services. See Part IV, line 17
f
g Other
12
13
Office expenses
36982 98
8838.79
25723 91
2420 . 28
14
Information technology
44968.47
418.79
44130 89
418 . 79
15
Royalties
176013 22
92853.38
53489 27
29670 57
16578.59
8745.81
5038 13
2794 . 65
58412 19
20970.91
30740 19
6701 . 09
16
Occupancy
17
Travel
18
19
20
21
Interest
3389 . 90
3389.90
22
Payments to affiliates
Depreciation, depletion, and amortization
35654.22
35654.22
23
Insurance
10533.18
10533 18
24
1778708.2
49569.0
d Membership Fees
38580.99
-1242698.10
16868639.57
26
932010 02-04-10
142692 30
27997 77
20352.88
21571.24
6503.60
11724 , 5
0.00
25
1778708.2
142692.30
-1242698 10
16641424 59
-85855 62
313070.60
10
2009.04010 Dade Community Foundation I DCF
Cash - non-interest-bearing
(B)
End of year
1
11209649.37
10834765 11
5188368.9
2625510 37
1283152 74
396.00
6
85000.00
53950.81
10a
273010 37
10b
173570 15
79761 52
114030 74 10C
99440 22
11
74559773 58
11
93185631 08
12
26479915.05
12
22757628 03
13
14
13
14
15
16
17
18
Grants payable
19
20
21
22
Deferred revenue
Tax-exempt bond liabilities
Escrow or custodial account liability Complete Part IV of Schedule D
Payables to current and former officers, directors, trustees, key employees,
highest compensated employees, and disqualified persons Complete Part II
of Schedule L
19
20
21
23
24
23
24
200000.00
15
117891084 46
16
5000.00
17
41707 09
701539. 58
18
1754861.87
0 . 00
130939639
07
22
25
13103936 08
25
14899326.60
26
13810475 66
26
16695895 56
98842185.08
27
110041852 97
5238423.72
28
4201890.54
and complete
27
28
29
29
Q
Z
30
31
32
Organizations that do not follow WAS 117, check here 10- 0 and
complete lines 30 through 34.
Capital stock or trust principal, or current funds
Paid-in or capital surplus, or land, building, or equipment fund
Retained earnings, endowment, accumulated income, or other funds
30
31
32
33
34
73750.00
Pag e 11
65-0350357
LL
o
104080608.80
33
117891084 46
34
114243743 51
130939639
07
932011 02-04-10
11
2009.04010 Dade Community Foundation I DCF
cs_nzsnas7
Paae 12
Cash
Accrual
Q Other
Accounting method used to prepare the Form 990 .
If the organization changed its method of accounting from a prior year or checked " Other," explain in Schedule 0
Were the organization ' s financial statements compiled or reviewed by an independent accountant?
Were the organization ' s financial statements audited by an independent accountant?
If "Yes " to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit,
review , or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule 0
If "Yes" to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a
932012 02-04-10
12
2009.04010 Dade Community Foundation I DCF
SCHEDULE A
(Form 990 or 990-EZ)
OMB No 1545-0047
2009
Open to Public
Inspection
Employer identification number
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 11 , check only one box.)
1
A church, convention of churches , or association of churches described in section 170(b)(1)(A)(i).
A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)
2
A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).
3
4 0 A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital 's name,
city, and state5
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 II.)
A federal, state , or local government or governmental unit described in section 170( b)(1)(A)(v).
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 II.)
8 A community trust described in section 170( b)(1)(A)(vi ). (Complete Part II )
9 0 An organization that normally receives (1) more than 33 1/3 % 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 )
100 An organization organized and operated exclusively to test for public safety See section 509(a)(4).
An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or
11
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 11 a through 11 h
a E=1 Type I
b LI Type II
c 0 Type III Functionally integrated
d = Type III -Other
e 0 By checking this box , I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than
foundation managers and other than one or more publicly supported organizations described 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
f
supporting organization , check this box
Q
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls , either alone or together with persons described in (ii) and (iii) below,
Yes No
the governing body of the supported organization?
11 i
(ii) A family member of a person described in (i) above?
11 ii
(iii) A 35% controlled entity of a person described in (i) or (u) above?
Provide the following information about the supported organization(s)
h
6
7
(ii) EIN
(iii) Type of
organization
(described on lines 1-9
above or IRC section
(see instructions ))
(vi) Is the
iv) Is the organization (v) Did you notify the
in col. (i) listed in your organization in col. orgorganized in the
governing document? (i) of your support? ()
U.S.?
Yes
No
Total
LHA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Yes
No
Yes
(vii) Amount of
support
No
932021 02-08-10
13
2009.04010 Dade Community Foundation I DCF
(a) 2005
b 2006
c 2007
( d) 2008
Pag e 2
Total
(e) 2009
7217348.11
6175626.3 1
17801573.13
15673795 07
14631244.5
61499587.13
7217348 11
6175626 . 3 1
17801573.13
15673795 07
14631244 51
61499587 13
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
column (f)
15581489
45918097 37
66
(f) Total
61499587
18344653.77
^Q
14 Public support percentage for 2009 (line 6, column (f) divided by line 11, column (f))
...
14
52 . 97
15 Public support percentage from 2008 Schedule A, Part II, line 14
15
54.38
16a 33 1 /3% support test - 2009 .If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box and
stop here . The organization qualifies as a publicly supported organization
^
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
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
b 10% -facts - and-circumstances test - 2008.lf 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-andcircumstances 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 .
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
%
%
^Q
^0
^ E71
Schedule A (Form 990 or 990-EZ) 2009
932022
02-08-10
14
2009.04010 Dade Community Foundation I DCF
(a ) 2005
(b) 2006
(c) 2007
(d) 2008
(e) 2009
Total
(a ) 2005
(b ) 2006
(c) 2007
( d) 2008
(e) 2009
Total
15
2009.04010 Dade Community Foundation I DCF
Schedule D
(Form 990)
OMB No
2009
Open to Public
Inspection
Part I
1545-0047
65-0350357
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts . Complete if the
organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds
3018172 76
5251495.06
39785947.63
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'?
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
im p ermissible p rivate benefit ?
Part II
Conservation Easements . Complete if the organization answered "Yes" to Form 990, Part IV, line 7
5
Yes
No
Yes
El No
Purpose (s) of conservation easements held by the organization (check all that apply)
0 Preservation of an historically important land area
0 Preservation of land for public use (e g., recreation or pleasure)
0 Preservation of a certified historic structure
Q Protection of natural habitat
Q Preservation of open space
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last
0 Yes
El No
Part III
la If the organization elected , as permitted under SFAS 116, 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 XIV, the text of
the footnote to its financial statements that describes these items.
b If the organization elected , as permitted under SFAS 116, 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) Revenues Included in 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 SFAS 116 relating to these items*
^ $
a Revenues included in Form 990, Part VIII , line 1
^ $
b Assets Included in Form 990, Part X
LHA For Privacy Act and Paperwork Reduction Act Notice , see the Instructions for Form 990 .
932051
02-01-10
20
2009.04010 Dade Community Foundation I DCF
65-0350357
Pag e 2
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 are a significant use of its collection items
(check all that apply):
a 0 Public exhibition
d 0 Loan or exchange programs
b 0 Scholarly research
e 0 Other
c E^] 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 XIV
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 or anization's collection?
Yes
0 No
Part IV Escrow and Custodial Arrangements . Complete if organization answered "Yes" to Form 990, Part IV, line 9, or
reported an amount on Form 990, Part X, line 21.
la Is the organization an agent , trustee , custodian or other intermediary for contributions or other assets not included
on Form 990 , Part X9
b If "Yes ," explain the arrangement in Part XIV and complete the following table
Q Yes
No
Amount
c Beginning balance
d Additions during the year
e Distributions during the year
f Ending balance
2a Did the organization include an amount on Form 990, Part X, line 21?
b If "Yes , " ex p lain the arrang ement in Part XIV
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10
(a) Current year
la
b
c
d
44583581.23
is
1d
le
if
Yes
No
61276460.27
184454.29
192497.35
8628228.67
-14479433 . 90
1163444.45
1190409.40
f Administrative expenses
g End of year balance
1206377 71
1215533 09
51026442 . 03
44583581 . 23
Provide the estimated percentage of the year end balance held as.
2
a
b Permanent endowment ^
100.00
%
c Term endowment ^
3a Are there endowment funds not in the possession of the organization that are held and administered for the organization
Yes
by
(i) unrelated organizations
(ii) related organizations
b If "Yes" to 3a(i), are the related organizations listed as required on Schedule R?
4 Describe in Part XIV the intended uses of the org anization's endowment funds
Part VI
No
x
x
Investments - Land. Buildings. and EauiDment. See Form 990. Part X. line 10.
Description of investment
la
b
c
d
3a i
3a ii
3b
Land
Buildings
Leasehold improvements
Equipment
e Other
(c) Accumulated
depreciation
273010 37
Total. Add lines 1 a throw h 1e. Column (d) must equal Form 990, Pan: X column (B), line 10(c))
173570.15
99440.22
99440 22
Schedule D (Form 990) 2009
932052
02-01-10
21
2009.04010 Dade Community Foundation I DCF
65-0350357
Pag e 3
Financial derivatives
Closely-held equity interests
10100000.00
Cost
Other
Hed g e Funds of Funds
Private Real Estate Investment Trust
11068816.7 1
1588811.32
Total ( Col ( b ) must e q ual Form 990 , Part X, col ( 13 ) line 12. )
22757628 . 03
cart viii Investments - Pro g ram Related . See Form 990, Part X, line 13
(a) Description of investment type
Total. ( Col ( b ) must e q ual Form 990, Part X, col ( B ) line 13. )
Part IX
Total. (Column
Part X
1.
(b) Amount
11179853.86
2972512 . 6
Taxes Pa yable
74.10
Total. Column
746886.00
14899326.60
2. FIN 48 Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for
uncertain tax positions under FIN 48
oz-01 io
22
2009.04010 Dade Community Foundation I DCF
Part XI
Total revenue (Form 990, Part VIII, column (A), line 12)
Total expenses (Form 990, Part IX, column (A), line 25)
Excess or (deficit) for the year Subtract line 2 from line 1
Net unrealized gains (losses) on investments
Donated services and use of facilities
Investment expenses
1
2
3
4
5
6
7
8
9
10
Pag e 4
65-0350357
Reconciliation of Change in Net Assets from Form 990 to Audited Financial Statements
1
2
3
4
5
6
7
7155.42
9
10
7395558.53
10163134 71
19636215.75
16868639 57
2767576 18
7388403 11
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1
2
Total revenue, gains, and other support per audited financial statements
Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments
b Donated services and use of facilities
c Recoveries of prior year grants
d Other (Describe in Part XIV)
e Add lines 2a through 2d
1
2a
2b
2c
2d
7388403.11
2e
7388403 11
20043095.63
Amounts included on Form 990, Part VIII, line 12, but not on line 1.
4
a
4a
4b
-406879.88
27431498 74
406879.88
19636215 75
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1
2
2a
2b
2c
2d
..
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 XIV)
c Add lines 4a and 4b
_
Form
17116031.03
247391.46
2e
247391.46
16868639.57
.00
4a
4b
-152.333.00.
23
2009.04010 Dade Community Foundation I DCF
SCHEDULE G
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
^ Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,
or if the organization entered more than $15,000 on Form 990-EZ, line 6a.
Part I
1
OMB No 1545-0047
2009
Open To Public
Inspection
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17. Form 990-EZ filers are not
required to complete this part.
Indicate whether the organization raised funds through any of the following activities . Check all that apply
e 0 Solicitation of non -government grants
0 Mail solicitations
Internet and email solicitations
f 0 Solicitation of government grants
g 0 Special fundraising events
0 Phone solicitations
0 In-person solicitations
Did the organization have a written or oral agreement with any individual (including officers , directors , trustees or
key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
Q Yes
b If "Yes ," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is to be
compensated at least $5 , 000 by the organization
a
b
c
d
2a
(ii) Activity
tundraser
have custody
or control of
contributions?
Yes
No
NO Amount paid
to (or retained by)
organization
No
^
3 List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing
Total
LHA For Privacy Act and Paperwork Reduction Act Notice , see the Instructions for Form 990 or 990- EZ.
932081 02-03-10
24
2009.04010 Dade Community Foundation I DCF
(event type)
(event type)
col (c))
(total number)
c
CD
Cr
Gross receipts
Cash prizes
Noncash prizes
Rent/facility costs
300964 94
92135.00
245655.55
638755 49
7715 . 00
7715 . 00
300964 94
92135 00
237940 55
631040 49
199467 30
90642.03
116770.55
406879.88
N
C
cL
Q
w
U
0
8
Entertainment
406879 . 8 0
224160 61
(a) Bingo
a)
a
(D
U)
ax
w
Gross revenue
Cash prizes
Noncash prizes
Rent/facility costs
Volunteer labor
0 Yes
0 No
Yes
0 No
Yes
No
Enter the state (s) in which the organization operates gaming activities
a Is the organization licensed to operate gaming activities in each of these states?
b If "No," explain
9a
10a Were any of the organization ' s gaming licenses revoked, suspended or terminated during the tax year?
b If 'Yes ," explain.
11
12
932082 02 -03-10
No
10a
11
12
25
2009.04010 Dade Community Foundation I DCF
No
Indicate the percentage of gaming activity operated in:
13a
a The organization's facility
13b
b An outside facility
14 Enter the name and address of the person who prepares the organization's gaming/special events books and records
13
Name ^
Address ^
15a Does the organization have a contract with a third party from whom the organization receives gaming revenue?
b If "Yes," enter the amount of gaming revenue received by the organization ^ $
of gaming revenue retained by the third party ^ $
c If "Yes," enter name and address of the third party:
Name ^
Address ^
16
0 Director/officer
17
0 Employee
0 Independent contractor
Mandatory distributions.
a Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license?
b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the
Schedule G (Form 990 or 990-EZ) 2009
932083 02-03-10
26
2009.04010 Dade Community Foundation I DCF
SCHEDULE I
(Form 990 )
Dace No 1545-0047
/009
L
Open to Public
Inspection
65-035035 7
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
2 Describe in Part IV the org anization's p rocedures for monitorin g the use of g rant funds in the United States
Part II
Grants and Other Assistance to Governments and Organizations in the United States . Complete if the organization answered "Yes" to Form 990, Part IV, line 21, for any
recipient that received more than $5,000. Check this box if no one recipient received more than $5,000 Use Part IV and Schedule I-1 (Form 990) if additional space is needed
1
(b) EIN
or government
(d) Amount of
(e) Amount of
if applicable
cash grant
non-cash
assistance
(f) Method of
valuation (book,
FMV, appraisal,
other)
No
(g) Description of
non-cash assistance
or assistance
N.W.
DC 20006
Adopt-A-Classroom,
501(c)(3)
99700 00
0 . 00
65-0828272
5 01 ( c )( 3 )
500 . 00
0 . 00
Inc.
13-2603590
Suite 203-B
FL 33137
Adopt-A-Classroom,
Inc,
FL 33137
Adopt-A-Classroom,
0 . 00
ount
65-0828272
5 01 ( c )( 3 )
5802 . 98
0 . 00
eneral Support
65-0828272
501(c)(3)
5952 . 28
0 . 00
65-0828272
5 01 ( c )( 3 )
6151 01
0 . 00
Inc.
10000 00
Suite 203-B
FL 33137
Adopt-A-Classroom,
501(c)(3)
Inc.
65-0828272
Suite 203-B
FL 33137
Adopt-A-Classroom,
classrooms in Miami-Dade
Inc.
Miami
Suite 203-B
FL 33137
255.00
16.00
LHA
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 .
See Part IV for Column (h) descriptions
932101 02-02-10
2 7
(b) Number of
recipients
120
ScholarshipGrants
(c) Amount of
cash grant
140981 37
65-035035 7
Pag e 2
0 . 00
Part IV I Supplemental Information . Complete this part to provide the information required in Part I, line 2, and any other additional information
Schedule I
Part I
Line 2:
Competitive
grant applications are reviewed by the Program staff of the Dade Community
Foundation
Foundation
Inc.
grantees who are the recipient of competitive grants that lay out the terms
and conditions of the grant. All grantees are required to file reports
The Foundation frequently conducts site visits and Phone consultations with
932102 02-02 - 10
28
1545-0047
SCHEDULE I-1
(Form 990)
Department of the Treasury
Open to Public
Employer identification number
(b) EIN
organization or government
Adopt-A-Classroom,
(d) Amount of
(e) Amount of
(f) Method of
(g) Description of
if applicable
cash grant
non-cash
valuation
non-cash assistance
or assistance
assistance
(book, FMV,
appraisal, other)
Inc.
Suite 203-B
FL 33137
65-0828272
501(c)(3)
6328 . 52
0 . 00
26-2567808
5 01 ( c )( 3 )
1000 . 00
0 . 00
eneral Su pp ort
26-2567808
501(c)(3)
1000 . 00
0 . 00
26-2567808
5 01 ( c )( 3 )
2500 . 00
0 . 00
26-2567808
501(c)(3)
3000 . 00
0 . 00
FL 33132
enter Inauguration
Celebration on January
26-2567808
5 01 ( c )( 3 )
10000 00
0 . 00
26-2567808
501(c)(3)
10000 00
0 . 00
FL
33101
to provide care
Adults Mankind Organization,
4343 West Flagler Street,
Miami
LHA
FL 33134
:oordination as part of
Inc.
onnectFamilias to ensur
Suite 30
59-2851713
5 01 ( c )( 3 )
40000 00
For Privacy Act and Paperwork Reduction Act Notice , see the Instructions for Form 990.
932241 02-01-10
29
0 . 00
:) ro p er linka g e to
Schedule 1-1 (Form 990) 2009
SCHEDULE I-1
(Form 990)
Department o f the Treasury
Department
-
-1
Open to Public
Inspection
ni in Carvlro
Part I I Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II )
(a) Name and address of
organization or government
(b) EIN
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
ommunities
Inc.
(BFC)
is a
ervice partnership
59-1622809
501(c)(3)
25000 00
0 . 00
ALERT Health,
development, production,
Inc,
distribution and
65-0770856
FL 33161
5 01 ( c )( 3 )
25000 00
0 . 00
Inc.
Suite 806
65-1075983
501(c)(3)
10000 00
0 . 00
65-1075983
5 01 ( c )( 3 )
5000 . 00
0 . 00
eneral Su pp ort
65-1075983
501(c)(3)
15000 00
0 . 00
65-1075983
5 01 ( c )( 3 )
50000 00
0 . 00
eneral Su pp ort
59-0657320
501(c)(3)
5000 . 00
0 . 00
eneral Su pp ort
3000 00
59-0657320
5 01 ( c )( 3 )
FL 33629
For Privacy Act and Paperwork Reduction Act Notice , see the Instructions for Form 990.
0 . 00
Coconut Grove
FL 33133
FL 33133
Inc.
Suite 806
FL 33133
Inc.
Suite 806
Inc.
Suite 806
FL 33133
FL 33136
LHA
932241 02-01-10
30
OMB No 1545-0047
SCHEDULE I-1
(Form 990)
Department of the Treasury
Open to Public
Part I I Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990). Part II )
(a) Name and address of
organization or government
(b) EIN
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
Suite 200
FL 33126
59-0657320
501(c)(3)
1000 . 00
0 . 00
59-0657320
5 01 ( c )( 3 )
2500 . 00
0 . 00
eneral Su
ort
Suite 200
FL 33126
Inc.
- 801 S.W.
3rd Avenue,
FL 33130
501(c)(3)
7400 . 00
0 . 00
23-7137529
5 01 ( c )( 3 )
250 . 00
0 . 00
23-7137529
501(c)(3)
1000 . 00
0 . 00
23-7137529
5 01 ( c )( 3 )
1000 . 00
0 . 00
23-7137529
501(c)(3)
2000 . 00
0 . 00
Inc.
- 4500
FL 33137
Inc.
- 4500
FL 33137
Inc.
- 4500
Suite 340 -
FL 33137
Inc.
- 4500
Suite 340 -
FL 33137
FL 33137
Inc.
- 4500
ay Bisexual Transgender
Suite 340
5 01 ( c )( 3 )
10000 00
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02 -01-10
eneral Su p ort
31
0 . 00
eeks to brin g a
Schedule I-1 (Form 990) 2009
SCHEDULE I-1
(Form 990)
1545-0047
Open to Public
Part I I Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II )
(a) Name and address of
organization or government
(b) EIN
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
FL 33166
support
amilia,
Inc
Por Tu
a Hispanic
501(c)(3)
7000 . 00
0 . 00
13-5613797
5 01 ( c )( 3 )
25 . 00
0 . 00
onsists of modules
Inc,
Suite 900
troke programs in
FL 33129
13-5613797
501(c)(3)
10000 00
0 . 00
iami-Dade
10000 00
0 . 00
150000 00
0 . 00
FL 33156
# 5
13-5563393
American Nonsmokers'
01 c
Rights
Suite J - Berkeley,
CA
94702
94-2922136
501(c)(3)
FL 33135
5 01 ( c )( 3 )
500000 00
0 . 00
operations support to
FL 33135
501(c)(3)
129000 00
0 . 00
5 01 ( c )( 3 )
500000 00
For Privacy Act and Paperwork Reduction Act Notice , see the Instructions for Form 990.
Avenue - Miami
932241 02 -01-10
FL 33135
59-0651070
32
0 . 00
SCHEDULE I-1
(Form 990 )
2009
Open to Public
Inspection
Employer identification number
Part I
(b) EIN
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
o provide program
operations support for
FL 33135
501(c)(3)
235550 00
0 . 00
mer enc
65-0361629
5 01 ( c )( 3 )
40000 00
0 . 00
eneral Support
oordination of
Inc.
operational
65-0361629
FL 33130
logistics &
Assistance
Inc.
59-0651070
501(c)(3)
50000 00
0 . 00
onnectFamilias Little
or the purchase and
FL 33351
59-0809623
5 01 ( c )( 3 )
5000 . 00
0 . 00
138284 65
0 . 00
Inc.
FL 33137
Suite 205
FL 33139
59-2423867
5 01 ( c )( 3 )
2000 . 00
0 . 00
59-2423867
5 01 ( c )( 3 )
7221 . 21
0 . 00
eneral Su
ort
59-2423867
5 01 ( c )( 3 )
7778 , 79
0 . 00
eneral Su
ort
Suite 205
FL 33139
FL 33139
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 .
932241 02-01-10
33
SCHEDULE I-1
(Form 990)
Department of the Treasury
2009
Open to Public
Inspection
(b) EIN
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
to support the
implementation of the
009 Professional
suite 205
59-2423867
FL 33139
Miami Beach
501(c)(3)
9000 . 00
0 . 00
Inc.
FL 33140
Miami Beach
5 01 ( c )( 3 )
8000 . 00
0 . 00
Inc.
suite 201
65-1141598
FL 33132
Miami
501(c)(3)
10000 00
0 . 00
ArtSouth,
A Not-for-Profit
65-1016544
FL 33030
5 01 ( c )( 3 )
7500 . 00
0 . 00
1 h school students
:o support three program
ArtSpring,
Inc.
dult inmates in
PO Box 343432
Florida Cit y
65-0347274
FL 33034
501(c)(3)
7500 . 00
0 . 00
iami-Dade Count
:o support the
Associated Marine Institute,
herapeutic Support
Inc.
FL 33634
Tama
5 01 ( c )( 3 )
10000 00
0 . 00
Foundation,
Inc.
- 1500 Monza
Avenue,
59-1923401
FL 33146
501(c)(3)
7500 . 00
0 . 00
ivers
h fiscal
FL 33131
Inc.
Suite 22
52-1614576
5 01 ( c )( 3 )
7500 . 00
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02 -01.10
34
0 . 00
l isadvanta g ed students
Schedule I-1 (Form 990) 2009
SCHEDULE I-1
(Form 990)
2009
Open to Public
Inspection
Part I I Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II )
(a) Name and address of
organization or government
(b) EIN
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
Inc.
- 701 SW 27th
59-6166904
501(c)(3)
1000 . 00
0 . 00
59-6166904
5 01 ( c )( 3 )
1500 00
0 . 00
59-6166904
501(c)(3)
1750 . 00
0 . 00
59-6166904
5 01 ( c )( 3 )
2000 . 00
0 . 00
eneral Su pp ort
59-6166904
501(c)(3)
2800 . 00
0 . 00
59-6166904
5 01 ( c )( 3 )
3000 . 00
0 . 00
eneral Su pp ort
59-6166904
501(c)(3)
25000 00
0 . 00
Inc.
- 701 SW 27th
Inc.
- 701 SW 27th
Inc.
- 701 SW 27th
FL
33135
Big Brothers Big Sisters of
Greater Miami,
Inc.
- 701 SW 27th
Inc.
- 701 SW 27th
Inc.
- 701 SW 27th
FL
33135
Big Brothers Big Sisters of
Greater Miami,
Avenue,
33135
LHA
Inc.
- 701 SW 27th
tudent-to-student
FL
5 01 ( c )( 3 )
9000 . 00
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02 -01-10
59-6166904
35
0 . 00
leventh g rade hi g h
1545-0047
SCHEDULE I-1
(Form 990)
Department of the Treasury
Open to Public
Inspection
Employer identification number
(b) EIN
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
Inc.
- 701 SW 27th
FL
33135
59-6166904
501(c)(3)
10000 00
0 . 00
59-6166904
5 01 ( c )( 3 )
10000 00
0 . 00
Inc.
- 701 Sw 27th
FL
33135
o provide care
Inc.
oordination as part of
- 701 Sw 27th
onnectFamilias to ensur
33135
501(c)(3)
40000 00
0 . 00
ro p er linka g e to
o support the Asiwaju
Inc,
Box 655130
04-3581796
FL 33265
01 ( c )( 3 )
8000 . 00
0 . 00
a nd Afro-Brazillian danc
to prepare and encourage
otivated middle and hig
Breakthrough Miami
26-2105534
FL 33133
501(c)(3)
10000 00
0 . 00
to upgrade of the
Inc.
- 920 N.W.
7th
a nd thrive in to p colle
65-0777033
5 01 ( c )( 3 )
25000 00
0 . 00
65-0063921
501(c)(3)
400 . 00
0 . 00
Inc.
Box 12408
FL 33101-2408
eneral Su p ort
o support a
omprehensive HIV/AIDS
Inc.
FL 33101-2408
65-0063921
5 01 ( c )( 3 )
20000 00
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02 -01-10
36
0 . 00
omeless members of
Schedule I-1 (Form 990) 2009
1545-0047
SCHEDULEI-1
(Form 990)
Department of the Treasury
Open to Public
Inspection
Employer identification number
Camillus House,
(b) EIN
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
Inc.
FL 33128
65-0032862
501(c)(3)
1000 . 00
0 . 00
65-0032862
5 01 ( c )( 3 )
4750 . 00
0 . 00
eneral Su pp ort
65-0032862
501(c)(3) -
5000 . 00
0 . 00
65-0032862
5 01 ( c )( 3 )
1000 . 00
0 . 00
FL 33128
FL 33128
FL 33101-1829
eneral Su pp ort
to support early
intervention services fo
CARE Resource
3510 Biscayne Boulevard,
Miami
FL 33137
Casa Valentina,
Suite 300
59-2564198
501(c)(3)
20000 00
0 . 00
20-4647939
5 01 ( c )( 3 )
5000 . 00
0 . 00
Inc.
FL 33133
to hire an additional
ase Manager to assist
CCDH,
FL 33127
10000 00
0 . 00
7952 73
0 . 00
13 eneral Su
Inc.
FL 33179
59-1617964
5 01 ( c )( 3 )
For Privacy Act and Paperwork Reduction Act Notice , see the Instructions for Form 990.
932241 02 -01-10
37
ort
SCHEDULE I-1
(Form 990)
2009
Open to Public
Inspection
Employer identification number
Part I I Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II )
(a) Name and address of
organization or government
CCDH,
(b) EIN
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
Inc.
Miami
59-1617964
501(c)(3)
8160 . 61
0 . 00
59-1617964
5 01 ( c )( 3 )
8447 87
0 . 00
59-1617964
501(c)(3)
8714 . 23
0 . 00
Inc.
CCDH,
Suite 20
FL 33179
Inc.
CCDH,
Suite 20
FL 33179
Miami
CCDH,
funding request is to
Inc.
59-1617964
FL 33179
5 01 ( c )( 3 )
70000 00
0 . 00
Inc.
16G - Miami
Suite
68-0502112
FL 33129
501(c)(3)
90000 00
0 . 00
Inc.
- 6660
33138
5 01 ( c )( 3 )
8500 . 00
0 . 00
Inc.
program 0 INVEST -
- 6660
, manage and
FL
65-0379532
33138
501(c)(3)
95000 00
0 . 00
eterans with
to support C-One's
10000 00
5 01 ( c )( 3 )
For Privacy Act and Paperwork Reduction Act Notice , see the Instructions for Form 990.
FL 33129
LHA
capacity building
032241 02 -01-10
04-3657518
38
0 . 00
SCHEDULE I-1
(Form 990)
2009
Open to Public
Inspection
Employer identification number
(b) EIN
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
Challenge Aspen
P.O. Box 6639, Snowmass Village
Mall # 309 - Snowmass Village, CO
81615
84-1315910
501(c)(3)
15000 00
0 . 00
43-1634280
5 01 ( c )( 3 )
10000 00
0 . 00
eneral Su pp ort
59-2302250
501(c)(3)
1100 . 00
0 . 00
59-2302250
5 01 ( c )( 3 )
125000 00
0 . 00
CHARLEE of
Suite 150
VA 22314
Dade County,
Inc.
FL 33130
Inc.
Suite 700
Miami
FL 33130
o support the
CHARLEE of Dade County,
Inc.
Suite 700
Miami
FL 33130
Educational Services
rogram which aims to
59-2302250
501(c)(3)
10000 00
0 . 00
44-6005794
5 01 ( c )( 3 )
100000 00
0 . 00
59-0192430
501(c)(3)
1000 . 00
0 . 00
Children International
2000 East Red Bridge Road
Kansas Cit y- MO 64131
FL 33136
eneral Su
ort
to provide general
Batchelor Family
LHA
10000 00
5 01 ( c )( 3 )
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 .
FL 33136
932241 02-01-10
59-0192430
39
0 . 00
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
2009
Open to Public
Inspection
Part I I Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II )
(a) Name and address of
organization or government
(b) EIN
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
Dairy Road,
Suite T-57/409
- North
FL 33179
Miami Beach
26-1231248
501(c)(3)
23520 00
0 . 00
Dairy Road,
FL 33179
ort g roup s
to adults
Miami Beach
o produce brochures in
panish and Creole to
5 01 ( c )( 3 )
7000 00
0 . 00
59-0855391
5000 . 00
0 . 00
59-0855391
5000 . 00
0 . 00
87th Avenue
FL 33165
3000 S.W.
Miami
FL 33165
eneral Support
to support the Community
Science Workshop which
Inc.
- 2025 SW 32nd
Avenue - Miami
FL 33145
Cit y of Miami
65-0114889
501(c)(3)
identified as at-risk fo
9000 . 00
0 . 00
499000 00
0 . 00
45000 00
0 . 00
50000 00
0 . 00
^, eneral su pp ort
FL 33139
LHA
FL 33139
For Privacy Act and Paperwork Reduction Act Notice , see the Instructions for Form 990.
932241 02 -01-10
40
SCHEDULE I-1
(Form 990)
Department of the Treasury
2009
Open to Public
Inspection
(b) EIN
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
55000 00
0 . 00
eneral Su pp ort
125000 00
0 . 00
eneral Su
13-6163907
500 . 00
0 . 00
13-6163907
25000 00
0 . 00
eneral Su
13-6163907
25000 00
0 . 00
eneral Su pp ort
13-6163907
25000 00
0 00
FL 33139
Inc.
26-1417978
FL 33312
5 01 ( c )( 3 )
ort
NY 10027
New York
ort
New York
New York
o hire a Miami-based
Common Threads,
Inc,
ommon Threads,
Suite 530
20-0106847
IL 60654
501(c)(3)
20000 00
0 . 00
hica o-based
o support the Out of
65-0140488
5 01 ( c )( 3 )
10000 00
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02 -01-10
41
0 . 00
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue
2009
Open to Public
Inspection
(b) EIN
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
to provide care
Community Coalition,
2100 Coral Way,
Miami
oordination as part of
Inc.
onnectFamilias to ensure
Suite 402
FL 33145
65-0848128
501(c)(3)
40000 00
0 . 00
ro p er linka g e to
65-0425069
5 01 ( c )( 3 )
100 . 00
0 . 00
65-0425069
501(c)(3)
400 . 00
0 . 00
65-0425069
5 01 ( c )( 3 )
1000 . 00
0 . 00
65-0425069
501(c)(3)
50000 00
0 . 00
65-0425069
5 01 ( c )( 3 )
83268 18
0 00
Homeless,
Avenue - Miami
FL 33136
Inc.
Avenue - Miami
Inc.
Avenue - Miami
Inc.
Avenue - Miami
Inc.
Avenue - Miami
in Transitional Services
Miami
FL 33137-3118
23-7063810
501(c)(3)
70000 00
0 . 00
ro ram
- a
he Florida BRAIVE
utreach Project 0 a
collaboration between
LHA
250000 00
5 01 ( c )( 3 )
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
FL 33137-3118
932241 02-01-10
23-7063810
42
0 . 00
SCHEDULE I-1
(Form 990)
Department of the Treasury
- - 2009
Open to Public
Inspection
Part I I Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II )
(a) Name and address of
organization or government
(b) EIN
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
to provide low-income
Cool Kids Learn,
Inc.
FL 33016
501(c)(3)
7500 . 00
0 . 00
Elementar y with an
Shout Outsl
Coral Gables
FL 33134
a program fo
10000 00
0 . 00
Inc.
- 21301 Powerline
FL
13-6193105
501(c)(3)
1000 . 00
0 . 00
13-6193105
5 01 ( c )( 3 )
22000 00
0 00
eneral Su pp ort
65-0350357
501(c)(3)
50 . 00
0 . 00
65-0350357
5 01 ( c )( 3 )
250 . 00
0 . 00
65-0350357
501(c)(3)
500 . 00
0 . 00
65-0350357
5 01 ( c )( 3 )
500 . 00
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
0 . 00
33433-2391
Crohn's & Colitis Foundation of
America,
Road.
Inc.
- 21301 Powerline
FL
33433-2391
Inc.
Inc.
Inc.
Inc.
LHA
Suit
FL 33131-5330
Miami
Suit
FL 33131-5330
Miami
Suit
FL 33131-5330
Suit
FL 33131-5330
932241 02 -01-10
43
SCHEDULE 1-1
(Form 990)
Department of the Treasury
2009
Open to Public
Inspection
Part I
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II )
(b) EIN
0 . 00
65-0350357
5 01 ( c ) ( 3 )
3000 . 00
0 00
65-0350357
501( c) (3)
7500 . 00
0 . 00
65-0350357
5 01 ( c ) ( 3 )
10000 00
0 00
65-0350357
10000 00
0 . 00
65-0350357
5 01 ( c ) ( 3 )
10000 00
0 . 00
65-0350357
25000 00
0 . 00
47000 00
65-0350357
5 01 ( c ) ( 3 )
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
0 . 00
Inc.
Inc.
Inc.
Inc.
Suit
FL 33131-5330
Inc.
Suit
FL 33131-5330
Inc.
Suit
FL 33131-5330
Inc.
LHA
Suit
FL 33131-5330
Miami.
Suit
FL 33131-5330
Miami
Suit
FL 33131-5330
Miami
2500 . 00
Miami
(g) Description of
non-cash assistance
501( c) (3)
Miami
(f) Method of
valuation
(book, FMV,
appraisal, other)
65-0350357
Miami
(e) Amount of
non-cash
assistance
Suit
FL 33131-5330
Miami
(d) Amount of
cash grant
Inc.
Suit
FL 33131-53 30
932241 02 -01-10
44
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
2009
Open to Public
Inspection
Part I I Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990). Part II )
(a) Name and address of
organization or government
(b) EIN
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
Inc.
Suit
65-0350357
501(c)(3)
9000 . 00
0 . 00
65-0350357
5 01 ( c )( 3 )
10000 00
0 . 00
65-0350357
501(c)(3)
2533 . 93
0 . 00
65-0350357
5 01 ( c )( 3 )
3464 . 43
0 . 00
65-0350357
501(c)(3)
5000 . 00
0 . 00
40000 00
0 . 00
500 . 00
0 . 00
Road,
33021
59-1361955
6500 , 00
5 01 ( c )( 3 )
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
0 . 00
Miami
FL 33131-5330
Inc.
Suit
FL 33131-5330
Inc.
Suit
FL 33131-5330
Inc.
Suit
FL 33131-5330
Inc.
Miami
Suit
FL 33131-5330
FL 33137
Inc.
FL
33021
59-1361955
501(c)(3)
LHA
932241 02 -01-10
Inc.
45
SCHEDULE I-1
(Form 990)
2009
Open to Public
Inspection
Employer identification number
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
Inc.
FL
65-0721284
33160
501(c)(3)
10000 00
0 . 00
Incubator,
Inc.
eb Archive
Avenue,
(g) Description of
non-cash assistance
o provide nutritional
(f) Method of
valuation
(book, FMV,
appraisal, other)
(Diaweb)
FL
02-0546537
33127-2918
5 01 ( c )( 3 )
9000 . 00
0 . 00
165049 42
0 . 00
Miami Shores
Lincoln Road,
Beach
ort
or residents living in
FL 33139
G eneral Su
to purchase internet
access and new mattresse
9000 . 00
0 . 00
Association,
Leon Blvd.,
Gables ,
Inc.
- 2121 Ponce de
FL 33134
501(c)(3)
5000 . 00
0 . 00
50000 00
0 . 00
FL 33131
eneral Su pp ort
o support the Green
Dream in Green,
Inc.
6th
20-5196010
501(c)(3)
8000 . 00
0 . 00
138284 65
65-0454414
5 01 ( c )( 3 )
Instructions
for
Form
990.
Paperwork
Reduction
Act
Notice
,
see
the
For Privacy Act and
0 . 00
Coral Gables
FL 33134
chool communities to
Inc.
LHA
FL 33157
93224 1 02-01-10
46
SCHEDULE I-1
(Form 990)
Department of the Treasury
Open to Public
Employer identification number
(b) EIN
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
Duke University
Box 90600
Durham
56-0532129
NC 27708
501(c)(3)
10000 00
0 . 00
Inc.
- 14805
FL 33170
65-0201636
5 01 ( c )( 3 )
6000 00
0 . 00
Empower U,
Inc,
8309 NW 22 Ave
Miami
FL 33147
65-0899207
501(c)(3)
50000 00
0 . 00
onnections
59-3435235
5 01 ( c )( 3 )
1000 . 00
0 . 00
eneral Su pp ort
59-3435235
501(c)(3)
1200 . 00
0 . 00
eneral Su pp ort
to j ointl y
Inc.
Biscayne Boulevard,
Miami
- 3510
Suite 202 -
FL 33137
Inc.
Petersburg,
- P.O.
Box
FL
33733-9725
Inc.
- P.O.
Box
FL
59-3435235
33733-9725
5 01 ( c )( 3 )
10000 00
0 . 00
Everybody Winsl
South Florida,
FL 33156
20-4349188
501(c)(3)
9500 . 00
0 . 00
Experience Aviation,
Inc,
conomically deprived
FL 33054
75-3200386
5 01 ( c )( 3 )
7500 . 00
For Privacy Act and Paperwork Reduction Act Notice , see the Instructions for Form 990.
932241 02 -01-10
47
0 . 00
SCHEDULE I-1
(Form 990)
2009
Open to Public
Inspection
Employer identification number
Part I I Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II )
(a) Name and address of
organization or government
Experience Aviation,
(b) EIN
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
Inc.
FL 33054
75-3200386
501(c)(3)
484 . 05
0 . 00
eneral Su pp ort
59-0668480
5 01 ( c )( 3 )
112 . 50
0 . 00
59-0668480
501(c)(3)
10000 00
0 . 00
59-0668480
5 01 ( c )( 3 )
45000 00
0 . 00
59-0668480
501(c)(3)
1618 . 29
0 . 00
Coral Gables
FL 33156
Coral Gables
FL 33156
Coral Gables ,
FL 33156
Coral Gables
FL 33156
eneral Su pp ort
o support the First Sto
Inc.
Suite 304
Palm S p rin g s
FL 33461
5 01 ( c )( 3 )
125000 00
0 . 00
a ctivities to identif y
59-1312775
501(c)(3)
1000 . 00
0 . 00
Inc.
- 10651 North
Inc.
or adult survivors of
- 7412 Sunset
FL 33143
59-1312775
5 01 ( c )( 3 )
15000 00
For Privacy Act and Paperwork Reduction Act Notice , see the Instructions for Form 990.
032241 02-01-10
48
0 . 00
SCHEDULE I-1
(Form 990)
Department of the Treasury
Open to Public
InsiDection
Part I I Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990). Part II )
(a) Name and address of
organization or government
(b) EIN
59-1312775
501(c)(3)
(d) Amount of
cash grant
40000 00
(e) Amount of
non-cash
assistance
0 . 00
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
:o provide care
oordination as part of
onnectFamilias to ensure
ro p er linka g e to
o allow Family
:ounseling Services to
- 7412 Sunset
Greater Miami,
Inc.
Drive - Miami
FL 33143
ontinue providing
59-1312775
5 01 ( c )( 3 )
10000 00
0 . 00
Inc.
Boca Raton
- P.O.
Box 812163 -
FL 33481
amilies program,
26-0784496
501(c)(3)
75000 00
0 . 00
artnershi
with Broward
33130
59-1788265
5 01 ( c )( 3 )
15000 00
0 . 00
Inc,
mplement a domestic
Miami
501(c)(3)
25000 00
0 . 00
ddressin
the three
o support community
rganizing and education
Apopka
FL 32703
59-2683978
5 01 ( c )( 3 )
8000 . 00
0 . 00
he Homestead area
o support the
Inc.
inematographers in
FL 33161
65-0928165
501(c)(3)
9000 . 00
0 . 00
representation and
5 01 ( c )( 3 )
25000 00
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
LHA
932241 02 -01-10
FL 33137
65-0610872
49
0 . 00
e ducation to Haitian
SCHEDULE I-1
(Form 990)
Department of the Treasury
2009
Open to Public
Inspection
Part I I Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II )
(a) Name and address of
organization or government
(b) EIN
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
o provide care
Florida Immigrant Advocacy Center,
Inc.
oordination as part of
onnectFamilias to ensure
FL 33137
65-0610872
501(c)(3)
30000 00
0 . 00
ro p er linka g e to
:o hire a community
interpretation
Street
FL 33199
7500 . 00
0 . 00
FL 33199
23-7047106
501(c)(3)
5000 . 00
0 . 00
eneral Su pp ort
23-7047106
5 01 ( c )( 3 )
5000 . 00
0 . 00
23-7047106
501(c)(3)
8000 . 00
0 . 00
eneral Su pp ort
23-7047106
5 01 ( c )( 3 )
1712 . 68
0 . 00
Inc.
- College of
Business Administration,
8th Street
11200 SW
FL
FL
Inc.
- University Park
FL 33199
Suite
FL 33304
87-0743538
501(c)(3)
7500 . 00
0 . 00
in
arks
199 . 78
0 . 00
communit y
LHA
FL 33054
59-0668483
For Privacy Act and Paperwork Reduction Act Notice , see the Instructions for Form 990.
932241 02 -01-10
50
SCHEDULE I-1
(Form 990)
Department of the Treasury
Infwrnnl Flwvwniiw Cwrvv^w
2009
Open to Public
Inspection
Employer identification number
(b) EIN
organization or government
(d) Amount of
(e) Amount of
(f) Method of
(g) Description of
if applicable
cash grant
non-cash
valuation
non-cash assistance
or assistance
assistance
(book, FMV,
appraisal, other)
:o develop a corp of
:rained resource persons
n campus made up of
Miami
FL 33054
20000 00
59-0668483
0 . 00
tudents
staff and
FL 32085-1008
59-2314251
5 01 ( c )( 3 )
88000 00
0 . 00
20-1328734
501(c)(3)
4722 . 51
0 . 00
20-1328734
5 01 ( c )( 3 )
49347 09
0 . 00
aDD roximatel y
685 000
Suite #
FL 32789
Suite #
FL 32789
:o establish the
eteran's Project of
outh Florida-SOFAR,
Suite
FL 33146
59-6215571
501(c)(3)
54000 00
0 . 00
LHA
FL 33130
65-0118944
501(c)(3)
8588 . 24
0 . 00
65-0118944
5 01 ( c )( 3 )
8808 . 79
0 . 00
eneral Su pp ort
Suite 601
For Privacy Act and Paperwork Reduction Act Notice , see the Instructions for Form 990.
932241 02 -01-10
Inc.
0 . 00
Suite 601
FL 33130
5 01 ( c )( 3 )
7500 . 00
59-2815277
Inc.
Suite 209
FL 33137-3823
Inc,
51
SCHEDULE I-1
(Form 990 )
Department of the Treasury
Internal Revenue Service
2009 """
Open to Public
Inspection
Part I
(b) EIN
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
Inc.
Suite 601
FL 33130
65-0118944
501(c)(3)
9102 . 42
0 . 00
eneral Su
65-0118944
5 01 ( c )( 3 )
9366 . 21
0 . 00
59-2394216
501(c)(3)
8124 . 01
0 . 00
59-2394216
5 01 ( c )( 3 )
8332 64
0 . 00
eneral Su pp ort
59-2394216
501(c)(3)
8610 . 40
0 . 00
59-2394216
5 01 ( c )( 3 )
8859 . 93
0 . 00
ort
Inc.
65-035035 7
Contin uat ion of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
Miami
suite 601
FL 33130
Inc.
- 835 NE 132nd
FL 33161
Inc.
- 835 NE 132nd
FL 33161
Inc.
- 835 NE 132nd
FL 33161
Inc.
- 835 NE 132nd
FL 33161
Fundarte,
Inc,
ropics,
FL 33141
Gator Boosters,
P.O.
a weekend-long
5 01 ( c )( 3 )
6000 . 00
0 . 00
eaturin
59-0737883
5 01 ( c )( 3 )
18500 00
0 . 00
eneral Support
2010
artists new to
Inc.
Box 13796
Gainesville
LHA
Suite 4C
FL 32604-1796
For Privacy Act and Paperwork Reduction Act Notice , see the Instructions for Form 990.
932241 02 -01-10
52
1545-0047
SCHEDULEI-1
(Form 990)
Department of the Treasury
Open to Public
Inspection
Employer identification number
I Part I I Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II )
(b) EIN
(d) Amount of
(e) Amount of
(f) Method of
(g) Description of
if applicable
cash grant
non-cash
valuation
non-cash assistance
or assistance
assistance
(book, FMV,
appraisal, other)
DC 20001
5 01 ( c )( 3 )
5000 . 00
0 . 00
eneral Su pp ort
5 01 ( c )( 3 )
9000 . 00
0 . 00
Inc.
65-0335986
10000 00
FL 33034
0 . 00
o provide early
Inc.
hildhood education
- 1900
FL
59-2107005
5 01 ( c )( 3 )
10000 00
0 . 00
59-0624404
501(c)(3)
1000 . 00
0 . 00
eneral Su
59-0624404
5 01 ( c )( 3 )
1380 . 00
0 . 00
59-0624404
501(c)(3)
23000 00
0 . 00
eneral Su pp ort
59-0624404
65000 00
5 01 ( c )( 3 )
FL 33137-3279
For Privacy Act and Paperwork Reduction Act Notice , see the Instructions for Form 990.
0 . 00
33132-1025
ort
LHA
932241 02-01-10
53
SCHEDULE I-1
(Form 990)
Department of the Treasury
Open to Public
Employer identification number
(b) EIN
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
Miami
59-0624404
501(c)(3)
75000 00
0 . 00
he Corps-to-Career
FL 33127
Miami
5 01 ( c )( 3 )
7500 , 00
0 . 00
upport Program to
501(c)(3)
90500 00
0 . 00
65-0108974
5 01 ( c )( 3 )
3000 . 00
0 . 00
eneral Su pp ort
65-0108974
501(c)(3)
5802 . 86
0 . 00
65-0108974
5 01 ( c )( 3 )
5951 . 89
0 . 00
65-0108974
501(c)(3)
6150 . 29
0 . 00
eneral Su p ort
6328 52
5 01 ( c )( 3 )
For Privacy Act and Paperwork Reduction Act Notice , see the Instructions for Form 990.
0 . 00
eneral Su pp ort
FL 33407
Miami,
- Miami
FL 33142
FL 33142
Miami,
- Miami
FL 33142
Miami,
- Miami
FL 33142
LHA
FL 33142
932241 02-01-10
65-0108974
54
SCHEDULEI-1
(Form 990)
Department of the Treasury
Open to Public
Insoection
Employer identification number
Part I I Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
Box 370809
P.O.
Miami
41-2131422
FL 33137
501(c)(3)
24000 00
0 . 00
Miami
Inc.
41-2131422
5 01 ( c )( 3 )
9000 . 00
0 . 00
65-1080680
501(c)(3)
40000 00
0 . 00
65-0449338
5 01 ( c )( 3 )
1000 . 00
0 . 00
Sant
- 5000 Biscayne
Boulevard,
FL
33137
Hands On Miami,
eneral Su pp ort
Inc.
FL 33129
Hands On Miami,
Volunteer Program
Inc,
FL 33129
Miami
which
501(c)(3)
7000 . 00
0 . 00
04-2103580
5 01 ( c )( 3 )
5000 . 00
0 . 00
65-0005384
501(c)(3)
10000 00
0 . 00
v olunteer o pp ortunities
MA 02
Inc.
2 S.
1710 - Miami
- One Biscayne
Biscayne Blvd.,
Ste.
FL 33131
rogram - Veterans in
ounseling to obtain
Lauderdale
LHA
932241 02-01-10
FL 33319
59-0711167
80470 00
55
0 . 00
ecover
which seeks to
SCHEDULE I-1
(Form 990)
Department of the Treasury
2009 VV
Open to Public
Inspection
Part I I Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II )
(a) Name and address of
organization or government
(b) EIN
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
to develop radio
Henry J. Kaiser Family Foundation
programming designed to
CA 94025
Here's Help,
27th Avenue
O p a Locka
FL 33054-2699
Help,
501(c)(3)
10000 00
0 . 00
59-1298067
5 01 ( c )( 3 )
5000 . 00
0 . 00
eneral Su
59-1298067
501(c)(3)
2500 . 00
0 . 00
65-0145994
5 01 ( c )( 3 )
50000 00
0 . 00
eneral Su pp ort
Inc.
15100 N.W.
Here's
94-6064808
ort
Inc.
15100 N.W.
27th Avenue
O p a Locka
FL 33054-2699
His House,
Inc.
FL 33055-1543
Hispanic Events,
3191 Coral Way,
Miami
Inc.
to publish an anthology
Suite 510
FL 33145
65-0610039
501(c)(3)
5000 . 00
0 . 00
FL 33130
programs and a
commemorative publicatio
59-0968005
5 01 ( c )( 3 )
8000 . 00
0 . 00
Inc.
to support the
- 2031
rganization's renown
FL
rejudice reduction
59-1992826
501(c)(3)
10000 00
0 . 00
f meals to homeless,
LHA
lderly,
5 01 ( c )( 3 )
10000 00
For Privacy Act and Paperwork Reduction Act Notice , see the Instructions for Form 990.
Homestead
932241 02-01-10
FL 33090-1180
59-2381939
56
0 . 00
underemployed,
em to ed and p oor
SCHEDULE I-1
(Form 990)
Department of the Treasury
2009 Vy^
Open to Public
Ins pection
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II )
(a) Name and address of
organization or government
(b) EIN
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
Inc.
Hope
FL 33160
for Vision,
501(c)(3)
500 . 00
0 . 00
20-2818701
5 01 ( c )( 3 )
5000 . 00
0 . 00
Inc.
20-2818701
#1801
FL 33160
Inc.
Box 541086
Ova-Locks
FL 33054
65-0627786
501(c)(3)
5000 . 00
0 . 00
A-200 - Miami
Suite
FL 33166
5 01 ( c )( 3 )
7500 . 00
0 . 00
ufferin
of terminall y
County,
hangemaker Summits to b
Inc.
Terrace,
- 260 NE 17th
FL
33132
resented in 2009,
65-0690368
501(c)(3)
25000 00
0 . 00
84-0919612
5 01 ( c )( 3 )
27650 00
0 . 00
the
Street, N.W.,
Suite 460
Inc.
fun-filled,
FL 33037
65-0728047
501(c)(3)
8000 . 00
0 . 00
-da
restorativ
p ro g ram swimmin g
to strengthen the
ITWomen Charitable Foundation,
Inc.
rganizational capacity
Suite #
hrough improved
57
0 . 00
embershi recruitment
Schedule I-1 (Form 990) 2009
SCHEDULE I-1
(Form 990)
2009
Open to Public
Inspection
Employer identification number
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
FL 33136
2000 . 00
0 . 00
65-0077727
5 01 ( c )( 3 )
5000 . 00
0 . 00
65-0077727
501(c)(3)
234000 00
0 . 00
Inc.
Miami
501(c)(3)
FL 33136
65-0077727
Inc.
FL 33136
Options,
Inc.
eneral Su pp ort
to provide temporary,
risis-based services to
- 4200 North
FL
33351
65-0334267
5 01 ( c )( 3 )
8000 . 00
0 . 00
54-0524512
501(c)(3)
60000 00
0 . 00
59-0637867
5 01 ( c )( 3 )
500 . 00
0 . 00
VA 23226
FL 33161
eneral Su pp ort
he proposed project wil
augment services
Inc.
currently provided
- 735 NE 125th
FL 33161
59-0637867
501(c)(3)
25000 00
0 . 00
65-0198264
5 01 ( c )( 3 )
50 . 00
0 . 00
Inc.
FL 33139
For Privacy Act and Paperwork Reduction Act Notice , see the Instructions for Form 990.
932241 02 -01-10
58
SCHEDULE I-1
(Form 990)
Department of the Treasury
In.n.n nl On. nnn CnrInn
2009
Open to Public
Inspection
Employer identification number
(b) EIN
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
65-0198264
FL 33139
5 01 ( c )( 3 )
250 . 00
0 . 00
Inc.
65-0198264
FL 33139
5 01 ( c )( 3 )
10000 00
0 . 00
istribution campaigns
Inc.
14-2012279
FL 33164
5 01 ( c )( 3 )
7000 . 00
0 . 00
ommunities usin g
o provide an
Kinad,
frican-American History
Inc.
65-1118994
FL 33056
5 01 ( c )( 3 )
7000 00
0 . 00
etworking To Improve
Inc,
Suite 11
03-0400216
FL 33160
501(c)(3)
40000 00
0 . 00
06-1412355
FL 33131
& Referrals
ounselin
5 01 ( c )( 3 )
10000 00
0 . 00
Inc,
advocacy organization,
Suit
FL 33131
501(c)(3)
25000 00
0 . 00
o r g anization's ca p acit y
o provide care
:oordination as part of
LHA
onnectFamilias to ensur
Third
30000 00
5 01 ( c )( 3 )
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
FL 33128
932241 02-01-10
59-6000573
59
0 . 00
ro er linka g e to
1545-0047
SCHEDULE I-1
(Form 990)
Department of the Treasury
Open to Public
Inspection
Employer identification number
Part I
(b) EIN
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
Inc.
(g) Description of
non-cash assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
dvice,
FL
59-6046994
33401
501(c)(3)
75000 00
0 . 00
representation,
nd advocac y to veterans
to increase the capacity
of the Renters Education
FL 33137
59-1227481
5 01 ( c )( 3 )
10000 00
0 . 00
onnectFamilias to ensur
FL 33137
59-1227481
501(c)(3)
30000 00
0 . 00
FL 33137
ro er linka g e to
he military Legal
dvocacy Project will
l e g al services to troo p s
59-1227481
5 01 ( c )( 3 )
75000 00
0 . 02
20-0286351
501(c)(3)
65000 00
0 . 00
eneral Su p ort
20-0286351
5 01 ( c )( 3 )
85000 00
0 . 00
eneral Su pp ort
59-2620322
5 01 ( c )( 3 )
5280 . 00
0 . 00
eneral Su pp ort
59-2620322
5 01 ( c )( 3 )
5000 . 00
0 . 00
eneral Su pp ort
LegalArt Inc.
325 S.
Biscayne Blvd.,
Miami
FL 33131
# 2514
LegalArt Inc.
900 16th Street,
Miami Beach
Suite 309
FL 33139
Inc.
Lauderdale
FL 33314
Inc.
Lauderdale
LHA
For Privacy Act and Paperwork Reduction Act Notice , see the Instructions for Form 990.
932241 02-01-10
60
SCHEDULE I-1
(Form 990)
Department of the Treasury
2009
Open to Public
Inspection
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II )
(a) Name and address of
organization or government
(b) EIN
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
Inc.
lasses,
33054
transportation
(g) Description of
non-cash assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
65-0577966
501(c)(3)
7000 . 00
0 . 00
59-1709438
5 01 ( c )( 3 )
1500 . 00
0 . 00
59-1709438
501(c)(3)
8000 . 00
0 . 00
a ctivities for
Inc.
FL 33133
Inc,
FL 33133
eneral Su p ort
to purchase
state-of-the-art Liquid
FL 33133
5 01 ( c )( 3 )
6500 . 00
0 . 00
59-2048869
501(c)(3)
1500 . 00
0 . 00
59-2048869
5 01 ( c )( 3 )
10000 00
0 . 00
FL 33130
eneral Su pp ort
FL 33130
FL 33130
59-2048869
501(c)(3)
7000 . 00
0 . 00
Museum ,
59-2429406
5 01 ( c )( 3 )
5000 00
0 . 00
undin
PO Box 4034
Coral Gablee
LHA
FL 33114
For Privacy Act and Paperwork Reduction Act Notice , see the Instructions for Form 990.
932241 02-01-10
61
1545-0047
SCHEDULE I-1
(Form 990)
Department o1 the Treasury
Open to Public
Employer identification number
(b) EIN
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
Suite # 215
23-7250811
501( c) (3)
6000 . 00
0 . 00
59-1720704
5 01 ( c ) ( 3 )
2533 . 93
0 . 00
59-1720704
501( c) (3)
7709 . 34
0 . 00
59-1720704
5 01 ( c ) ( 3 )
10000 00
0 . 00
59-2396999
7500 . 00
0 . 00
59-2578534
- 5 01 ( c ) ( 3 )
1000 . 00
0 . 00
59-2578534
2000 . 00
0 . 00
59-2578534
2300 . 00
5 01 ( c ) ( 3 )
FL 33139
For Privacy Act and Paperwork Reduction Act Notice , see the Instructions for Form 990.
0 . 00
FL 33143
FL 33155
Inc.
Avenue - Miami
- 3100 SW 62nd
FL 33155
Inc.
Avenue - Miami
- 3000 Sw 62nd
FL 33155
FL 33132
Inc.
FL 33139
Inc.
FL 33139
Inc.
LHA
932241 02 -01-10
62
1545-0047
SCHEDULEI-1
(Form 990)
Department of the Treasury
Open to Public
Employer identification number
Part I I Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II )
(a) Name and address of
organization or government
(b) EIN
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
Inc.
FL 33139
59-2578534
501(c)(3)
5000 . 00
0 . 00
59-2578534
5 01 ( c )( 3 )
250000 00
0 . 00
59-6169745
501(c)(3)
2500 . 00
0 . 00
59-6169745
5 01 ( c )( 3 )
248317 59
0 . 00
Inc.
FL 33139
- 300 N.E.
2nd Avenue,
# 4102
FL 33132
- Miami
- 300 NE 2 Avenue,
1423-1 - Mami
Suite
FL 33132
eneral Su pp ort
To expand upon existing
career pathways
programming to offer a
FL 33132
59-6169745
501(c)(3)
75000 00
0 . 00
om lete p acka g e of
5 01 ( c )( 3 )
20000 00
0 00
onnectfamilias
501(c)(3)
500 . 00
0 . 00
eneral Su
Inc.
- P.O.
FL 33153
ort
Inc.
9000 00
5 01 ( c )( 3 )
For Privacy Act and Paperwork Reduction Act Notice , see the Instructions for Form 990.
LHA
932241 02-01-10
FL 33139
65-0830266
63
0 . 00
SCHEDULE I-1
(Form 990)
Department of the Treasury
Open to Public
Employer identification number
party I I Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
(g) Description of
non-cash assistance
appraisal, other)
to provide general
operating support for
Inc.
ear-round programming
FL 33139
65-0830266
501(c)(3)
15000 00
0 . 00
ervin
to strengthen the
Miami Gay Men's Chorus,
rganization's capacity
Inc.
o inspire South
FL 33119-0209
65-0932623
5 01 ( c )( 3 )
12500 00
0 . 00
ducational programs to
FL 33137
59-0674260
501(c)(3)
7500 . 00
0 . 00
65-0107810
5 01 ( c )( 3 )
50000 00
0 . 00
G eneral Su pp ort
Inc.
Suite 100
FL 33137
to provide disadvantaged
Miami Light Project,
Inc.
summer experiences
Suite 100
FL 33137
65-0107810
501(c)(3)
9000 . 00
0 . 00
59-0637847
5 01 ( c )( 3 )
100 , 00
0 . 00
Inc.
- 601 SW
FL 33130
Inc.
- 601 SW
FL 33130
501(c)(3)
10000 00
0 . 00
om rehensive o p tometric
59-0637847 - 5 01 ( c )( 3 )
4026 10
0 . 00
59-0637847
LHA
FL 33130
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
64
SCHEDULE I-1
(Form 990)
Department of the Treasury
Open to Public
Inspection
Employer identification number
Part I I Continuation of Grants and Other Assistance to Governments and Oraanizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
FL 33129
59-0854960
501(c)(3)
5000 . 00
0 . 00
59-0854960
5 01 ( c )( 3 )
5000 00
0 . 00
eneral Su
26-4084871
501(c)(3)
72467 00
0 . 00
192530 00
0 . 00
FL 33129
ort
Inc.
FL 33132
Inc.
26-4084871
FL 33132
01 c
o support promising
oung inner city youth
Inc.
FL 33134
otential as athletes
59-1967181
501(c)(3)
10000 00
0 . 00
65-0669948
5 01 ( c )( 3 )
5000 . 00
0 . 00
5 01 ( c )( 3 )
5000 . 00
0 . 00
1500 . 00
0 . 00
eneral Su
FL 33128
U nrestricted Fund
C1102
FL 33149
FL 33138
59-0689708
For Privacy Act and Paperwork Reduction Act Notice , see the Instructions for Form 990.
932241 02 -01-10
65
ort
SCHEDULE I-1
(Form 990)
Department of the Treasury
Open to Public
Inspection
Employer identification number
Part I I Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
59-0689708
FL 33138
81781 26
0 . 00
eneral Su
ort
Inc.
450 NW 28 Street
Miami
FL 33127
26-3392966
5 01 ( c )( 3 )
14425 00
0 . 00
26-3392966
501(c)(3)
18500 00
0 . 00
26-3392966
5 01 ( c )( 3 )
23618 00
0 . 00
eneral Su pp ort
26-3392966
501(c)(3)
25000 00
0 . 00
26-3392966
5 01 ( c )( 3 )
53730 00
0 . 00
26-3392966
501(c)(3)
1429 . 95
0 . 00
eneral Su pp ort
13644 41
0 . 00
eneral Su pp ort
FL 33127
Inc.
450 NW 28 Street
Miami
FL 33127
Inc.
450 NW 28 Street
Miami
FL 33127
Inc.
450 NW 28 Street
Miami
FL 33127
Inc.
450 NW 28 Street
Miami
FL 33127
Miami-Dade Count y
LHA
For Privacy Act and Paperwork Reduction Act Notice , see the Instructions for Form 990.
932241 02 -01-10
66
SCHEDULE I-1
(Form 990)
Department of the Treasury
2009
Open to Public
Inspection
Part I I Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II )
(a) Name and address of
organization or government
(b) EIN
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
FL 33130
Miami
0 . 00
Mothers'
Inc.
Millier School of
FL 33130
31-1554237
01 ( c )( 3 )
45000 00
0 . 00
edicine
59-1711400
501(c)(3)
5000 . 00
0 . 00
59-1711400
5 01 ( c )( 3 )
15000 00
0 00
Inc.
- Miami Beach
FL 33140
Inc.
- Miami Beach
FL 33140
eneral Su pp ort
he One Stop Domestic
MUJER,
Inc,
FL 33033
c oordinated services to
65-0534683
501(c)(3)
25000 00
59-2085261
5 01 ( c )( 3 )
300 00
0 . 00
59-2085261
501(c)(3)
1000 . 00
0 . 00
0 . 00
Inc.
FL 33161
Inc.
FL 33161
Inc,
rt therapy program
FL 33161
59-2085261
5 01 ( c )( 3 )
7500 . 00
For Privacy Act and Paperwork Reduction Act Notice , see the Instructions for Form 990 .
932241 02-01-10
67
0 . 00
tha
OMB No 1545-0047
SCHEDULE I-1
(Form 990)
Department of the Treasury
Open to Public
Employer identification number
Museum of Science,
(b) EIN
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
Inc.
FL 33129
Miami
5 01 ( c )( 3 )
8500 . 00
0 . 00
eneral Su pp ort
:o provide matching fund
Museum of Science,
Inc,
Miami .
59-0854960
01 ( c )( 3 )
8000 . 00
0 . 00
13-3462092
5 01 ( c )( 3 )
6500 . 00
0 . 00
eneral Su
13-1655255 _ 5 01 ( c )( 3 )
5000 . 00
0 . 00
eneral Su pp ort
26-4111788
2500 . 00
0 . 00
26-4111788
5000 . 00
0 . 00
26-4111788
7500 . 00
0 . 00
26-4111788
12500 00
0 . 00
eneral Su pp ort
Inc.
Miami Beach
FL 33139
ort
10013
Name Publications,
Inc.
4241 SW 62 Ave.
Miami
FL 33155
Name Publications,
Inc.
4241 SW 62 Ave.
Miami
FL 33155
FL 33155
FL 33155
For Privacy Act and Paperwork Reduction Act Notice , see the Instructions for Form 990.
932241 02-01-10
68
SCHEDULE I-1
(Form 990)
Department of the Treasury
Inlwnnl Fln .,uniin Cwvra
2009
Open to Public
Inspection
Employer identification number
Part I I Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II )
(a) Name and address of
(b) EIN
organization or government
(d) Amount of
(e) Amount of
(f) Method of
(g) Description of
if applicable
cash grant
non-cash
valuation
non-cash assistance
or assistance
assistance
(book, FMV,
appraisal, other)
59-2141837
FL 33131
5 01 ( c )( 3 )
100000 00
0 . 00
eneral Su pp ort
o support
oungARTS/MIAMI a
Brickell Avenue,
Miami
ommunity-building
FL 33131
5 01 ( c )( 3 )
10000 00
0 . 00
or Miami-Dade County
FL 33143
13-3408731
5 01 ( c )( 3 )
7500 . 00
0 . 00
52-1624852
5 01 ( c )( 3 )
1500 . 00
0 . 00
52-1624852
5 01 ( c )( 3 )
1500 . 00
0 . 00
eneral Su pp ort
52-1624852
5 01 ( c )( 3 )
3000 . 00
0 . 00
59-0968031
5 01 ( c )( 3 )
20000 00
0 . 00
FL 33137
FL 33137
FL 33137
eneral Su p ort
:o partially fund a key
Neat Stuff,
Inc.
osition (Program
LHA
10000 00
5 01 ( c )( 3 )
For Privacy Act and Paperwork Reduction Act Notice , see the Instructions for Form 990.
FL 33142
932241 02-01-10
65-0746714
69
0 . 00
dministrator
in order
SCHEDULE I-1
(Form 990)
Department of the Treasury
Inlwrnnl Gwvwniiw Cwrvu^w
2009
Open to Public
Inspection
Employer identification number
Neat Stuff,
(b) EIN
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
Inc.
FL 33142
Neat Stuff,
65-0746714
5 01 ( c )( 3 )
4642 . 29
0 . 00
eneral Su pp ort
65-0746714
5 01 ( c )( 3 )
4761 . 51
0 . 00
65-0746714
5 01 ( c )( 3 )
4920 . 23
0 . 00
65-0746714
5 01 ( c )( 3 )
5062 . 82
0 . 00
65-0364391
5 01 ( c )( 3 )
2500 . 00
0 . 00
Inc.
FL 33142
Neat Stuff,
Inc.
FL 33142
Neat Stuff,
Inc.
FL 33142
Neighbors 4 Neighbors,
Inc.
FL 33172
o issue a challenge
Neighbors 4 Neighbors,
Inc,
eighbors,
65-0364391
FL 33172
5 01 ( c )( 3 )
16000 00
0 . 00
Inc.,
to help
: he Taravella Hi g h Schoo
o be used as matching
funds to provide
Inc,
residential treatment fo
8000 . 00
0 . 00
1000 . 00
5 01 ( c )( 3 )
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
0 . 00
Homestead
65-0440678
FL 33030
5 01 ( c )( 3 )
Inc.
LHA
932241 02 -01-10
FL 33139
59-2809056
70
eneral Su pp ort
SCHEDULE I-1
(Form 990)
Department of the Treasury
Int
2009
Open to Public
Inspection
- Gevonin Cnrvirn
(b) EIN
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
to provide scholarships
New World Symphony,
or 12 attendees to the
Inc.
New world
FL 33139
59-2809056
5 01 ( c )( 3 )
2400 . 00
0 . 00
59-2809056
5 01 ( c )( 3 )
10000 00
0 . 00
59-2809056
5 01 ( c )( 3 )
20000 00
0 . 00
SvmDhon v/ Internet2
Inc.
FL 33139
Inc.
FL 33139
eneral Su pp ort
to support the Kids in
Inc.
of educational daytime
59-2809056
5 01 ( c )( 3 )
8000 00
0 . 00
13-3812224
5 01 ( c )( 3 )
5570 . 75
0 . 00
eneral Su pp ort
13-3812224 - 5 01 ( c )( 3 )
5713 81
0 . 00
13-3812224
5904 . 28
0 . 00
eneral Support
13-3812224
5 01 ( c )( 3 )
6075 . 38
the
Instructions
for
Form
990.
Paperwork
Reduction
Act
Notice,
see
and
For Privacy Act
0 . 00
Miami Beach
FL 33139
Florida,
Inc.
Highway,
FL 33146
Non-Violence Project South
Florida,
Inc.
Florida,
Inc.
Highway,
FL 33146
5 01 ( c )( 3 )
Inc.
LHA
932241 02-01-10
71
SCHEDULE I-1
(Form 990)
Department of the Treasury
2009
Open to Public
Inspection
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(b) EIN
(d) Amount of
(e) Amount of
(f) Method of
(g) Description of
if applicable
cash grant
non-cash
valuation
non-cash assistance
or assistance
assistance
(book, FMV,
appraisal, other)
Services,
Inc.
- 620 NE
FL
33161
59-1582766
501(c)(3)
11605 72
0 . 00
59-1582766
5 01 ( c )( 3 )
11903 78
0 . 00
59-1582766
5 01 ( c )( 3 )
12300 57
0 . 00
59-1582766
5 01 ( c )( 3 )
12657 05
0 . 00
83-0375996
501(c)(3)
7500 . 00
0 . 00
U nrestricted Fund
83-0375996
5 01 ( c )( 3 )
2000 . 00
0 . 00
G eneral Su pp ort
20-4272276
5 01 ( c )( 3 )
270 . 00
0 . 00
and
20-4272276 _ 5 01 ( c )( 3 )
22820 44
0 . 00
and
Services,
Inc.
- 620 NE
FL
33161
North Miami Foundation for Senior
Citizens'
Services,
Inc.
- 620 NE
FL
33161
North Miami Foundation for Senior
FL
SC - Community Grants
FL 33030
FL 33030
Orchestra Miami,
P.O.
Miami
Inc.
RCM - Orchestra Miami
Box 7598
FL 33255
LHA
Box 7598
FL 33255
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 .
032241 02 -01-10
72
SCHEDULE I-1
(Form 990)
Department of the Treasury
Open to Public
Employer identification number
Part I I Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
S-212 - Miami
Suite ii
omprehensive continuum
FL 33128
57-1140890
501(c)(3)
25000 00
0 . 00
for y outh
f housin
FL 33199
5 01 ( c )( 3 )
7000 00
0 . 00
Per Scholas,
Inc.
FL 33137
ommunity partners to
04-3252955
501(c)(3)
8000 . 00
0 . 00
ffer a combination of
65-0353695
5 01 ( c )( 3 )
2500 . 00
0 . 00
65-0353695
501(c)(3)
5000 . 00
0 . 00
65-0353695
5 01 ( c )( 3 )
100000 00
0 . 00
65-0353695
501(c)(3)
100000 00
0 . 00
Inc.
FL 33132
Inc.
FL 33132
Inc.
FL 33132
Inc.
FL 33132
Inc.
undays,
LHA
FL 33132
65-0353695
5 01 ( c )( 3 )
9000 . 00
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 .
932241 02 -01-10
a free monthly
73
0 . 00
1545-0047
SCHEDULE I-1
(Form 990)
Department o1 the Treasury
Open to Public
Employer identification number
Part I I Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
# 11
FL 33139
41-2161070
501(c)(3)
5000 . 00
0 . 00
59-1642041
5 01 ( c )( 3 )
1000 . 00
0 . 00
59-1642041
5 01 ( c )( 3 )
10000 00
0 . 00
65-0164129
5 01 ( c )( 3 )
1000 . 00
0 . 00
65-0164129
5 01 ( c )( 3 )
1000 , 00
0 . 00
eneral Su pp ort
FL 33409
Suite #
FL 33126
FL 33172
FL 33172
o provide financial
assistance to law
FL 33172
5 01 ( c )( 3 )
5000 . 00
0 . 00
iami's lesbian,
Box 014340
Miami
65-0670159
FL 33101
5 01 ( c )( 3 )
25000 00
0 . 00
isexual
gay,
trans ender
horale,
Box 014340
Miami ,
LHA
Inc,
FL 33101
65-0670159
5 01 ( c )( 3 )
10000 00
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 .
932241 02-01-10
74
0 . 00
a collaboration
SCHEDULE I-1
(Form 990)
Department of the Treasury
Open to Public
Employer identification number
Part I I Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II )
(a) Name and address of
organization or government
(b) EIN
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
to support
Pridelines Youth Services,
FL 33101
Project YES,
Between Here
Inc,
65-0670159
501(c)(3)
12500 00
0 . 00
65-0646667
5 01 ( c )( 3 )
1000 . 00
0 . 00
65-0646667
501(c)(3)
15000 00
0 . 00
e ducation p ro g ram
Inc.
FL 33143-5919
Project YES,
Inc.
eneral Su pp ort
FL 33143-5919
Inc,
Project YES,
South Miami
FL 33143-5919
65-0646667
5 01 ( c )( 3 )
5000 . 00
0 00
arents in Miami-Dade
59-0659070
501(c)(3)
500 . 00
0 . 00
eneral Su pp ort
59-0659070
5 01 ( c )( 3 )
2500 . 00
0 . 00
eneral Su pp ort
59-0659070
501(c)(3)
10000 00
0 . 00
20-3142692
5 01 ( c )( 3 )
1000 . 00
0 . 00
Inc.
FL 33133-5993
Inc.
Coconut Grove
Inc.
Coconut Grove
Read2Succeed,
Inc.
FL 33186
Suite # 131
For Privacy Act and Paperwork Reduction Act Notice , see the Instructions for Form 990.
932241 02-01-10
75
SCHEDULE I-1
(Form 990)
Department of the Treasury
Open to Public
Employer identification number
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II )
(b) EIN
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
to support the
organization's
Read2Succeed, Inc,
after-school tutoring
Suite 0 131
20-3142692
FL 33186
501(c)(3)
10000 00
0 . 00
p ro g ram ,
to provide a local match
to help leverage $112,00
in matching funds to
Inc.
Street - Immokalee
59-1221966
FL 33142
5 01 ( c )( 3 )
7000 . 00
0 . 00
rovide low-income
to provide care
coordination as part of
Regis House
onnectFamilias to ensur
59-2446131
FL 33135-0505
501(c)(3)
40000 00
0 . 00
ro p er links a to
o support an advanced
restaurant worker
NY 10001
03-0522321
5 01 ( c )( 3 )
10000 00
0 , 00
Inc.
includes administrator,
501(c)(3)
15000 00
0 . 00
ounselor ,
65-0353923
5 01 ( c )( 3 )
75000 00
0 . 00
5 01 ( c )( 3 )
22230 00
0 . 00
eneral Su p ort
750 . 00
5 01 ( c )( 3 )
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
0 . 00
eneral Su pp ort
Fort Lauderdale
FL 33307
Safespace Foundation,
teacher
staf
Inc.
FL 33153-0521
SAVE Foundation,
Inc.
LHA
FL 33137
932241 02 -01-10
FL 33140
Suite 340
65-0836881
76
SCHEDULE I-1
(Form 990)
Department of the Treasury
Intwrnnl Rwvwnuw Swrvmw
2009
Open to Public
Inspection
Employer identification number
(b) EIN
organization or government
(d) Amount of
(e) Amount of
(f) Method of
(g) Description of
if applicable
cash grant
non-cash
valuation
non-cash assistance
or assistance
assistance
(book, FMV,
appraisal, other)
o provide general
SAVE Foundation,
perating support to
Inc.
Suite #
FL 33181
65-0836881
501(c)(3)
13000 00
0 . 00
o provide low-income
Serve the People,
Inc.
FL 33147
Shake-A-Leg Miami,
26-0354733
5 01 ( c )( 3 )
10000 00
0 . 00
65-0611917
501(c)(3)
1000 . 00
0 . 00
eneral Support
o support public
Inc.
Miami
FL 33133
Shake-A-Leg Miami,
Inc.
65-0611917
FL 33133
5 01 ( c )( 3 )
20000 00
0 . 00
o Barriers Festival
to support the Summer
Shake-A-Leg Miami,
Educational Outings
Inc.
65-0611917
FL 33133
501(c)(3)
10000 00
0 . 00
un i qu e educational and
hake-A-Leg Miami in
Shake-A-Leg Miami,
Inc.
FL 33133
65-0611917
5 01 ( c )( 3 )
100000 00
0 . 00
5000 . 00
0 . 00
1000 . 00
0 . 00
19 Street
FL 33145
FL 33612-9499
36-2193608
15 01 ( c )( 3 )
For Privacy Act and Paperwork Reduction Act Notice , see the Instructions for Form 990.
932241 02 - 01-10
77
1545-0047
SCHEDULE I-1
(Form 990)
Department of the Treasury
Open to Public
Inspection
Employer identification number
Part I I Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II )
(b) EIN
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
36-2193608
FL 33607-1460
LHA
4410 . 56
eneral Su pp ort
To expand its Stone of
Hope program to reach an
engage OEF/OIF Veterans.
FL
9-6162551
01 ( c )( 3 )
25000 00
For Privacy Act and Paperwork Reduction Act Notice , see the Instructions for Form 990.
932241 02-01-10
0 . 00
inc.
5 01 ( c )( 3 )
8195
78
. 00
he Stone of Ho p e
65-0350357
Pag e 2
Any payments on
grant awards are contingent upon receipt and approval of grant agreements
grantee0s activities,
Part II_
line 1_
Column (h):
(h)
Inc,
2009.
(h)
Inc,
through initial
Current programs
(h)
(BFC)
Advocate Program.
Inc,
Inc,
services and care coordination for children and their families who have
child-centered program,
In continuing our
BFC
79
2009.04010 Dade Community Foundation I DCF
65-0350357
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(shelter,
clothing.
food)
mental health
(h)
ALERT Health,
Inc,
(h)
Inc.
environment for young girls to learn how to develop their voice and sense
resources
(h)
Inc,
(h)
Inc.
80
Dade
Community Foundation I DCF
2009.04010
Part IV
65-0350357
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Supplemental Information
of Grant or Assistance:
Inc.
(h)
Inc.
risk-factor consultations.
(blood pressure,
cardiovascular disease,
stroke,
(h)
the
services and support to military personnel and veterans who are or have
81
2009.04010 Dade Community Foundation I DCF
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Pag e 2
served in Iraq and Afghanistan and their families . They will create a
support to develop and implement the BRAIVE Fund Coalition model for
Beginning with Miami- Dade and Monroe counties and expanding to Broward.
personnel and veterans who are or have served in Iraq and Afghanistan and
their families.
Afghanistan.
(h)
82
Dade
Community Foundation I DCF
2009.04010
65-0350357
Pag e 2
the
services and support to military personnel and veterans who are or have
(h)
Purpose
of
Grant
or Assistance:
support for YEAR 2 of the BRAIVE Emergency Assistance Program (EAP) model
region 0 Monroe.
Miami-Dade.
Broward.
The
American Red Cross will continue to manage the network of Trusted Agents
personnel and veterans who are or have served in Iraq and Afghanistan and
Inc.
Coordination of operational
Partnership.
83
Dade
2009.04010
Community Foundation I DCF
(h)
65-0350357
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Inc.
associated with catering software needed for the ARC Broward's Culinary
(h)
Purpose of
Grant
or Assistance:
to
support
the
implementation of
the
(h)
Inc.
program that uses the cultural element of plants and gardens to address
discussions,
a blog site and a media arts show all about plant food.
(h)
Inc.
84
Dade
2009.04010
Community Foundation I DCF
65-0350357
Pag e 2
the visual arts the tools they need for Miami-Dade County Public Schools
connect participants with MDCPS resources and offer ongoing support and
ArtSouth.
(h)
arts program for middle and high school students which will provide an
(h)
ArtSpring-
Inc.
Inside Out-Arts
Workshops for women; Rites and Passages - Theatre & Drumming workshops
and horitculture
job skills.
(h)
Inc.
offenders who are preanant to help them become good parents and positive
contributors to society.
85
Dade
Community Foundation I DCF
2009.04010
65-0350357
Pag e 2
(h)
Inc,
(h)
Inc,
and increase
intellectual disabilities.
(h)
Inc,
from Little River Elementary where the at-risk high school students who
Inc,
assessment
through initial
Current programs
86
2009.04010 Dade Community Foundation I DCF.
65-0350357
Pa g e 2
(h)
Inc.
Breakthrough Miami
middle and high school students to enter and thrive in top college
preparatory high school programs and enter four year colleges and
of Organization or Government:
(h)
Lab,
Purpose
of
Grant
or Assistance:
Inc
to upgrade of
hardware failure
women who use the Computer Lab on a daily basis to learn basic
er skills
lobs.
Funds
Inc.
communities who are either HIV positive or at risk for HIV infection due
87
Dade
Community Foundation I DCF
2009.04010
65-0350357
CARE Resource
(h)
Pa g e 2
services for HIV Testing and referral for men who have sex with men (MSM)
(h)
to assist with the current case load of families who are transitioning
for providing a link between family members and the appropriate community
CCDH,
(h)
Inc,
is to identify BRAIVE eligible families who have sons and daughters with
needs .
(h)
community engagement
strategy which
To design
Inc,
Aliaza
88
2009.04010 Dade Community Foundation I DCF
65-0350357
Pag e 2
(h)
Inc,
education to people
who are deaf so that they can better integrate into the mainstream
culture,
self-sufficiency.
about deaf culture and teach basic American Sign Language classes to
(h)
Inc.
to realize independence,
expand the staffing and scope of services to address both the demand for
Guard,
homelessness,
bills,
reserve. National
with death
transportation.
disability
(OIF) or
food,
housing.
child care,
utility
and coping
89
2009.04010 Dade Community Foundation I DCF
65-0350357
Pag e 2
(h)
Inc,
(h)
Inc,
(h)
for the Batchelor Family visitation Center which provides a safe and
children.
(h)
services,
Inc.
to adults and
planning
cover safety
90
2009.04010 Dade Community Foundation I DCF
65-0350357
Pag e 2
(h)
Additionally. seminars
abuse,
dating
child abuse and elder abuse will also be held to educate and
abuse.
(h)
Purpose
of
Grant
or Assistance:
Inc.
to
support
projects
through science,
Common Threads,
Inc,
affordable meals .
91
2009.04010 Dade Community Foundation I DCF
(h)
arts enrichment,
Pag e 2
Inc,
computer education,
65-0350357
health education,
tutoring,
sports and
Community Coalition.
(h)
Inc,
Current programs
(h)
(Veterans
Engaged
multidimensional,
in Transitional
Services
Program)
a comprehensive.
health treatment program that will target local OEF/OIF impacted veterans
strategies that not only address the special treatment needs of the
address the PTSD and other trauma related conditions that the veteran
possesses .
care that will be offered includes the deliver of much needed support
92
2009.04010 Dade Community Foundation I DCF
Part IV
(h)
65-0350357
Pag e 2
Supplemental Information
0 a collaboration between Concept House and the Miami Vet Center - will
assist them with the personal and economic challenges they face in
development,
(h)
Inc,
(h)
a program for at-risk youth ages 8-18 where participants will engage in
concerts and master classes with artists who will be appearing in the
Inc
93
2009.04010 Dade Community Foundation I DCF
Schedule
Part IV
(h)
65-0350357
Pag e 2
Supplemental Information
Inc
Vibe's more than ten year commitment to Caribbean art and culture through
(h)
Purpose
of
Grant
or Assistance:
to purchase
internet
access
and new
Name of Organization
or Government:
(h)
Inc.
the New World School of the Arts Concert Choir's trip to Washington DC to
2009,
for
Dream in Green.
Inc.
94
2009.04010 Dade Community Foundation I DCF
65-0350357
Pag e 2
footprints
through
saving energy,
reducing waste,
Topics include
reducing carbon
trees and bringing this message home and into the community.
(h)
Inc,
Empower U,
Inc,
to jointly implement
risk behavior.
(h)
Inc,
homophobia .
and to ensure
that their school districts fully adhere to Florida' s new safe schools
law and do not shy away from addressing anti-GLBT bullying and
harassment.
95
2009.04010 Dade Community Foundation I DCF
Everybody Wins!
(h)
to
Purpose
of
Grant or Assistance:
support
65-0350357
South Florida-
Pag e 2
Inc,
one-on-one reading mentors who are volunteers from the private sector who
(h)
Experience Aviation.
to raise awareness,
Inc,
motivate and
(h)
Inc,
veterans -
services that can assist them with the personal and economic challenges
planning & development, The project will also work to foster greater
(h)
Inc,
96
2009.04010 Dade Community Foundation I DCF
65-0350357
Pag e 2
Miami-Dade.
(h)
Inc.
assessment
through initial
Current
(h)
to continue providing
therapeutic
Inc.
support
(h)
Purpose of Grant
or Assistance:
Inc.
to
support
Afghantistan and Iraq 0 and the entire family. The program will reach out
intervention,
crisis
social and emotional concerns. The program will also help families
career planning,
in the communities.
97
2009.04010 Dade Community Foundation I DCF
Part IV
65-0350357
Pag e 2
Supplemental Information
(h)
Inc,
Program which will target dependent children and adolescents that are
identity,
(2 Year Request)
(h)
Inc,
immigration issues.
Florida,
(h)
Purpose of Grant
or Assistance:
to
support
Inc,
the Cinematographers
in
skills in film production and the development of career paths in the film
industry.
98
2009.04010 Dade Community Foundation I DCF
(h)
65-0350357
Pag e 2
Inc.
sexual assault.
Nou
Kab empowers them to change their lives by helping them to apply for
(h)
Inc,
legal screening,
through initial
Current
(h)
99
2009.04010 Dade Community Foundation I DCF
65-0350357
Pag e 2
adults
(h)
coordinate the
approximately 800 new students and enrich health fairs and HIV/Campaigns
(h)
Inc
to
(h)
of South Florida-SOFAR
Inc.
100
2009.04010 Dade Community Foundation I DCF
Part IV
65-0350357
Pa g e 2
Supplemental Information
who are not eligibile for services at the VA and Vet Centers or prefer to
administrator and office expenses and cover costs of training for the
(h)
Inc.
Fundarte.
(h)
Inc,
Additional year-round programming will also take place with the intent to
create a signature event that can have both a local and national profile.
while exposing Miami audiences to new and exciting work that rarely if
(h)
hypertension and
101
2009.04010 Dade Community Foundation I DCF
65-0350357
Pag e 2
(h)
Inc,
(h)
16-24 using the Corps - to-Career strategy to assist with the re-entry
communities.
(h)
Inc,
they need toward re-adjusting and re-integrating into civilian life. The
becoming
self-sufficient members
Injury Support
services
to
residents
provide
identify barriers
in gaining the
the greatest
Name
Program will
of
to
the community.
successful
skills necessary
extent posssible
for
The Residential
independent
to attain
Brain
support
self-sufficiency to
each person.
of organization or Government:
102
2009.04010 Dade Community Foundation I DCF
65-0350357
Pag e 2
Miami Museum Magnet program where the Haitian Heritage Museum educates
students on culture,
Anthropology,
Geography,
(h)
Program
Hands On Miami.
inc,
organizations .
including family.
friends,
social
(h)
Inc,
recognized upon their return home from service. The treatment approach is
in Texas,
base from overseas . The VICTORY Program will provide individual. group
and family therapy and a peer support group designed to reduce the
events and help them learn to manage situations that trigger these
responses.
103
2009.04010 Dade Community Foundation I DCF
65-0350357
Pag e 2
(h)
exhibition:
Black Crossroads:
This
cultural,
(h)
Purpose
of
Grant
or Assistance :
to
Inc.
support
the
organization' s
renown
symposia during the Spring 2009-2010 school year. The Student Awareness
ramifications and
(h)
elderly,
homeless
underemployed,
Homestead area.
Inc.
104
2009.04010 Dade Community Foundation I DCF
65-0350357
Pag e 2
workshops,
parent/child
rnment:
(h)
Inc,
his/her parents -
children to are facing the end of life to live their remaining time
without pain and in the comfort of their own homes and provides
(h)
Inc,
the fall. The events will provide opportunities for a broad range of
other and exchange ideas and personal stories related to each summit's
105
Dade
Community Foundation I DCF
2009.04010
(h)
65-0350357
Pag e 2
Inc.
playing with dolphins based on a play therapy framework for children with
(h)
Inc
on or Government:
(h)
Purpose of
Grant
or Assistance :
Inc
to provide
temporary,
crisis-based
services to children ages 0 -12 who have been removed from their homes due
abandonment
(h)
Inc.
program to victims
of
domestic
abuse by expanding
emergency housing,
transportation,
106
2009.04010 Dade Community Foundation I DCF
65-0350357
Pag e 2
Inc.
Inc.
(h)
Kinad-
Inc.
to provide an African-American
Museum for elementary aged Miami -Dade County Public School students.
(h)
Inc,
Inc,
Training
topics will include accessing services through the Agency for Persons
with Disabilities,
motherhood
family planning/teen
107
2009.04010 Dade Community Foundation I DCF
65-0350357
(h)
organization.
as well
capacity to
Pag e 2
Inc,
support
adulthood,
(h)
legal screening,
through initial
(h)
representation,
Inc,
to support the
determinations,
disabilities,
access to benefits.
accomodations for
(h)
employment matters.
Inc,
Renters Education and Advocacy Legal Line (REAL) which provides low
108
2009.04010 Dade Community Foundation I DCF,
65-0350357
Pa g e 2
court representation,
housing by hiring a certified legal intern who will assist with court
(h)
Inc,
Current
(h)
Inc,
will provide the full range of legal services to troops and veterans of
OEF/OIF and their family members and care givers to help them 1)
secure
and 2)
(h)
Inc.
fatherless
109
Dade
Community Foundation I DCF
2009.04010
65-0350357
Pag e 2
(h)
Purpose of Grant
or Assistance:
to purchase
Inc,
state-of-the-art
Liquid
Based Pap kits and corresponding cervial brushes to test for HPV at the
education,
and Afghanistan .
(h)
Inc,
and Lesbian Film Festival which will screen across several venues over 10
days showing some of the best and newest films of interest to the GLBT
Miami
Film Festival
Inc.
110
2009.04010 Dade Community Foundation I DCF
Purpose of Grant
or Assistance:
enrich.
serving
to provide general
the
local
65-0350357
Pag e 2
operating support
and
(h)
Inc.
(h)
defibrillator)
Inc,
Inc.
shoot,
Preserving.
instruction
in
break dancing.
rapping,
deejaying
111
2009.04010 Dade Community Foundation I DCF
65-0350357
Pag e 2
Inc.
Inc.
(h)
to
Purpose
of
Grant
or Assistance:
inner
are mentored and engaged in track and field at Moore Park in Allapattah.
Mothers'
Inc.
pregnancy prevention
MUJER.
Inc.
(h) Purpose of Grant or Assistance : The One Stop Domestic Violence and
specifically
112
2009.04010 Dade Community Foundation I DCF
65-0350357
Pag e 2
to the areas south of Kendall Drive. The One Stop Center is one of the
direct services to victims of sexual assault 0 those walking into the One
(h)
Inc,
the laser light projector which has been broken for over a year.
The
museum's Laser Light Shows have been a very popular attraction and
to support YoungARTS/MIAMI a
artists during their senior year of high school with formal training from
performance,
as well as recognition-
Miami
113
2009.04010 Dade Community Foundation I DCF
65-0350357
Pag e 2
(h)
Purpose
of
Grant
or Assistance:
supplies and
to purchase business
field trips for Miami -Dade County Public School students to gain hands on
(h)
Neat Stuff.
Inc,
Miami-Dade County,
(h)
Neighbors 4 Neighbors.
Inc..
Inc,
(h)
Inc.
Inc.
114
2009.04010 Dade Community Foundation I DCF
65-0350357
Pag e 2
(h)
Inc.
(h)
Our Kids
of
Miami/Dade Monroe.
Inc.
will allow for youth to transition affordable housing unit with the
(h)
(h)
Per Scholas.
Inc.
training
job readiness
115
2009.04010 Dade Community Foundation I DCF
65-0350357
Page 2
techno
(h)
Inc.
(h)
Inc,
law enforcement officers and their families in times of critical need due
to death,
illness,
disability.
To
(h)
(LGBTQ)youth.
gay.
Florida.
Inc.
bisexual.
health educator training and stipends for 20 youth an reach over 300
street performances.
(h)
Youth Chorale,
Inc.
reduce social
116
2009.04010 Dade Community Foundation I DCF
65-0350357
Pag e 2
Somewhere Else,
to support
Inc.
designed to help transgender and gender variant youth and young adults
(h)
Project YES.
Inc,
lesbian.
(h)
Inc.
(h)
Regis House
assessment,
through initial
117
2009.04010 Dade Community Foundation I DCF
65-0350357
Pag e 2
(h)
(h)
Inc.
counselor,
teacher,
(h)
Purpose
of
Grant
or Assistance:
SAVE Foundation.
Inc.
to provide general
operating
support
Faith-Based Initiative,
the
(h)
Inc.
and the small businesses that serve them with low cost access to
computers.
(h)
Purpose of
Grant or Assistance:
Shake-A-Leg Miami.
To
support Public
Inc.
relations
and
118
2009.04010 Dade Community Foundation I DCF
65-0350357
Pag e 2
general operating support for the No Barriers Festival taking place June
4-7,
Shake-A-Leg Miami
to provide
the
event
to professionals
aspiring to break
Miami Sea Base seeks to replace perceptions about disability and personal
future
Name
(h)
of
organization or Government:
Purpose
of
Grant
or Assistance:
Shake-A-Leg Miami-
to
support
the
Inc,
Summer
Educational
(h)
Shake-A-Leg Miami,
Inc,
with the Miami Veterans Center and Veterans Ocean Adventures is committed
development
of
119
2009.04010 Dade Community Foundation I DCF
learn about
opportunities at
Shake-A-Leg Miami
as
a place
to
65-0350357
Pa g e 2
safely
Miami.
Veterans Water Sports Program and export its best practices sailing
(h)
Purpose
of Grant
or Assistance:
"To
expand
its
Inc,
Stone of
Hope program
(individual,
program,
1)
and engage OEF/OIF veterans and families in Broward County, assess their
services in Broward County that can that assist them with the personal
and 2)
foster greater
Broward county.
120
Dade
Community Foundation I DCF
2009.04010
SCHEDULE J
Department of the
Compensation Information
(Form 990)
OMB No 1545-0047
Open to Public
Inspection
la Check the appropriate box(es) if the organization provided any of the following to or for a person listed in Form 990,
Part VII, Section A, line 1 a Complete Part III to provide any relevant information regarding these items
First-class or charter travel
Q Housing allowance or residence for personal use
Travel for companions
LI Payments for business use of personal residence
0 Tax indemnification and gross-up payments
O Health or social club dues or initiation fees
Q Discretionary spending account
LI Personal services (e.g., maid, chauffeur, chef)
b If any of the boxes on line 1 a are checked , did the organization follow a written policy regarding payment or
reimbursement or provision of all of the expenses described above? If " No," complete Part III to explain
2 Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers , directors,
trustees, and the CEO/Executive Director, regarding the items checked in line 1 a?
3
Indicate which, if any, of the following the organization uses to establish the compensation of the organization's
CEO/Executive Director . Check all that apply.
0 Compensation committee
LI Written employment contract
Independent compensation consultant
Compensation survey or study
Form 990 of other organizations
Approval by the board or compensation committee
During the year, did any person listed in Form 990, Part VII, Section A, line la, with respect to the filing
organization or a related organization.
a Receive a severance payment or change-of-control payment?
b Participate in, or receive payment from, a supplemental nonqualified retirement plan?
c Participate in, or receive payment from, an equity-based compensation arrangement?
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III
5
a
b
6
a
b
7
8
9
Only section 501(c )(3) and 501(c)(4) organizations must complete lines 5-9.
For persons listed in Form 990, Part VII, Section A, line 1 a, did the organization pay or accrue any compensation
contingent on the revenues of:
The organization?
Any related organization?
If "Yes" to line 5a or 5b, describe in Part III.
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any compensation
contingent on the net earnings of
The organization?
Any related organization?
If "Yes" to line 6a or 6b, describe in Part III.
For persons listed in Form 990, Part VII, Section A, line 1 a, did the organization provide any non-fixed payments
not described in lines 5 and 6? If "Yes," describe in Part III
Were any amounts reported in Form 990, Part VII, paid or accrued pursuant to a contract that was subject to the
initial contract exception described in Regs. section 53 4958-4(a)(3)? If "Yes," describe in Part III
If "Yes' to line 8, did the organization also follow the rebuttable presumption procedure described in
LHA For Privacy Act and Paperwork Reduction Act Notice , see the Instructions for Form 990.
932111
02-02-10
121
2009.04010 Dade Community Foundation I DCF
Pag e 2
65-0350357
Schedule J Form 990) 2009
c
D ade Co mmuni t y F oundat i on
Part II Officers , Directors, Trustees , Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the instructions, on row (ii)
Do not list any individuals that are not listed on Form 990, Part VII.
Note . The sum of columns ( B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1 a
(B) Breakdown of W-2 and/or 1099-MISC compensation
(E)
To t a l o f co l umns
(B)(i)-(D)
(F)
C ompensa t ion
reported in prior
Form 990 or
Form 990-EZ
0 . 00
0 . 00
0 00
100000 00
44446 70
18053 27
295193 93
0 . 00
0 . 00
0 . 00
0 . 00
0 . 00
0 . 00
153154 49
0 . 00
0 . 00
27602 85
11374 52
192131 86
00
0 . 00
0 . 00
0 . 00
(i)
153397 85
0 00
00
27602 85
13808 00
194808 70
0 . 00
0 . 00
0 . 00
ii
0 . 00
0 . 00
0
0
0
0
00
00
00
0 . 00
0 . 00
0 . 00
0 . 00
(i)
Todd C . Weeks
(iii) Other
reportable
compensation
(D)
N on t axa bl e
benefits
132693 96
0)
Ruth Shack
Charisse L . Grant
(i) Base
compensation
(A) Name
(C)
R e t iremen t an d
other deferred
compensation
LIL
.
.
.
.
(i)
IL
(i)
n
(i)
ii
(i)
(i)
(i)
(i)
( in
(i)
ii
(i)
ii
(i)
001
(i)
ii
(i)
(i)
ii
Schedule J (Form 990) 2009
932112 02.02-10
122
Noncash Contributions
SCHEDULE M
(Form 990)
Department of the Treasury
Internal Revenue Service
OMB No 1545-0047
2009
Open to Public
Inspection
(a)
Check If
applicable
1
2
3
4
5
6
7
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
(b)
Number of
contributions
(d)
Method of determining
revenues
(c)
Revenues reported on
Form 990, Part VIII, line 1g
12
5393534 88
Other ^
Other ^
Other ^
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgment
29
0
Yes No
30a During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it must hold for
at least three years from the date of the initial contribution, and which is not required to be used for exempt purposes for
the entire holding period?
b If "Yes," describe the arrangement in Part II.
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
32a Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions?
b If "Yes," describe in Part II.
33 If the organization did not report revenues in column (c) for a type of property for which column (a) is checked,
describe in Part II.
LHA
For Privacy Act and Paperwork Reduction Act Notice , see the Instructions for Form 990 .
30a
31
32a
932141
03-12-10
123
2009.04010 Dade Community Foundation I DCF
SCHEDULE O
(Form 990)
Open to Public
Inspection
Employer identification number
Part I.
1545-0047
2009
Form 990,
OMB No
Line 1.
65-0350357
protect and manage the assets of philanthropic funds and provide grant
giving.
groups
in Miami-Dade County we
help to improve the quality of life and build a more cohesive community
Form 990 .
Part III,
Line 1.
Form 990 .
Part VI.
Section B .
line 11:
Board Members for their review prior to filing. Staff of the Dade Community
Form 990 .
Part VI.
Section B .
the event there is any material change in the information contained in any
disclosure statement.
Form 990
Part VI
Section B.
Line 15:
LHA For Privacy Act and Paperwork Reduction Act Notice , see the Instructions for Form 990 .
032211
02-03-10
124
2009.04010 Dade Community Foundation I DCF.
OMB No
SCHEDULE 0
(Form 990)
1545-0047
2009
Open to Public
Inspection
65-0350357
surveys of other
The President
Form 990.
Part VI.
Section C.
Line 19:
www,dadecommunityfoundation.org,
Form 990.
Part XI.
Line 2c
financial
accountant,
LHA For Privacy Act and Paperwork Reduction Act Notice , see the Instructions for Form 990.
932211
02-03-10
125
2009.04010 Dade Community Foundation I DCF
SCHEDULE R
(Form 990)
Department of the Treasury
2009
n to Public
Employer identification number
Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33)
Part I
(a)
Name, address, and EIN
of disregarded entity
(a)
Name, address, and EIN
of related organization
DadeFund
Inc .
FL
Inc
(c)
Legal domicile (state or
foreign country)
(b)
Primary activity
(d)
Exempt Code
section
(f)
Direct controlling
entity
(e)
Public charity
status (if section
501 (c)(3))
33131
F lorida
5 01 ( c )( 3 )
- 20-2042064
Suite 505
33131
Suite 505
F lorida
LHA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
4
of 100
(f)
Direct controlling
entity
(e)
End-of-year assets
- 65-0366144
Miami
(d)
Total income
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related tax-exempt
organizations during the tax year.)
Part II
Miami
(c)
Legal domicile (state or
foreign country)
(b)
Primary activity
126
01 c
65-0350357
Dade Community Foundation Inc
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related
organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN
of related organization
(b)
Primary activity
(c)
Legal domicile
(state or
foreign
(d)
Direct controlling
entity
country)
Part IV
(e)
Predominant income
(related, unrelated,
excluded from tax under
sections 512-514)
(f)
Share of total
income
(9)
Share of
end-of-year
asse t s
(h )
Disproportionto allocations?
Yes
No
Page 2
(t)
(1)
General or
Code V-UBI
amount in box managing
a"5!2
20 of Schedule
K-1 (Form 1065) a No
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related
organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN
of related organization
(b)
Primary activity
(c)
Legal domicile
(state or
foreign
country)
932102 02-04-10
127
(d)
Direct controlling
entity
(d)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total
income
(g)
Share of
end-of-year
assets
(h)
Percentage
ownership
Page 3
65-0350357
Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35, or 36 )
Note . Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
During the tax year, did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
1
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity
b Gift, grant, or capital contribution to other organization(s)
c Gift, grant, or capital contribution from other organization(s)
d Loans or loan guarantees to or for other organization(s)
Exchange of assets
(b)
Transaction
type (a-r)
(a)
Name of other organization(s)
DadeFund
Inc
Inc
1r
X-
(c)
Amount involved
199020 00
10000 00
(3)
(4)
(5)
(6)
932183 02-04-10
128
Page 4
65-0350357
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37 )
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue)
that was not a related organization. See instructions regarding exclusion for certain investment partnerships
(a)
Name, address, and EIN
of entity
(c)
Legal domicile
(state or foreign
country)
ry)
(b)
Primary activity
(d)
Are all partners
organizations?
Yes
No
(e)
Share of end-ofyear assets
(f)
Disproporallocations?
Yes
No
(g)
Code V-UBI
amount box 20
Schedule K-1
(Form 1065)
(h)
General or
'p gere
Yes
No
02-0410
129
990
Description of property
Asset
Date
placed
in service
Number
Method/
IRC sec.
Life
or rate
Line
No.
Cost or
other basis
Basis
reduction
Accumulated
depreciation/amortization
Current year
deduction
1 P4 Laser Printer
5 .4 0 16
0 07 1 17 1 95 bL
7 omouter Monitor 21"
1874 . 72 1
1874 72
0 . 00
000T Printer
31
work Cablin
05 1 17 00
33 efri erator
06 1 07 00
34 u erStack II 2
06 1 14 1 00
35 P2100N Printer
06 1 20 00
36 P4050TN Printe
1 06 1 20 00 6 L
37 P4050TN Printe
06 1 20 00
38 P4500N Printer
06 1 20 1 00
39 owerEd a 4400
11 21 00
45 PC Backup P we
0
19 1 01
52 J ell Precision
03 1 27 1 02
53 e11 Precision
03 1 27 1 02 6 L
54 e11 Precision
1 03 1 27 02 6 L
57 ood Stora g e Ca
021 26 1 79
58 odular Furnitu
06 1 13 00
59 ffice Chairs 0
23 02
60 i1e Cabinet
06 1 24 03
62 ffice Chairs -
96251
04-24-09
129.1
2009.04010 Dade Community Foundation I DCF
918261
04-24-09
129.2
2009.04010 Dade Community Foundation I DCF
916261
04-24-09
129.3
2009.04010 Dade Community Foundation I DCF
For, 8868
(Rev. April 2009)
OMB No . 15451709
If you are filing for an Automatic 3-Month Extension, complete only Part I and check this box . . . . . . . . ^
If you are filing for an Additional (Not Automatic) 3-Month Extension, complete only Part II (on page 2 of this form).
Do not complete Part 11 unless you have already been g ranted an automatic 3-month extension on a previously-filed Form 8868.
Automatic 3-Month Extension of Time. Only submit original (no copies needed).
FMM
A corporation required to file Form 990-T and requesting an automatic 6-month extension-check this box and complete
Part I only . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ^
All other corporations (including 1120-C filers), partnerships, REMICs, and trusts must use Form 7004 to request an extension of
'
time to file income tax returns.
Electronic Filing (e-file). Generally, you can electronically file Form 8868 if you want a 3-month automatic extension of time to,file
one of the returns noted below (6 months for a corporation required to file Form 990-7). However, you cannot file Form 8868
electronically if (1) you want the additional (not automatic) 3-month extension or (2) you file Forms 990-BL, 6069, or 8870, group
returns, or a composite or consolidated Form 990-T. Instead, you must submit the fully completed and signed page 2 (Part II) of Form
8868. For more details on the electronic filing of this form, visit www.irs.goviefile and click on a-file for Charities & Nonprofits.
Type or
print
File by the
due date for
filing yoSur
return. ee
Instructions.
Number, street, and room or suite no. If a P.O. box, see instructions.
City, town or post office , state , and ZIP code. For a foreign address , see instructions.
Check type of return to be filed (file a separate application for each return):
Form
Form
Form
Form
990
990-BL
990-EZ
990-PF
Form
Form
Form
Form
990-T (corporation)
990-T (sec. 401(a) or 408(a) trust)
990-T (trust other than above)
1041-A
Form
Form
Form
Form
4720
5227
6069
8870
I request an automatic 3-month (6 months for a corporation required to file Form 990-T) extension of time
until ---------------------- - 20 ------ to file the exempt organization return for the organization named above. The extension is
for the organization's return for.
^ calendar year 20------- or
^ tax year beginning ---------------------------------- 20------. and ending ------------------------------------ , 20-------
-
If this tax year is for less than 12 months, check reason: Initial return
3a If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax,
less any nonrefundable credits. See instructions.
b If this application is for Form 990-PF or 990-T, enter any refundable credits and estimated tax
payments made. Include any prior year overpayment allowed as a credit.
3b 1$
c Balance Due. Subtract line 3b from line 3a. Include your payment with this form, or, if required,
deposit with FTD coupon or, if required, by using EFTPS (Electronic Federal Tax Payment
System). See instructions.
Caution . If you are going to make an electronic fund withdrawal with this Form 8868, see Form 8453-EO and Form 8879-EO
for payment instructions.
For Privacy Act and Paperwork Reduction Act Notice, see Instructions .
Page 2
If you are filing for an Additional (Not Automatic ) 3-Month Extension , complete only Part 11 and check this box
Note. Only complete Part II if you have already been granted an automatic 3-month extension or. a previously filed Form 8868.
. ^
If you are filing for an Automatic 3-Month Extension , complete only Part 1(on page 1).
Additional (Not Automatic) 3-Month Extension of Time. Only file the original (no copies needed).
Type or
print
File by the
extended
due date for
filing the
return. See
Instructions.
65
0350357
Miami, FL 33131-5330
Check type of return to be filed (File a separate application for each return):
'
STOP! Do not-complete Part 11
Form 990-PF
Form 1041-A
Form 6069
Form 990-T (sec. 401(a) or 408(a) trust)
Form 4720
Form 8870
Form 990-T (trust other than above)
Form 5227
if you were not already granted an automatic 3-month extension on a previously tiled Form 8868.
The books are in the care of ^ Dade Community Foundation, Inc_
371 _2711________
FAX No. ^ f__ 305_- )--------- 371.5342 --------Telephone No. ^ (___305
--)--------. . . . . . ^
If the organization does not have an office or place of business in the United States, check this box
If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN)
. If this is
0 Form 990
Form 990-BL
Form 990-EZ
for the whole group, check this box ...... ^ . If it is for part of the group, check this box...... ^ and attach a
list with the names and EINs of all members the extension is for.
4
5
6
7
November 15
20.10 .
1 request an additional 3-month extension of time until__ ______________
For calendar year 2009 ., or other tax year beginning________________________ _ 20------ and ending -------------------------- 20 .....
If this'tax year is for less than 12 months, check reason: Initial return Final return Change in accounting period
State in detail why you need the extension We must file a form 9907 and will need that -information-toThat information will not be available until after August 15th 2010. In addition , our audit for 2009 is not yet
completed.
- ----------------
8a If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax,
less any nonrefundable credits. See instructions.
8a
b If this application is for Form 990-PF, 990-T, 4720, or 6069, enter any refundable credits and
estimated tax payments made. Include any prior year overpayment allowed as a credit and any
8b
c Balance Due. Subtract line 8b from line 8a. Include your payment with this form, or, if required, deposit
with FTD coupon or. if required. by using EFTPS (Electronic Federal Tax Payment Svstem). See instructions.
8c
0-d
/
- j
Signature ^ 9
Tide ^ CFO
Date ^
07116/2010
Form8868
(Rev. April 2009)
If you are filing for an Automatic 3-Month Extension, complete only Part I and check this box . . . . . . . . ^
If you are filing for an Additional (Not Automatic) 3-Month Extension , complete only Part 11 (on page 2 of this form).
Do not complete Part /! unless you have already been g ranted an automatic 3-month extension on a p reviously filed Form 8868.
Automatic 3-Month Extension of Time. Only submit original (no copies needed).
A corporation required to file Form 990-T and requesting an automatic 6-month extension-check this box and complete
Part I only . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ^
All other corporations (including 1120-C filers), partnerships, REMICs, and trusts must use Form 7004 to request an extension of
time to file income tax returns.
Electronic Filing (e-file). Generally, you can electronically file Form 8868 if you want a 3-month automatic extension of time to file
one of the returns noted below (6 months for a corporation required to file Form 990-7). However, you cannot file Form 8868
electronically if (1) you want the additional (not automatic) 3-month extension or (2) you file Forms 990-BL, 6069, or 8870, group
returns, or a composite or consolidated Form 990-T. Instead, you must submit the fully completed and signed page 2 (Part II) of Form
8868 . For more details on the electronic filing of this form, visit www.irs.gov/efile and click on e-file for Charities & Nonprofits.
Type or
print
Fite by the
due date for
fling your
ern'
Irstnictlons
Number , street , and room or suite no. If a P .O. box , see instructions.
200 South Biscayne Boulevard , Suite 505
City, town or post office, state , and ZIP code . For a foreign address , see instructions.
Miami, FL 33131-5330
Check type of return to be filed (file a separate application for each return):
Form
Form
Form
Form
990
990-BL
990-EZ
990-PF
Form
Form
Form
Form
990-T (corporation)
990-T (sec. 401(a) or 408(a) trust)
990-T (trust other than above)
1041-A
Form
Form
Form
Form
4720
5227
6069
8870
----------- - -------
I request an automatic 3-month (6 months for a corporation required to file Form 990-T) extension of time
August 15
, 20.!0., to file the exempt organization return for the organization named above. The extension is
until
for the organization's return for.
^ calendar year 20_.
^ tax -year beginning
-or
20
and ending
If this tax year Is for less than 12 months, check reason: Initial return
20
3a If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax,
less any nonrefundable credits. See instructions.
b If this application is for Form 990-PF or 990-T, enter any refundable credits and estimated tax
3b , $
c Balance Due. Subtract line 3b from line 3a. Include your payment with this form, or, if required,
deposit with FTD coupon or, if required, by using EFTPS (Electronic Federal Tax Payment
System). See instructions.
Caution . If you are going to make an electronic fund withdrawal with this Form 8868, see Form 8453-EO and Form 8879-EO
for payment instructions.
For Privacy Act and Paperwork Reduction Act Notice, see Instructions.
Page 2
, ^
If you are filing for an Additional ( Not Automatic) 3-Month Extension , complete only Part II and check this box
Note . Only complete Part II if you have already been granted an automatic 3-month extension on a previously filed Form 8868.
If you are filing for an Automatic 3-Month Extension, complete only Part I (on page 1).
FXM
Additional (Not Automatic) 3-Month Extension of Time. On file the original no co pies needed).
Type or
print
,. `
File b the
Number. street, and room or suite no. It a P.O. box, see instructions.
extended
due date for
filing the
return. See
Instructions.
Cry, tow or post of ice, state, and ZIP code. For a foreign address, see insWct!ons
Check type of return to be filed (File a separate application for each return):
Form 990
Form 990-BL
Form 990-EZ
Form 6069
Form 1041-A
Form 990-PF
Form 4720
Form 990-T (sec. 401(a) or 408(a) trust)
Form 8870
Form 5227
Form 990-T (trust other than above)
if you were not already granted an automatic 3-month extension on a previously filed Form 8868.
. . . . . . ^
If the organization does not have an office or place of business in the United States, check this box
. If this is
If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN)
for the whole group, check this box ...... ^ . If it is for part of the group, check this box...... ^ and attach a
list with the names and EINs of all members the extension is for.
4
5
6
7
8a If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax,
less any nonrefundable credits. See instructions.
b If this application is for Form 990-PF, 990-T, 4720, or 6069, enter any refundable credits and
estimated tax payments made. Include any prior year overpayment allowed as a credit and any
amount paid previously with Form 8868.
c Balance Due. Subtract line 8b from line 8a. Include your payment with this form, or, if required, deposit
with FTD coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System). See instructions.
8c
Titl e ^ CFO
Date ^
05/13/2010