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Name and address of principal officer H(a) Is this a group return for affiliates
H(b) Are all affiliates included If No attach a list (see instructions)
I I ignificant activities PplusmnQvjQLng_rne9-1~_ ttallsectQ9JtCltjQIl
OMB No 1545-0047 Form 990
Return of Organization Exempt From Income Tax 2012 Under section 501(c) 527 or 4947(a)(1) of the Internal Revenue Code
(except black lung benefit trust or private foundation) Department of the Treasury Internal Revenue Service ~ The organization may have to use a copy of this return to satisfy state reporting requirements
A Forthe
B Address change Community Bridges Name change 236 Santa Cruz Ave
Aptos CA 95003-4438Initial return 831 688-8840 Terminated
Amended return G Gross receipts $ 15
Il trl ti_aIl~l_ ~QslQleJLa_ng_~dll~CltjQIL ~hi]Q _Csectr~_ iJldl~i_dllCl)J_ fa_mllYr _ Qa_r~It~JIlg ___ _ ~Qu_csectti_oJ~l_ sectnlti ~QII1nllnltY_~eppoundi_c~sect _tg _~lQ~Jly L _i]l-l1IlQoy~rjsecth~dL _ltii~~b_l~Q- sectnQgr_ lQ~1n~o~~5nQlvlQ~1sect-1~rnili~~~Il~~hilQJeIl~____________________ _
2 Check this box ~ D if the organization discontinued its operations or disposed of more than 25 of its net assets 3 Number of voting members of the governing body (Part VI line 1a) 3 4 Number of independent voting members of the governing body (Part VI line 1 b) I----+--------=--=shy
5 Total number of individuals employed in calendar year 2012 (Part V line 2a) 6 Total number of volunteers (estimate if necessary) 7a Total unrelated business revenue from Part VIII column (C) line 12
b Net unrelated business taxable income from Form 990-T line 34
8 Contributions and grants (Part VIII line lh Q)
~ 9 Program service revenue (Part VIII line 2g) ~ 0 Investment income (Part VIII column (A) lines 3 4 and 7d) a
11 Other revenue (Part VIII column (A) lines 5 6d 8c 9c 10c and 11 e) 12 Total revenue - add lines 8 through 11 (must equal Part VIII column (A) line 12) -+-- ---+-~~~~~~~I--~~~~~~~
13 Grants and similar amounts paid (Part IX column (A) lines 1 -3)
14 Benefits paid to or for members (Part IX column (A) line 4)
15 Salaries other compensation employee benefits (Part IX column (A) lines 5-10) til lt1til 16a Professional fundraising fees (Part IX column (A) line 11 e) t lt1c b Total fundraising expenses (Part IX column (D) line 25) 83 626_ ~ 17 Other expenses (Part IX column (A) lines 11 a- 11 d 1 If-24e)
18 Total expenses Add lines 13-17 (must equal Part IX column (A) line 25) ~~~~~~~+---~~~~~~
19 Revenue less expenses Subtract line 18 from line 12
Total assets (Part X line 16) Total liabilities (Part X line 26) I---------=--+-----=-------=- shy
Net assets or fund balances Subtract line 21 from line 20
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 of preparer (other than officer) is based on all information of which preparer has any knowledge
~ r
Sign Here ~ Rayman Cancino CEO
Type or print name and title
Printffype pre parers name preparers signature [ Dale Check U if I PTIN [
Paid Peter J Mersino self-employed PO 12 515 81 I-~~----------- --------~------------- --------------
Preparer Firms Ilar~e KAKU amp MERSINO f LLP Use Only I Firms address 1588 SHAW AVENUE Firms EIN 77-0494454
CLOVIS CA 93611-7814 IPhone no (559) 324-7097 May the IRS
I discllss this return with the preparer shown above (see instructions) _~~ ~~-~~~IrfuJX[No_
BAA For Paperwork Reduction Act Notice see the separate instructions ITTVJ Form 990 (201
94-2460211 2
Check if Schedule 0 contains a response to any question in this Part 111 [Rl Briefly describe the organizations mission
~e~_~c~~~u)~_~ _____________________________________________________ _
2 Did the organization undertake any significant program services during the year which were not listed on the prior
Form 990 or 990-EZ D Yes [Rl No If Yes describe these new services on Schedule O
3 Did the organization cease conducting or make significant changes in how it conducts any program services D Yes [Rl No If Yes describe these changes on Schedule O
4 Describe the organizations program service accomplishments for each of its three largest program services as measured 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 allocations to others the total expenses and revenue if any for each program service reported
4a(Code ) (Expenses $ 4690464 includinggrantsof $ )(Revenue $ 2438)
1~~ ~~UQ_a_nQ_~d~~ Qo_d_~aJ~]_r9gr~~L _wl~~ lJ~ _Q~E~~m~~~9f _Ag~~c~~u~~ _f~~~ilg __ _ E~a_rQ~~ py _t-~ _c~_~tE~~ ~~~11el~ _01_E_d~~CtlQIt _2r_oy~~eQ_2J ]1~ j15_ ~~a_l_ ~1b~~~i~~ _t9_ 9y~_1-8]Q _c-~l_d~~lll~ _m9~~ ~~a_n_1l5_~~~ _C9-y_~~ _c~~~e~ _il]J_ PI~~~ __________ _
4b (Code ) (Expenses $ 2523992 including grants of $ ) (Revenue $ 4696 )
1~e_ ~~ R~qg~~11 J~m~~_l~~l~~_ ~ _C-~td~~Ilsect~l-~11el~aJ-_~1t~U9~ lQ9rElt -~~ ____ _ lPJ~2_ sect~r_vl~~ ~~i_tsect _~_ ~l-~Ctl~9 E~~ ~Cll~ilg _l9~-Jl~~m~ _~ll~lltsect_~o~_a_nQ_~h~~ __ _ p~~vl~~ng_~o9~Jl~~r~I~~_~o~2~nsectL~sect_~el~sect_llu~~~tlQIlE~~p~~sect~~e~~~ng_0E~~esect_~~_ XJ-Lt~ _________________________________________________________ _
4c (Code ) (Expenses $ 1510930 including grants of $ ) (Revenue $ 103683 ) 1~~ ~~~1Q_D_ey~l_opl~n~ _DJy~s_i9 j)Q~iQ~~ ]~_3]~ _s~Q~iQ~z_eQ_ltp-l~ Q~s_ Q~ ~~UQ~Cr~ _~O__
l-Q~-l~~o~~ _fEIUl~~ l~ _6_ ~1il~~ _ll~~nsect~~ ~~UQ_D_eY~topl~n~_~el~~sect _~n_ [~l~J] _____ _
4d Other program services (Describe in Schedule 0) See Schedule 0 (Expenses $ 5 062 043 including grants of $ ) (Revenue $ 1086550_ )
4 e Total program service expenses ~ 13787429 BAA TEEAO1 02L 080812 Form 990 (2012)
94-2460211 Page 3
Is the organization described in section 501 (c)(3) or 4947(a)(1) (other than a private foundation) If Yes complete Schedule A
2 Is the organization required to complete Schedule B Schedule of Contributors (see instructions)
3 Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office If Yes complete Schedule C Part I 3 x
1----1--1--shy
4 Section 501 (c)(3) organizations Did the organization engage in lobbying activities or have a section 501 (h) election in effect during the tax year If Yes complete Schedule C Part II 4 x
I-----t---I- shy
5 Is the organization a section 501 (c) (4) 501 (c)(5) or 501 (c) (6) organization that receives membership dues assessments or similar amounts as defined in Revenue Procedure 98-19 If Yes complete Schedule C Part III 5 x
1----1---1-shy
6 Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts If Yes complete Schedule D Part I 6 X
f----I--I-- shy
7 Did the organization receive or hold a conservation easement including easements to preserve open space the environment historic land areas or historic structures If Yes complete Schedule D Part II 7 x
8 Did the organization maintain collections of works of art historical treasures or other similar assets If Yes complete Schedule D Part 11 8 X
I-----t----t- shy
9 Did the organization report an amount in Part X line 21 for escrow or custodial account liability serve as a custodian for amounts not listed in Part X or provide credit counseling debt management credit repair or debt negotiation services If Yes complete Schedule D Part IV 9 X
I----I---I~-
10 Did the organization directly or through a related organization hold assets in temporarily restricted endowments permanent endowments or quasi-endowments If Yes complete Schedule D Part V 10 X
11 If the organizations answer to any of the following questions is Yes then complete Schedule D Parts VI VII VIII IX or X as applicable
a Did the organization report an amount for land buildings and equipment in Part X line 107 If Yes complete Schedule D Part Vi 11 a X
b Did the organization report an amount for investments - other securities in Part X line 12 that is 5 or more of its total assets reported in Part X line 16 If Yes complete Schedule D Part Vii 11 b X
c Did the organization report an amount for investments - program related in Part X line 13 that is 5 or more of its total assets reported in Part X line 16 If Yes complete Schedule D Part VIII 11 c X
d Did the organization report an amount for other assets in Part X line 15 that is 5 or more of its total assets reported in Part X line 16 If Yes complete Schedule D Part IX 11 d X
e Did the organization report an amount for other liabilities in Part X line 25 If Yes complete Schedule D Part X
f Did the organizations separate or consolidated financial statements for the tax year include a footnote that addresses the organizations liability for uncertain tax positions under FIN 48 (ASe 740) If Yes complete Schedule D Part X 11 f X
12a Did the organization obtain separate independent audited financial statements for the tax year If Yes complete Schedule D Parts XI and XII 12a X
b Was the organization included in consolidated independent audited financial statements for the tax year If Yes and if the organization answered No to line 72a then completing Schedule D Parts XI and XII is optional
13 Is the organization a school described in section 170(b)(1)(A)(ii) If Yes complete Schedule E
14a Did the organization maintain an office employees or agents outside of the United States 14a X
b Did the organization have aggregate revenues or expenses of more than $10000 from grantmaking fundraising business investment and program service activities outside the United States or aggregate foreign investments valued at $100000 or more If Yes complete Schedule F Parts I and IV 14b X
15 Did the organization report on Part IX column (A) line 3 more than $5000 of grants or assistance to any organization or entity located outside the United States If Yes complete Schedule F Parts I and IV 15 X
16 Did the organization report on Part IX column (A) line 3 more than $5000 of aggregate grants or assistance to individuals located outside the United States If Yes complete Schedule F Parts III and IV 16 X
17 Did the organization report a total of more than $15000 of expenses for professional fundraising services on Pall IX column (A) lines 6 and 11 e If Yes complete Schedule G Part I (see instructions) 17 X
18 Did the organization report more than $15000 tolal of fund raising event gross income and contributions on Part VIII lines 1 c and 8a If Yes complete Schedule G Part I 18 X
19 Did the organization report more than $15000 of gross income from gaming activities on Part VIII line 9a If Yes complete Schedule G Part III 19
6 v
20 a Did the organization operate one or more hospital facilities If Yes complete Schedule X b If Yes to line 200 did the organizatior attach a copy of its audited financial statemeilts this return 20b
EEAOI03L 121312 Form 990 (2012)
94-2460211 Page 4
21 Did the organization report more than $5000 of grants and other assistance to governments and organizations In the United States on Part IX column (A) line 1 If Yes complete Schedule I Parts I and II
22 Did the organization report more than $5000 of grants and other assistance to individuals in the United States on Part IX column (A) line 2 If Yes complete Schedule I Parts I and III
23 Did the organization answer Yes to Part VII Section A line 34 or 5 about compensation of the organizations 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 $100000 as of
~o~~r~t~a~c~~~u~ltif ~N~ k~tt~~~~~ed ~~~~ ~~~~~~~r~~ ~a02 If Ye~~n~~~~ ~i~~s ~~~ t~~~~~~ ~4~ and
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
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 organizations prior Forms 990 or 990-EZ If Yes complete Schedule L Part I
26 Was a loan to or by a cUITent or former officer director trustee key employee highest compensated employee or disqualified person outstanding as of the end of the organizations 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 employee thereof a grant selection committee member or to a 35 controlled entity or family member of any of these persons If Yes complete Schedule L Part III
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 (or a family member thereof) was an officer director trustee or direct or indirect owner If Yes complete Schedule L Part IV
29 Did the organization receive more than $25000 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
31 Did the organization liquidate terminate or dissolve and cease operations If Yes complete Schedule N Part I
32 Did the organization sell exchange dispose of or transfer more than 25 of its net assets If Yes complete Schedule N Part II
33 Did the organization own 100 of an entity disregarded as separate from the organization under Regulations sections 3017701-2 and 3017701-37 If Yes complete Schedule R Part I _
34 Was the organization related to any tax-exempt or taxable entity If Yes complete Schedule R Parts II Ill IV and V line 1
35a Did the organization have a controlled entity within the meaning of section 512(b)(13)
b If Yes to line 35a did the organization receive any payment from or engage in any transaction with 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-charitable 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 band 19 Note All Form 990 filers are required to complete Schedule 0
BAA
Yes No
21 X
22 X
23 X
24a X
25a X
25b X
26 X
27 X
32 X
33 X f---I---I-- shy
34 X 1-------- shy
35b f-------I-- shy
36 x
37 X
38 X Form 990 (2012)
080812
94-2460211 Page 5
1 a Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable
b Enter the number of Forms W-2G included in line 1 a Enter -0- if not applicable
c Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners
2a Enter the number of employees reported on Form W-3 Transmittal of Wage and Tax State-i I
ments filed for the calendar year ending with or within the year covered by this return 2 a ------------------~
b If at least one is reported on line 2a did the organization file all required federal employment tax returns
Note If the sum of lines 1 a and 2a is greater than 250 you may be required to e-file (see instructions)
3 a Did the organization have unrelated business gross income of $1 000 or more during the year
b If Yes has it filed a Form 990-T for this year If No provide an explanation in Schedule Q
4a At any time during the calendar year did the organization have an interest in or a signature or other authority over a financial account in a foreign country (such as a bank account securities account or other financial account)
b If Yes enter the name of the foreign country ~
See instructions for filing requirements for Form TO F 90-221 Report of Foreign Bank and Financial Accounts
5 a 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
6a Does the organization have annual gross receipts that are normally greater than $100000 and did the organization solicit any contributions that were not tax deductible as charitable contributions
b If Yes did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible
7 Organizations that may receive deductible contributions under section 170(c)
a Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor
b If Yes did the organization notify the donor of the value of the goods or services provided
c Did the organization sell exchange or otherwise dispose of tangible personal property for which it was required to file Form 8282
d If Yes indicate the number of Forms 8282 filed during the year 7d e Did the organization receive any funds directly or indirectly to pay premiums on a personal benefit contract
r------1----- shyf Did the organization during the year pay premiums directly or indirectly on a personal benefit contract
g If the organization received a contribution of qualified intellectual property did the organization file Form 8899 as required
h If the organization received a contribution of cars boats airplanes or other vehicles did the organization file a Form 1098-C
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
9 Sponsoring organizations maintaining donor advised funds
a Did the organization make any taxable distributions under section 49667
b Did the organization make a distribution to a donor donor advisor or related person
10 Section 501(c)(7) organizations Enter
a Initiation fees and capital contributions included on Part VIII line 12
b Gross receipts included on Form 990 Part VIII line 12 for public use of club facilities
1 Section 501 (c)(12) organizations Enter
a Gross income from members or shareholders
b Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them)
12a Section 4947(a)(1) non - exempt charitable trusts Is the organization filing Form 990 in lieu 1041 b If Yes enter the amount of tax-exempt interest received or accrued during the year L-__L-______________~
13 Section 501 (c)(29) qualified nonprofit health insurance issuers a Is the organization licensed to issue qualified health plans in more than one state
Note See the instructions for additional information the organization must report on Schedule O
b Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans i 13b l
c Enter the amount of reserves on hand 113cj~~ 14a Did the organization receive any payments for indoor tanning sGrvices during the tax year
b If Yes has it filed a Form 720 to report these payrnenic7 If No provide an explanation SchedJle 0
T[EiOI05L 080812
--------------------------
Form 990 (2012) Community Bridges 94-2460211 Page 6
tallGovernance Management and Disclosure For each Yes response to lines 2 through 7b below and for a No response to line 8a 8b or 70b below describe the circumstances processes or changes in Schedule O See instructions Check if Schedule 0 contains a response to any question in this Part VI
1 a Enter the number of voting members of the governing body at the end of the tax year 1 a If there are material differences in voting rights among members f---I-------- shyof the governing body or if the governing body delegated broad authority to an executive committee or similar committee explain in Schedule O
b Enter the number of voting members included in line 1 a above who are independent 1 b L-~____________~
2 Did any officer director trustee or key employee have a family relationship or a business relationship with any other officer director trustee or key employee
3 Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers directors or trustees or key employees to a management company or other person
4 Did the organization make any significant changes to its governing documents
since the prior Form 990 was filed
5 Did the organization become aware during the year of a significant diversion of the organizations assets 6 Did the organization have members or stockholders
7 a Did the organization have members stockholders or other persons who had the power to elect or appoint one or more members of the governing body
b Are any governance decisions of the organization reserved to (or subject to approval by) members stockholders or other persons other than the governing body
8 Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following
a Tile governing body
b Each committee with authority to act on behalf of the governing body
9 Is there any officer director or trustee or key employee listed in Part VII Section A who cannot be reached at the organizations mailing address If Yes provide the names and addresses in Schedule 0
10 a Did the organization have local chapters branches or affiliates
b If Yes did the organization have written policies and procedures governing the activities of such chapters affiliates and branches to ensure their operations are consistent witll the organizations exempt purposes
11 a Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form
b Describe in Schedule 0 the process if any used by the organization to review this Form 990 See Schedule 0 12a Did the organization have a written conflict of interest policy If No go to line 73
b Were officers directors or trustees and key employees required to disclose annually interests that could give rise to conflicts
c Did the organization regularly and consistently monitor and enforce compliance with the policy If Yes describe in Schedule deghow this is done
13 Did the organization have a written whistleblower policy
14 Did 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 organizations CEO Executive Director or top management official
b Other officers of key employees of the organization See Schedule 0 If Yes to line 15a or 15b describe the process in Schedule O (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 did the organization follow a written policy or procedure requiring the organization to evaluate its partici I in joint venture arrangements under applicable federal tax law and taken steps to safeguard the nrrnl7tl status with ct to such ements
Section C Disclosure
x
17 List the states with which a copy of this Form 990 is required to be filed CA 18 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
[)1 Own website DAnothers website [XI Upon request Other (explain in Schedule 0)
19 Describe in Schedule 0 whether (and if so how) the organization makes Its governing documents conflict of Intel est rllcy and fillallcial statements available to Ute publiC durinl] the tax year See Schedule 0
20 State name phYSical address and telepholle nurnbu of the person who possesses the books iecolds of the organizatron
__B_en~0r1_CIO]~~_Siinta Cruz Apto_s_~~_~~O_03_(831) 688884CJ ____ BAA TEt6JJ i OGl 0808112 Forr 990 (20 12)
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Check if Schedule 0 contains a response to any question in this Part VII D Section A Officers Directors Trustees Key Employees and Highest Compensated Employees 1 a Complete this table for all persons required to be listed Report compensation for the calendar year ending with or within the organizations tax year
bull List all of the organizations current officers directors trustees (whether individuals or organizations) regardless of amount of compensation Enter -D- in columns (D) (E) and (F) if no compensation was paid
bull List all of the organizations current key employees if any See instructions for definition of key employee
bull List the organizations five current highest compensated employees (other than an officer director trustee or key employee) who received reportable compensation (Box 5 of Form W-2 andor Box 7 of Form 1 099-MISC) of more than $100000 from the organization and any related organizations
bull List all of the organizations former officers key employees and highest compensated employees who received more than $100000 of reportable compensation from the organization and any related organizations
bull List all of the organizations former directors or trustees that received in the capacity as a former director or trustee of the organization more than $10000 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
DCheck this box if neither the organization nor any related organization compensated any current officer director or trustee
(C)
(A) (8) Position (do not check more than (D) (E) (F) Name and Title Average Reportable Reportable Estimatedone box unless Rerson is both an
officer and a irectortrustee)hours per compensation from compensation from amount of other week (list the organization related organizations compensation any hours =gt J (Wmiddot21099-MISC) (Wmiddot21099-MISC) from the 0 lt I - Of
uo ltD 0 lt ~ organization
organizamiddot ~~ e- (1) 0lt1gt 3 and related for related = Dromiddot
(1) a lt Ugt tions oc =0
~ 3 (D~ ~ organizationsQ~ =gt D roltgtbelow 0 0
~ ltdotted 2 lt1gt 3 Dline) $Ii- 2 (I)
(I) OJ (gt $- raquo (1 ltt a
_Ql~~~1Y~E~a~_________ 5 Community Rep_ 0 X O O O
~~~c~_~aS2~s~~ _____ 5 Community Rep
--
0 X O O O _ l ~th~1_L~~is____ 5
Vice President 0 X X O O O (4) Barbara Frank 5
President 0 X X o O O (5) John Tuck 5
Community Rep 0 X 0_ O O (6) Mark Hartunian 5
Community Rep 0 X O O O _0_~~ry_~u~ll~_______ 40
Staff Sup_ Rep -
0 X 34197 O 7729 (8) Rick Roberts 5
Secretary 0 X X O O O (9) Linda Fawcett 5
Community Rep 0 X O O O 11~)_ ~~rj~ _B~1ia_ ~1r~~y -- ---
40 CB Staff Re12
-
0 X 33302 0_ 7689 11~)_ ~JJs_Eall1~r_______ 5
Community Rep --
0 X o O 0_ (12) Karl Rice 5
Treasurer 0 X X O O O 11~t ~(~ril~n jlip~JJ~____ 5
Community Rep 0 X O O o 11~)_ 8~b~f~a_ ft2w]~~ ___ T
Community Rep _~_-=-1- --t X I __~__~__ _~__ o_________middotlaquo__~_r_
O O - _-shy
1071_ 117l2 ro(rn (2012)
----- ---------------------
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----------- -
Form 990 (2012) Community Bridges 94-2460211 Page 8
_Section A Officers ~ctors TrLctooc Key Employees and Highest Compensated Employees (cant) (8) (C)
(A) Name and title
Position Average (do not check more than one
hours box unless person is both an per oj-ficer and a directortrustee)
(I~f~y IQ~ I~ I~ ~I fS hoursfor g ltIi - (() Iyen
related ~ ~ I~ lt
O~fo~~a Ii=- ~ Iiamp~below ltto
(0) Reportable
compensation from the organization (Nmiddot2I099-MISC)
(E) Reportable
compensation from related organizations
(N-2I099middotMISC)
(F) Estimated
amount of other compensation
from the organization and related
organizations
dotted ~ line) ~
o o o (16) Martin Bernal 5
rnmmllnity Rep 0 X o o o
X 86662 o 8237
i2~__________________
(22)
i2~_______________________ _ - -- shy
i2~)__ _____________________ _ ----_
i~)______________ -- -- shy
1 b Sub-total It- 220 041 o 31709 c Total from continuation sheets to Part VII Section A ogt- o o o d Total (add lines 1 band 1c 220 041 o 31 709
2 Total number of Individuals (inclucllng but not IlrTllted to those listed above) who received more than $100000 of reportable compensation
from the organization 0
3 Did the organization list any former officer director or trustee key employee or highest compensated employee on line 1 a If Yes complete Schedule J for such individual
4 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 $150000 If Yes complete Schedule J for such individual
5 Did any person listed on line 1 a receive or accrue compensation from any unrelated organization or individual for services rendered to the 0 ization If Yes Schedule J for such on
~om-pmiddotl-etmiddotet~h~is~tmiddotable--fo-r-y-o-u-rfiv-e-hmiddotigh-e-stc-o-m-pe-n-s-ate-d~in-de-p-e-nde-nt-c-o-ntr-a-cto-rs-Cth-at-r-e-cei-ve-d-m-o-r-etha-n~$~l~OOn~O~O~O-of---------compensation from the organization Report compensation for the calendar ending with or within the izations tax r
(A) (8) (C) Name and bUSiness address Description of services Compensation
2 Total number of independent contractors (including but not limited to those listed above) who received more than
$100000 in compensation frcm the organization 10gtshy
BAA TLJNl 1 08L 0112411 3
s 94-2460211 Page 9
Check if Schedule 0 contains a response to any question in this Part VIII D
a Federated campaigns
b Membership dues
c Fundraising events
d Related organizations
e Government grants (contributions)
f All other contributions gifts grants and similar amounts not included above
9 Noncash contributions included in Ins 1a-1 f h Total Add lines 1a-1 f
(A) (8) (C) Total revenue Related or Unrelated
exempt business function revenue
(0) Revenue
excluded from tax under sections
512513 or 514
2 a sect~yipound~ fe~~ gt~in_____ -I-=-==-=-=---_t-----L=-=L~_+----=~~-=-=__t------_t------shyb sect~yis~ fe~~ 1~ls12 shy __ _
-r-~~~-----t
c sect~yis~ fe~~ gtreglt_G9_pounde__ -r-=-=-=-----t__--=-=~--et__--=-=~----t__------t__-----shyd sect~yis~ fe~s_ =- Iil1i1Y jQu __ -I---=----------=--L--------=--L------------------shy
e sect~yis~ fe~~ ~1U_ld_G9_pounde__ -r-=--=-----t__--=-=-=L=~t__--=-=-=L=-------I------shyf All other program service revenue
L-~~~__~+-__~~~~ 9 Total Add lines 2a-2f
--+----shy3 Investment income (including dividends interest and
4
5
other similar amounts)
6 a Gross rents
b Less rental expenses
c Rental income or (loss)
d Net rental income or (I -~~~~---~~--~
7 a Gross amount from sales of assets otller than inventory
b Less cost or other basis and sales expenses
c Gain or (loss) d Net gain or (loss)
LIJ 8 a Gross income from fundraising events ~ (not including $--~--cc--c~shy~ of contributions reported on line 1 c)
---------t
~ See Part IV line 18 a LIJ j---~~~-shy
~ b Less direct expenses o c Net income or (loss) from fundraising
9 a Gross income from gaming activities See Part IV line 19
b Less direct expenses
c Net income or (loss) from gaming acti i -----------
10a Gross sales of inventory less returns and allowances a
b Less cost of goods sold j------ shy
c d 11 other revenue
e Total Add lines 11 a-11 d
lotal revenue See instruction
------------------
94-2460211 Page 10
Do not include amounts reported on lines 6b lb 8b 9b and lOb of Part VIII
1 Grants and other assistance to governments
p~~t ~ryalr~~a1if~~ ~~ t~~ ~ni~d state~ ~~~ 2 Grants and other assistance to individuals in
the United States See Part IV line 22
3 Grants and other assistance to governments organizations and individuals outside the United States See Part IV lines 15 and 16
4 Benefits paid to or for members 5 Compensation of current officers directors
trustees and key employees 251 751 6 Compensation not included above to
disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c) (3) (8)
7 Other salaries and wages
8 Pension plan accruals and contributions (include section 401 (k) and section 403(b) employer contributions)
9 Other employee benefits
10 Payroll taxes
11 Fees for services (non-employees)
a Management
b Legal
c Accounting
d Lobbying
e Professional fundraising services See Part IV line 17 f Investment management fees 9 Other (If line 11 g amt exceeds 10 of line 25 colshy
umn (A) amt list line 11 g expenses on Sch 0) 12 Advertising and promotion
13 Office expenses
14 Information technology
15 Royalties
16 Occupancy
17 Travel
18 Payments of travel or entertainment expenses for any federal state or local public officials
19 Conferences conventions and meetings 20 Interest
21 Payments to affiliates
22 Depreciation depletion and amortization
23 Insurance 24 Other expenses Itemize expenses not
covered above (List miscellaneous expenses in line 24e If line 24e amount exceeds 10 of line 25 column (A) amount list line 24e expenses on Schedule 0)
a ])~ ~sectlr_e_ Io_m~ _F99g lEYlIelts_ +__~~---=--=+-_----L~~~-+-______-+-________ b Administrative services cM~~~_~xp~~s~_______ _ d Y~~iltb~ ~~el1~~ ________ _ e All other expenses
25 Total functional expenses Add lines 1 through 24e
26 Joint costs Complete this line only if the organization reported in column (8) joint costs from a combined educational campaign and fundraising solicitation Check here 0 if following SOP 98-2 (ASe 958720)
TEEAOll OLI2n Ri Form 990 (2012)
Loans and other receivables from current and former officers directors
~~~i1Ff ~eJ~~o[ees ~~~ ~ig~es ~~~~~~~~~~ ~~~I~~~~s ~o~plete Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1raquo persons described in section 4958(c)(3) (B) and contributing employers and sponsoring organizations of section Sal (c)(9) voluntary employees beneficiary organizations (see instructions) Complete Part II of Schedule L
Notes and loans receivable net
Inventories for sale or use
Prepaid expenses and deferred charges
I lOa c~~r-----~--~~~-
other securities See Part IV line 11
program-related See Part IV line 11
Other assets See Part IV line 11
15 Ie an accrue expenses
Grants payable Deferred revenue
Tax-exempt bond liabilities
or custodial account liability Complete Part IV of Schedule D
Loans and other payables to current and former officers directors trustees key employees highest compensated employees and disqualified persons Complete Part II of Schedule L
Secured mortgages and notes payable to unrelated third parties
Unsecured notes and loans payable to unrelated third parties
Other liabilities (including federal income tax payables to related third parties and other liabilities not included on lines 17-24) Complete Part X of Schedule D
Organizations that follow SFAS 117 (ASe 958) check here and complete
Unrestricted net assets
Temporarily restricted net assets
Permanently restricted net assets
Organizations that do not follow SFAS 117 (ASe 958) check here D 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
Total net assets or fund balances
Total liabilities and net assetsfund balances
94-2460211 Page 11
Cash - non-interest-bearing
2 Savings and temporary cash investments 3 Pledges and grants receivable net
4 Accounts receivable net
5
6
A S 7 S E 8 T S 9
lOa Land buildings and equipment cost or other basis Complete Part VI of Schedule D
b Less accumulated depreciation
11 Investments - publicly traded securities
12 Investments shy
13 Investments shy
14 Intangible assets
15 16 17 18 19
L 20 I A 21 Escrow B I 22 L I T I 23E s 24
25
26 Total liabilities Add lines 17 through 25
N E T lines 27 through 29 and lines 33 and 34 A 27s s E 28 T 5 29 0 R
and complete lines 30 through 34J N 30
B 31 D
A L 32A N c 33 E s 34
BAA
(A) (B) Beginning of year End of year
IL 01103113
94-2460211 Page 12
Check if Schedule 0 contains a response to any question in this Part XI
Total revenue (must equal Part VIII column (A) line 12) 2 Total expenses (must equal Part IX column (A) line 25)
3 Revenue less expenses Subtract line 2 from line 1
4 Net assets or fund balances at beginning of year (must equal Part X line 33 column (A))
5 Net unrealized gains (losses) on investments 6 Donated services and use of facilities 7 I nvestment expenses 8 Prior period adjustments
9 Other changes in net assets or fund balances (explain in Schedule 0) Se~ SGb~ciul~ Q 10 Net assets or fund balances at end of year Combine lines 3 through 9 (must equal Part X line 33
column (B)) 10
Financial Statements and Reporting
Check if Schedule 0 contains a response to any question in this Part XII
1 Accounting method used to prepare the Form 990 D Cash [29 Accrual DOther
If the organization changed its method of accounting from a prior year or checked Other explain in Schedule O
2 a Were the organizations financial statements compiled or reviewed by an independent accountant If Yes check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis consolidated basis or both
D Separate basis D Consolidated basis D Both consolidated and separate basis
b Were the organizations financial statements audited by an independent accountant
If Yes check a box below to indicate whether the financial statements for the year were audited on a separate basis consolidated basis or both
~ Separate basis DConsolidated basis 0Both consolidated and separate basis
c 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 O
3 a As a result of a federal award was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133
b If Yes did the organization undergo the required audit or audits If the organization did not undergo the required audit or audits explain why in Schedule 0 and describe any steps taken to undergo such audits
BAA
1 384 061_
3a x
3b X Form (2012)
OMB No 1545-0047
SCHEDULE A Public Charity Status and Public Support (Form 990 or 990-EZ) 2012
Complete if the organization is a section 501 (c)(3) organization or a section 4947(a)(1) nonexempt charitable trust
Department of the Treasury Internal Revenue Service ~ Attach to Form 990 or Form 990-EZ ~ See separate instructions
2
3 4
~ A church convention of churches or association of churches described in section 170(bX1XAXi)
A school described in section 170(bX1)(AXii) (Attach Schedule E)
A hospital or a cooperative hospital service organization described in section 170(bX1XA)(iii)
A medical research organization operated in conjunction with a hospital described in section 170(bXl)(AXiii)- Enter the hospitals
name city and state
5 An organization operatedfOr thebenefit Of acollege oruniversh-Y owned or operated bya-governmentalunltdescribed in sectiOn - - - - - - shyD 170(bX1XAXiv) (Complete Part II)
6 A federal state or local government or governmental unit described in section 170(b)(1)(AXv) R7 X 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)(1XAXvi) (Complete Part II)
8 D A community trust described in section 170(bX1XAXvi) (Complete Part II)
9 D An organization that normally receives (1) more than 33-13 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 33-13 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)
10 An organization organized and operated exclusively to test for public safety See section 509(aX4) R11 An organization organized and operated exclusively for the benefit of to perform the functions of or carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2) See section 509(aX3) Check the box that describes the type of supporting organization and complete lines 11 e through 11 h
a DType I b DType II c D Type III - Functionally integrated d D Type III - Non-functionally integrated
e D 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 is a Type I Type II or Type III supporting organization check this box D
9 Since August 172006 has the organization accepted any gift or contribution from any of the following persons
I Yes No (i) A person who directly or indirectly controls either alone or together with persons described in (ii) and (iii)
below the governing body of the supported organization 11 g (i) ~-----r---+---shy
(ii) A family member of a person described in (i) above 11 9 (ii)
(iii) A 35 controlled entity of a person described in (i) or (ii) above 11 g (iii) h Provide the following information about the supported organization(s)
(i) Name of supported organization
(ii) EIN (iii) Type of organization (described on lines 1-9
(iv) Is the organization in
(v) Di d you notify the organization in
(vi) Is the organization in
(vii) Amount of monetary support
above or IRe section column (i) listed in column (i) of your column (i) (see instructionsraquo your governing
document support organized in the
US
(A)
(8)
(C)
(D)
(E)
Total
For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990-EZ
I EEA040 Il_
Schedule A (Form 990 or 990-EZ) 2012 Community Bridges 94-2460211 Page 2
_Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5 7 or 8 of Part I or if the organization failed to qualify under Part III If the organization fails to qualify under the tests listed below please complete Part III)
Section A Public Su rt Calendar year (or fiscal year beginning in) ~ (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts grants contributions and membership fees received ltpo not include any unusual grants ) 11700497 12531538 11914396 13085089 12897266 62 128 786
2 Tax revenues levied for the organizations benefit and either paid to or expended on its behalf o
3 The value of services or facilities furnished by a governmental unit to the organization without charge
4 Total Add lines 1 through 3 5 The portion of total
contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2 of the amount shown on line 11 column (f) o
6 786
Calendar year (or fiscal year beginning in) ~
7 Amounts from line 4
8 Gross income from interest dividends payments received on securities loans rents royalties and income from similar sources 7 754 3 403 5 421 244 51 392 68 214
9 Net income from unrelated business activities whether or not the business is regularly carried on o
10 Other income Do not include gain or loss from the sale of capital aS~~Se(Ep~fie irrV
13 First five years If the Form 990 is for the organizations first second third fourth or fifth tax year as a section 501 (c) (3) organization check this box and stop here ~ D
Section C Computation of Public Support Percentage 14 Public support percentage for 2012 (line 6 column (f) divided by line 11 column (f)) 9892 15 Public support percentage from 2011 Schedule A Part II line 14 9886
16a 33-13 support test - 2012 If the organization did not check the box on line 13 and the line 14 is 33-13 or more check this box and stop here The organization qualifies as a publicly supported organization ~ ~
b 33-13 support test - 2011 If the organization did not check a box on line 13 or 16a and line 15 is 33-13 or more check this box and stop here The organization qualifies as a publicly supported organization ~ D
17 a 1 O-facts-and-circumstances test - 2012 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-andmiddot circumstances test check this box and stop here Explain in Part IV how the organization meets the factsmiddotand-circumstances test The organization qualifies as a publicly supported organization ~ lJ
Part IV)
11 rh~~aJ9shu~8~~ ~dd Iin~s
612 273
12 Gross receipts from related activities etc (see instructions) L-__~~~~~~~
b 1 O-facts-and-circumstances test - 2011 If the organization did not check a box on line 13 16a 16b or 17a and line 15 is 10 or more and if the organization meets the facts-and-circumstances test check this box and stop here Explain in Part IV how the 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 o( l7b check this box and see instructions
Schedule A (rorm 990 or 990middot[2) 202
~EEA0402L 080912
Section A Public rt Calendar year (or fiscal yr beginning in)
1 Gifts grants contributions
Schedule A (Form 990 or 990middotEZ) 2012 Communi Br s 94-2460211 3 Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II If the organization fails to qualify under the tests listed below please complete Part II)
and membership fees received (Do not include any unusual grants)
2 Gross receipts from admisshysions merchandise sold or services performed or facilities furnished in any activity that is related to the organizations taxmiddotexempt purpose
3 Gross receipts from activities that are not an unrelated trade or business under section 513
4 Tax revenues levied for the organizations benefit and either paid to or expended on its behalf
5 The value of services or facilities furnished by a governmental unit to the organization without charge
6 Total Add lines 1 through 5 7 a Amounts included on lines 1
2 and 3 received from disqualified persons
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5000 or 1 of the amount on line 13 for the year
c Add lines 7a and 7b
8
Calendar year (or fiscal yr beginning in) (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (I) Total
9 Amounts from line 6 10 a Gross income from interest
dividends payments received on securities loans rents royalties and income from similar sources
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30 1975
c Add lines lOa and 1 Db Net income from unrelated business
activities not included in line lOb whether or not the business is regularly carried on
12 Other income Do not include gain or loss from the sale of capital assets (Explain in Part IV)
13 Total support (Add Ins9 10c 11 and 12) ~~~____~~~~____~~__~__-L__________ __~~~~~__~
14 First five years If the Form 990 is for the organizations first second third fourth or fifth tax year as a section 501 (c)(3)organization check this box and stop here
Section C Computation of Public Support Percentage shy15 Public support percentage for 2012 (line 8 column (I) divided by line 13 column (I)) 16 Public support percentage from 2011 Schedule A Part III line 15
Section D Computation of Investment Income Percentage 17 Investment income percentage for 2012 (line 10c column (I) divided by line 13 column (I)) 17
18 Investment income percentage from 2011 Schedule A Part III line 17 18 19a 33-13 support tests - 2012 If the organization did not check the box on IIn8 14 and line 15 is more than 33-13 and line 17
is not more than 33-13 check this box and stop here The organization qualifies as a publicly supported organization
b 33-13 support tests - 2011 If the organization did not check a box on line 14 or line 19a and line 16 is more than 33-13 and line 18 is not mOIe than 33-13 check this box and stop here The organization qualifies as a publicly supported organization
20 Private foundation If the organization did not check hox Orl line 14 19a or 19b check box and see instructions ~H -----o------~--- ------
BAA NJ403L 080912 Schedule A (Form 990 or 99QZ) 2012
4 Schedule A (Form 990 or 990-EZ) 2012 Communi s 94-2460211 Supplemental Information Complete this part to provide the explanations required by Part II line 10 Part II line 17a or 17b and Part III line 12 Also complete this part for any additional information (See instructions)
___~P~~t1~cJ~Cule_~dJltli9~lt ~~~lelTI_e~U~f9l1aiQf _______________________________ _
_ _cLeID1tu_g1_lzgti_ol)-PSlYlJ1~nL _ _ _ _ _ _ _ _ _ _ _ _ ________________________________ _
BAA
081012
2012 Schedule A Part IV - Supplemental Information PageS
Community Bridges 94-2460211
Part II Line 10 - Other Income
Nature and Source 2012 2011 2010 2009 2008
Other Income Total
$ 108645 $ 108645
$ 36333 $ 36333
$ 130009 $ 130009
$ 169710 $ 169710
$ $
167576 167576
------
---------------
OMB No 1545middot0047SCHEDULE C Political Campaign and Lobbying Activities (Form 990 or 990-EZ)
For Organizations Exempt From Income Tax Under section 501 (c) and section 527 2012 Complete if the organization is described below Attach to Form 990 or Form 990-EZ
Department of the Treasury Internal Revenue Service See separate instructions
If the organization answered Yes to Form 990 Part IV line 3 or Form 990-EZ Part V line 46 (Political Campaign Activities) then bull Section 501 (c)(3) organizations Complete Parts I-A and B Do not complete Part I-C bull Section 501 (c) (other than section 501 (c)(3raquo) organizations Complete Parts I-A and C below Do not complete Part I-B bull Section 527 organizations Complete Part I-A only
If the organization answered Yes to Form 990 Part IV line 4 or Form 990-EZ Part VI line 47 (Lobbying Activities) then bull Section 501 (c) (3) organizations that have filed Form 5768 (election under section 501 (h)) Complete Part II-A Do not complete Part II-B
bull Section 501 (c) (3) organizations that have NOT filed Form 5768 (election under section 501 (h)) Complete Part II-B Do not complete Part II-A
If the organization answered Yes to Form 990 Part IV line 5 (Proxy Tax) or Form 990-EZ Part V line 35a (Proxy Tax) then bull Section 501 (c)(4) (5) or (6) organizations Complete Part III
See Part IV 2 3 Volunteer hours bull w Complete if the organization is exempt under section 501 (c)(3) 1 Enter the amount of any excise tax incurred by the organization under section 4955
2 Enter the amount of any excise tax incurred by organization managers under section 4955
3 If the organization incurred a section 4955 tax did it file Form 4720 for this year DYes
4a Was a correction made middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotDYes b If Yes describe in Part IV
II~~~~~~~~~~~~--~~~~~~~--~~---------2 Enter the amount of the filing organizations funds contributed to other organizations for section 527 exempt
function activities $
3 Total exempt function expenditures Add lines 1 and 2 Enter here and on Form 1120-POL line 17b ~ $
4 Did the filing organization file Form 1120-POL for this year DYes
5 Enter the names addresses and employer identification number (EIN) of all section 527 political organizations to which the filing organization made payments For each organization listed enter the amount paid from the filing organizations funds Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization such as a separate segregated fund or a political action committee (PAC) If additional space is needed provide information in Part IV
(a) Name (b) Address (e) EIN (d) Amount paid from filing (e) Amount of political organizations funds If contributions received and
none enter-Omiddot promptly and directly delivered to a separate political organization If
none enter -0middot
(1) ~---------------~---
(2) ~------
(3) ~-
(4)
~~)~~~~~--~~~~--~-~---~~-~---~~~~~~~-~_-_~~~~-----~~~~~~-~~~~~~~~~~-~~~~~-~---------_-_--f------c_~~~_-middot_J_L~~--------+---~ -~ -shyBAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990middotEZ Schedule C (Form 990 or 990middotEZ) 2012
TEEA320 I L 217112
----
Schedule C(Form 990 or 990-EZ) 2012 Communi Bri s 4-2460211 Page 2
Complete if the organization is exempt under section 501 (c)(3) and filed Form 5768 (election under section 501 (hraquo
A Check ~ 0 if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group members name
address EIN expenses and share of excess lobbying expenditures)
B Check ~ 0 if the filing organization checked box A and limited control provisions apply
Limits on Lobbying Expenditures (a) Filing (b) Affiliated organizations totals group totals (The term expenditures means amounts paid or incurred)
1 a Total lobbying expenditures to influence public opinion (grass roots lobbying)
b Total lobbying expenditures to influen_ce a legislative body (direct lobbying)
c Total lobbying expenditures (add lines 1a and 1b)
d Other exempt purpose expenditures
e Total exempt purpose expenditures (add lines 1c and 1d)
f Lobbying nontaxable amount Enter the amount from the following table in both columns
g Grassroots nontaxable amount (enter 25 of line 1f)
h Subtract line 1g from line 1a If zero or less enter -0-
Subtract line 1f from line 1c If zero or less enter -0-
If there is an amount other than zero on either line 1h or line 1i did the organization file Form 4720 reporting section 4911 tax for this year DYes 0No
4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501 (h) election do not have to complete all of the five
columns below See the instructions for lines 2a through 2f)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total year beginning in)
13l7 524
2a Lobbying non-taxable amount 3 513 393
b Lobbying ceiling amount (150 of line 2a column (eraquo 5 270 090
c Total lobbying enditures 18 425
d Grassroots nontaxable amount 878 349
e Grassroots ceiling amount (150 of line 2d column
f Grassroots lobbying expenditures o
BAA Schedule C (Form 990 or 990-EZ) 2012
-EEA3202L 010713
3 Schedule C(Form 990 or 2012 Bri 94-2460211 Complete if the organization is exempt under se as NOT filed Form 5768 (election under section 501 (hraquo
For each Yesresponse to lines 7a through Ii below provide in Part IVa detailed description of the lobbying activity
During the year did the filing organization attempt to influence foreign national state or local legislation including any attempt to influence public opinion on a legislative matter or referendum through the use of
a Volunteers
b Paid staff or management (include compensation in expenses reported on lines 1 c through 1 i)
c Media advertisements
d Mailings to members legislators or the pUblic ~~---+--------------
e Publications or published or broadcast statements
f Grants to other organizations for lobbying purposes
9 Direct contact with legislators their staffs government ofFicials or a legislative body
h Rallies demonstrations seminars conventions speeches lectures or any similar means
i Other activities ~~~~--------
j Total Add lines 1c through 1 i ~lli~J~i01 ~2iJn
I----t---- shy
2 a Did the activities in line 1 cause the organization to be not described in section 501 (c)(3)
b If Yes enter the amount of any tax incurred under section 4912
c If Yes enter the amount of any tax incurred by organization managers under section 4912
d If the filing organization incurred a section 4912 tax did it file Form 4720 for this year
Complete if ization is exempt under section 501 (c)(4) section 501 (c)(5) or section 501
Were substantially all (90 or more) dues received nondeductible by members 1----+---1---shy
2 Did the organization make only inmiddothouse lobbying expenditures of $2000 or less f----j----j--- shy
3 Did the organization agree to carryover lobbying and political from the prior year
Complete if the organization is exempt under section 501 (c)(4) section 501 (c)(5) or section 501 (c) (6) and if either (a) BOTH Part III-A lines 1 and 2 are answered No OR (b) Part III-A line 3 is answered Yes
Dues assessments and similar amounts from members
2 Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid)
a Current year
b Carryover from last year
c Total
3 Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues
4 If notices were sent and the amount on line 2c exceeds the amount on line 3 what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year
I---~--------------5 Taxable amount of lobbying and political expenditures (see instructions)
Complete this part to provide the descriptions required for Part ImiddotA line 1 Part ImiddotB line 4 Part Imiddote line 5 Part IImiddotA (affiliated group list) Part IImiddotA line 2 and Part IImiddotB line 1 Also complete this part for any additional information
TEEA32031 OliO
Scheciu1e
-----------------
OMB I~o 1545-0047 SCHEDULE D (Form 990) Supplemental Financial Statements 2012
~ Complete if the organization answered Yes to Form 990 Part IV lines 6 7 8 9 10 l1a 11 b 1lc l1d l1e l1f 12a or 12b
~ Attach to Form 990 ~ See instructions
(a) Donor advised funds
1 Total number at end of year
2 Aggregate contributions to (during year
3 Aggregate grants from (during year) 4 Aggregate value at end of year
S Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organizations property subject to the organizations exclusive legal control DYes
6 Did the organization inform all grantees donors and donor advisors in writing that grant funds can be used only
impermissible private benefit for charitable purposes and not for the benefit of the donor or donor advisor or for any other purpose conferring
No
(b) Funds and other accounts
Purpose(s) of conservation easements held by the organization (check all that apply)
Preservation of land for public use (eg recreation or education) D Preservation of an historically important land area
Protection of natural habitat D Preservation of a certified historic structure
Preservation of open space ~
2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the iast day of the tax year
a Total number of conservation easements
b Total acreage restricted by conservation easements
c Number of conservation easements on a certified historic structure included in (a)
d Number of conservation easements included in (c) acquired after 81706 and not on a historic structure listed in the National Register 2 dL-__L-_________________________
3 Number of conservation easements modified transferred released extinguished or terminated by the organization during the tax year Igt
4 Number of states where property subject to conservation easement is located Igt
S Does the organization have a written policy regarding the periodic monitoring inspection handling of violations and enforcement of the conservation easements it holds DYes
6 Staff and volunteer hours devoted to monitoring inspecting and enforcing conservation easements during the year Igt
7 Amount of expenses incurred in monitoring inspecting and enforcing conservation easements during the year 1gt$
8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(8)(i) and section 170(h)(4)(8)(ii) DYes
9 In Part XIII describe how the organization reports conservation easements in its revenue and expense statement and balance sheet and include if applicable the text of the footnote to the organizations financial statements that describes the organizations accounting for conservation easements
tf~rtiml Organizations Maintaining Collections of Art Historical Treasures or Other Similar Assets Complete if the organization answered Yes to Form 990 Part IV line 8
1 a If the organization elected as permitted under SFAS 116 (ASC 958) 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 XIII the text of the footnote to its financial statements that describes these items
b If the organization elected as permitted under SFAS 116 (ASe 958) 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 VI I line 1 ~$
(ii) Assets included in Form 990 Part X 11gt-$
2 If the organization received or held works of art histOrical treasures or other similar assets for financial gaill provide the following amounts required to be reported under SFAS 116 (ASe 958) relating to these items
11gt-$ -~~-------
$ BAA For Paperwork Reduction Act Notice the Instructions for Form 990 991l) CJ12
~--~-------------------------
-----------------------------------------------
-------
e2
3 Using the organizations acquisition accession and other records check any of the following that are a significant use of its collection items (check all that apply)
a sectPublic exhibition d BLoan or exchange programs b Scholarly research e Other
c Preservation for future generations
4 Provide a description of the organizations collections and explain how they further the organizations exempt purpose in Part XIII
5 During the year did the organization solicit or receive donations of art historical treasures or other similar assets D to be sold to raise funds rather than to be maintained as part of the organizations collection Yes
IRal~IYRI Escrow and Custodial Arrangemel1ts Complete if the organization answered Yes to Form 990 Part IV line 9 or reported an amount on Form 990 Part X line 21
1 a ~nt~~r~g~~~~~r~ ~~ ~~~~t~ trus~e~ ~u~t~~i~~ or ot~er int~~~~~~~~~ ~o~contnbu~i~~~ ~r ~~e~ ass~ts n~i~cI~~~d DYes
b If Yes explain the arrangement in Part XIII and complete the following table
Amount
c Beginning balance 1 c d Additions during the year d
e Distributions during the year 1 e f Ending balance 1f
2a Did the organization include an amount on Form 990 Part X line 21 UYes NOb If Yes explain the arrangement in Part XIII Check here if the explantion has been provided in Part Xlll D
fBaIM~1 Endowment Funds Complete if the or~anization answered Yes to Form 990 Part IV line 10 (a) Current (b) Prior year (e) Two years (d) Three years (e) Four years
1 a Beginning of year balance
b Contributions
c Net investment earnings gains and losses
d Grants or scholarships
e Other expenditures for facilities and programs
f Administrative expenses
9 End of year balance
2 PrOVide the estimated percentage of the current year end balance (line 1 g column (araquo held as
a Board designated or quasi-endowment b Permanent endowment c Temporarily restricted endowment
The percentages in lines 2a 2b and 2c should equal 10000
3 a Are there endowment funds not in the possession of the organization that are held and administered for the organization by Yes No (i) unrelated organizations 3a(i)
(ii) related organiZations 3a(ii)
b If Yes to 3a(ii) are the related organizations listed as required on Schedule R 3b I 4 Describe in Part XIII the intended uses of the organizations endowment funds
1 a Land
b Buildings
c Leasehold improvements
d Equipment
e Other
Total Add lines 1 a
BAA
(d) Book value
TEEt3302L 06e71 i 2
-------------------------
of security or rfpnlrl
name of secu (1) Financial derivatives
94-2460211
uation Cost or rket value
Page 3
~------------~--------------------------------------(2) Closely-held equity interests
~------------~--------------------------------------(3) Other ______________________ +----------f--------------------shyi~ __________________________1---_______-+____________________ (8)
iq __________________________~-----~---------------------------iD1_ - - - - - - - - - - - - - - - - - - - - - - -- -f------------+-------------------------------shy(E)- - - - - - - - - - - - - - - - - - - - - - - - - - - - ~-------------I---------------------------------------~~--------------------------f__----------+_-------------------------------iGl ______ -- _________ - _ - - - __ - - -f__----------l-----------------------------shy(H)- - - - - - - - - - - - - - - - - - - - - - - - - - - -- ~-------------+---------------------------------------J~ _____________________ _
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10) ----shy
(11)
Total (Column (b) must equal Form 990 Part X column (8) line 25) 2 FIN 48 CASe 740) Footnote In Part XIII provide the text of the footnote to the organizations financial statements that reports the organizations liability for uncertain tax positions under FIN 48 (ASe 740) Cherv here If the text of the footnote has been provided 11 Part XIII LJ BAA ____~_~__O~_ ~-~-~~~~--~~~-- --~T~-~middotA3303L- 122312 -- gt--~~-- Schedule 0 (Form 990) 2012
Page 4
2 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 XIII)
e Add lines 2a through 2d
3 Subtract line 2e from line 1 4 Amounts included on Form 990 Part VIII line 12 but not on line 1
a Investment expenses not included on Form 990 Part VIII line 7b
b Other (Describe in Part XII I)
c Add lines 4a and 4b
5 Total revenue Add lines 3 and 4c (This must equal Form 990 Part I line 72)
Total expenses and losses per audited financial statements
2 Amounts included on line 1 but not on Form 990 Part IX line 25
a Donated services and use of facilities 13 244 b Prior year adjustments c Other losses
d Other (Describe in Part XIII)
e Add lines 2a through 2d 3 Subtract line 2e from line 1
4 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 XIII) c Add lines 4a and 4b
must equal Form 990 Part I line 78)
Complete this part to provide the descriptions required for Part II lines 3 5 and 9 Part III lines 1a and 4 Part IV lines 1b and 2b Part V line 4 Part X line 2 Part XI lines 2d and 4b and Part XII lines 2d and 4b Also complete this part to provide any additional information
BAA Schedule 0 (Form 990) 2012
fEEA3304L 1
OMS No 1545middot0047
SCHEDULE G Supplemental Information Regarding (Form 990 or 990-EZ) Fundraising or Gaming Activities 2012
Complete if the organization answered Yes to Form 990 Part IV lines 17 18 or 19 or if the organization entered more than $15000 on Form 990-EZ line 6aDepartment of the Treasury
Internal Revenue Service ~ Attach to Form 990 or Form 990-EZ ~ See separate instructions
Name of Employer
94-2460211 InnInn ACtlVlllles Complete if the organization
___-c---cFo_r_m--- ~ filers are not required to complete this part
Indicate whether the organization raised funds through any of the following activities Check all that apply
a DMail solicitations e DSolicitation of non-government grants
b D Internet and email solicitations f DSolicitation of government grants
c D Phone solicitations g D Special fundraising events
d D Inmiddotperson solicitations
2 a 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 DYes ~No
b If Yes list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fund raiser is to be compensated at least $5000 by the organization
(i) Name and address of individual or entity (fund raiser)
(ii) Activity (iii) Did fund raiser have custod6or control
of contri utions
(iv) Gross receipts from activity
(v) Amount paid to (or retained by)
fundraiser listed in
(vi) Amount paid to (or retained by)
organization column (i)
Yes No
1
-- shy2
3 I
4 -----~--------
5
6
7 -__----shy
8
9
10
Total O bull -
3 List all states In which the organization IS reglslered or licensed to SOliCit contributions or has been notified It IS exempt from registration or licensing
- --~---~---~-- ~-~--~-~--~-~~-- ---
BAA for Paperwork Reduction Act Notice see the Instructions Form 990 or 990-EL Schedule G (runn 990 or 990-EZ) 2012 TEEA3701L 01107113
--
------
Schedule G (Form 990 or 990-EZ) 2012 Commun Br 94-2460211 Page 2
Fun ng Events Complete if the organization answered Yes to Form 990 Part IV ine 18 or reported more than $15000 of fundraising event contributions and gross income on Form 990-EZ lines 1 and 6b List events with gross receipts greater than $5000
(a) Event 1 (b) Event 2 (c) Other events (d) Total events (add column (a)
Italian Affair None through column (craquoR (event type) (event type) (total number) E V E N 1 Gross receipts 20186 20186 U E
2 Less Charitable contributions
3 Gross income (line 1 minus line 2) 20186 20186
4 Cash prizes
5 Noncash prizes D
R I
6 Rentfacility costs E C T 7 Food and beverages 5391 539l E x p 8 Entertainment E
N s 9 Other direct expenses 5822 5822E S
10 Direct expense summary Add lines 4 through 9 in column (d) 11213 11 Net income summary Combine line 3 column (d) and line 1 Q 8973
[Pifllll Gaming Complete if the o~ganization answered Yes to Form 990 Part IV line 19 or reported more than
(a) Bingo (b) Pull tabsllnstant (c) Other gaming (d) Total gaming R E bingoprogressive (add column (a) V bingo through column (eraquo E N U E Gross revenue
2 Cash prizes ~------------4---------------+--------------~--------------E
D X I P 3 Non-cash prizes R E E N C S T E
S 4 Rentfacility costs
5 Other direct expenses
Yes Yes Yes 6 Volunteer labor No No No
7 Direct expense summary Add lines 2 through 5 in column (d)
8 Net gaming income summary Combine lines 1 column (d) and line 7
9 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 0 Yes
b If No explain
lOa Were any of the organizations gaming licenses revoked suspended or terminated during the tax year 0 Yes b If Yes explain
BAA TFJ3]02L 010713 ScheclJle G (F (JIm 990 or 990 2012
------------
-----------
Schedule G (Form 990 or 990-EZ) 2012 Community Bridges 94-2460211 Page 3 11 Does the organization operate gaming activities with nonmembers DYes 12 Is the organization a grantor beneficiary or trustee of a trust or a member of a partnership or other entity formed to
administer charitable gaming DYes 13 Indicate the percentage of gaming activity operated in
a The organizations facility 13a ~13-b~------------~~b An outside facility
14 Enter the name and address of the person who prepares the organizations gamingspecial events books and records
Name
Address
15a Does the organization have a contact with a third party from whom the organization receives gaming revenue DYes b If Yes enter the amount of gaming revenue received by the organization $ and the amount
of gaming revenue retained by the third party $ c If Yes enter name and address of the third party
Name ---------------------------------------------~-----l
I Address I
16 Gaming manager information
Name
Gaming manager compensation $
Description of services provided
D Directorofficer DEmployee D independent contractor
17 Mandatory distributions
a Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the ~~egaminglicense ___________________________________________________________________ D~s ~No
b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the
organizations own exempt activities during the tax year $ lean~IlUI Supplemental Information Complete this part to provide the explanations required by Igtart I line 2b
columns (iii) and (v) and Part III lines 9 9b 1 ~b 15b 15c 16 and 17b as applicable Also complete this part to provide any additional information (see instructions)
----------------------- -------------------- ------ ----------------------------- __--shy
_ ---_ --------------- ---------------- ----- shy
BAA TEEA3703L 010113 Schedule G (Form 990 or 990middotEZ) 2012
--------------------------------------------------------- ---------
OMB No 1545-0047SCHEDULE 0 Supplemental Information to Form 990 or 990middotEZ (Form 990 or 990-EZ)
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information
Department of the Treasury ~ Attach to Form 990 or 990-EZInternal Revenue Service
Name of the
94-2460211
health care 4112-63012
BAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990-EZ TFEIA)IJIL 12812 Schedule 0 (Forrn 990 or 2012
Schedule 0 (Form 990 or 990-EZ) 2012 Page 2 Name of the organization Employer Identification number
Community Bridges 94-2460211
~ ~~Oy~~sjg1~~ge~~~e~~~~~ ~~~ ~ ~ ~~ ~~ ~_ ~~ ~ ~ ~~~~~~~ ~ ~ ~ ~ ~ ~~~~ ~ ~ ~~ ~ ~~~~~ ~ ~ ~ ~ _
Schedule (Form 990 or
TEEA4902L
2012
2012 Schedule 0 bull Supplemental Information Page 1
Community Bridges 94-2460211
Form 990 Part XI Line 9 Other Changes In Net Assets Or Fund Balances
Depreciation Grant Funded Assets $ -140124 Familia Net Assets 82104
Total $ -58020========
-------------------
OMS No 1545-0047
SCHEDULE R (Form 990) Related Organizations and Unrelated Partnerships 2012
Complete if the organization answered Yes to Fonn 990 Part IV line 33343536 or 37DqJ21rTrrent of the Treasury Internal Revenue Service Attach to Form 990 ~ See separate instructions Name of the organization
s 94-2460211Commu
rp~ Identification of Disregarded Entities (Complete if the organization answered Yes to Form 990 Part
(a) (b) (c) (e) (f) iiame address and EIN (if applicable) of disregarded entity Primary activity Legal domicile (state End-of-year assets Direct controlling
or foreiqn country) entity
=== === =_===== =_ ===== == ===__1 1-- -- -=-=1 TI ~~
FPafIIldentification 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)
(a) Name address and EIN of related organization
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Exempt Code
section
(e) Public charity status (if section 501 (c) (3raquo)
(f) Direct controlling
entity
(g)Sec 512(b)(13)
controlled entity
Yes No (1) FAMILIA CENTER
236SANTA-rnUZAVE----------- shy------------------------- shyAPTOS CA 95003770071589 - - shy - - - -- shy - - - -- shy - - shy BILINGUAL FAMILY
SERVICES CA I
501(C)3 PUBLIC
CHARITY COMMUNITY
BRIDGES X
---------------------- shy_shy --shy --------------------- shy - shy - -- -- shy - - shy - - shy - - - - - - - - - - - - - - -
- --
----------~--------------
-shy - shy --------------------- shy
-shy - shy - shy - shy shy -shy - - ---------------- shy- c--- shy
- - -- --- -- - - - - --- - - - - - - - - - - - - shy
- - -- - shy
- -- - --------------------- shy -=r_ I _ __ I
~-- I ------- - -- ----- --- --
BAt For Paperwork Reduction Act Notice see the Instructions for Form 990 TEEA5001 L 122812 Schedule R (Form 990) 2012
- -- ------
----- -
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 2
re~rtUI Iidentific~tion of Related Organizations T~xable 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)
me oddltl od EIN of I PIm~~cttyrelated organization
-+shy----shy
-_--shy -- -shy ~
(c) Legal
domicile (state or foreign country)
(d) Direct
controlling entity
(e) Predominant income (related unrelated excluded from tax
under sections 512-514)
(f) Share of total
income
(g) Share of
end-of-year assets
(h) Disproporshy
tionate allocations
Yes No
(i) Code V-UBI
amount in box 20 of Schedule
K-1 (Form 1065)
(j) General or managing partner
Yes No
(k) Percentage ownership
shy -shy --shy --shy -shy
-shy -__shy ---shy -shy
_ _ _____ ___ J~
-- -- -- - - - -- - -- shy
-
--T~ --=~ -- ~~==~=-
I
IPaHJVl Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered Yes to Form 990 Part IV L----_-l line 34 because it had one or more related organizations treated as a corporation or trust during the tax year)
(a) (b) I (c) (d) (e) I (f) (g) (h) I (i)iiame address and EIN of related organization Primary activity Legal domicile Direct Type of entity Share of Share of end-of- Percentage Sec S12(b)(13)
(state or foreign controlling (C corp S corp total income year assets ownership controlled entitycountry) entity or trust)
Yes I No
- - - - - - - - - -- - - - - - -- --I --------------------4
--==========1------~--------------~------------~------------~------------~--------------~--------------~--------~I----~------TEEA5002L 1228112 Schedule R (Form 990) 2012
---------
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 3
i])~ Transactions With Related Organizations (Complete if the organization answered Yes to Form 990 Part IV line 34 35b or 36)
Note Complete line 1 if any entity is listed in Parts II III or IV of this schedule During the lax year did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity b Gift grant or capital contribution to related organization(s)
Gift grant or capital contribution from related organization(s)
d Loans or loan guarantees to or for related organization(s)
e Loans or loan guarantees by related organization(s)
Dividends from related organization(s) 9 Sale of assets to related organization(s)
h Purchase of assets from related organization(s)
Exchange of assets with related organization(s)
Lease c[racilities equipment or other assets to related organization(s)
Lease of facilities equipment or other assets from related organization(s)
Performance of services or membership or fundraising solicitations for related organization(s)
Ferformance of services or membership or fundraising solicitations by related organization(s)
Sharing of facilities equipment mailing lists or other assets with related organization(s)
o Sharing of paid employees with related organization(s)
Reimbursement paid to related organization(s) for expenses
q Reimbursement paid by related organization(s) for expenses
r Other transfer of cash or property to related organization(s
5 Other transfer of cash or property from related organization(s)
If the answer to any of the above is Yes see the instructions for information on who must complete this line including covered relationships and transaction thresholds
(b) (c)N f h(a) d (2 lame 0 ot er organization Transaction Amount involved Metho of etermlnlng --~
type (a-s) amount involved
(1)
(2)
ltd ~ ~J
I I I
(5) ------------shy
(6) ~---------------------------------------------------------------------------~--------------~--------~~~~--~--~~~
TEEIS003L 1228112 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 4
e~~I1 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) I (b) (c) (d) (e) (f) (g) (h) (i) (j) I (k)Jame address and EIN of entity Primary activity Legal domicile Predominant Are all partners Share of Share of Dispropor- Code V-UBI General or Percentage
(state or foreign income section total income end-of-year tionate amount in box managing ownership country) (related unre- 501 (c)(3) assets allocations 20 of Schedule partner
lated excluded organizations i K- 1 from tax under ~---c--- Form (1065)
section 512-514) Yes I No Yes No Yes No----+----1
- --==~ ~ ~ ====== ~ I ~ --I------+--+----t--shy
(3)
--------------1
(6)
-____ __~__ - I I I SAl TEEAS004L 122812 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Page 5 _ Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions)
-r- I - lt-j005L middot22312 Schedule R (Forni
94-2460211 2
Check if Schedule 0 contains a response to any question in this Part 111 [Rl Briefly describe the organizations mission
~e~_~c~~~u)~_~ _____________________________________________________ _
2 Did the organization undertake any significant program services during the year which were not listed on the prior
Form 990 or 990-EZ D Yes [Rl No If Yes describe these new services on Schedule O
3 Did the organization cease conducting or make significant changes in how it conducts any program services D Yes [Rl No If Yes describe these changes on Schedule O
4 Describe the organizations program service accomplishments for each of its three largest program services as measured 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 allocations to others the total expenses and revenue if any for each program service reported
4a(Code ) (Expenses $ 4690464 includinggrantsof $ )(Revenue $ 2438)
1~~ ~~UQ_a_nQ_~d~~ Qo_d_~aJ~]_r9gr~~L _wl~~ lJ~ _Q~E~~m~~~9f _Ag~~c~~u~~ _f~~~ilg __ _ E~a_rQ~~ py _t-~ _c~_~tE~~ ~~~11el~ _01_E_d~~CtlQIt _2r_oy~~eQ_2J ]1~ j15_ ~~a_l_ ~1b~~~i~~ _t9_ 9y~_1-8]Q _c-~l_d~~lll~ _m9~~ ~~a_n_1l5_~~~ _C9-y_~~ _c~~~e~ _il]J_ PI~~~ __________ _
4b (Code ) (Expenses $ 2523992 including grants of $ ) (Revenue $ 4696 )
1~e_ ~~ R~qg~~11 J~m~~_l~~l~~_ ~ _C-~td~~Ilsect~l-~11el~aJ-_~1t~U9~ lQ9rElt -~~ ____ _ lPJ~2_ sect~r_vl~~ ~~i_tsect _~_ ~l-~Ctl~9 E~~ ~Cll~ilg _l9~-Jl~~m~ _~ll~lltsect_~o~_a_nQ_~h~~ __ _ p~~vl~~ng_~o9~Jl~~r~I~~_~o~2~nsectL~sect_~el~sect_llu~~~tlQIlE~~p~~sect~~e~~~ng_0E~~esect_~~_ XJ-Lt~ _________________________________________________________ _
4c (Code ) (Expenses $ 1510930 including grants of $ ) (Revenue $ 103683 ) 1~~ ~~~1Q_D_ey~l_opl~n~ _DJy~s_i9 j)Q~iQ~~ ]~_3]~ _s~Q~iQ~z_eQ_ltp-l~ Q~s_ Q~ ~~UQ~Cr~ _~O__
l-Q~-l~~o~~ _fEIUl~~ l~ _6_ ~1il~~ _ll~~nsect~~ ~~UQ_D_eY~topl~n~_~el~~sect _~n_ [~l~J] _____ _
4d Other program services (Describe in Schedule 0) See Schedule 0 (Expenses $ 5 062 043 including grants of $ ) (Revenue $ 1086550_ )
4 e Total program service expenses ~ 13787429 BAA TEEAO1 02L 080812 Form 990 (2012)
94-2460211 Page 3
Is the organization described in section 501 (c)(3) or 4947(a)(1) (other than a private foundation) If Yes complete Schedule A
2 Is the organization required to complete Schedule B Schedule of Contributors (see instructions)
3 Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office If Yes complete Schedule C Part I 3 x
1----1--1--shy
4 Section 501 (c)(3) organizations Did the organization engage in lobbying activities or have a section 501 (h) election in effect during the tax year If Yes complete Schedule C Part II 4 x
I-----t---I- shy
5 Is the organization a section 501 (c) (4) 501 (c)(5) or 501 (c) (6) organization that receives membership dues assessments or similar amounts as defined in Revenue Procedure 98-19 If Yes complete Schedule C Part III 5 x
1----1---1-shy
6 Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts If Yes complete Schedule D Part I 6 X
f----I--I-- shy
7 Did the organization receive or hold a conservation easement including easements to preserve open space the environment historic land areas or historic structures If Yes complete Schedule D Part II 7 x
8 Did the organization maintain collections of works of art historical treasures or other similar assets If Yes complete Schedule D Part 11 8 X
I-----t----t- shy
9 Did the organization report an amount in Part X line 21 for escrow or custodial account liability serve as a custodian for amounts not listed in Part X or provide credit counseling debt management credit repair or debt negotiation services If Yes complete Schedule D Part IV 9 X
I----I---I~-
10 Did the organization directly or through a related organization hold assets in temporarily restricted endowments permanent endowments or quasi-endowments If Yes complete Schedule D Part V 10 X
11 If the organizations answer to any of the following questions is Yes then complete Schedule D Parts VI VII VIII IX or X as applicable
a Did the organization report an amount for land buildings and equipment in Part X line 107 If Yes complete Schedule D Part Vi 11 a X
b Did the organization report an amount for investments - other securities in Part X line 12 that is 5 or more of its total assets reported in Part X line 16 If Yes complete Schedule D Part Vii 11 b X
c Did the organization report an amount for investments - program related in Part X line 13 that is 5 or more of its total assets reported in Part X line 16 If Yes complete Schedule D Part VIII 11 c X
d Did the organization report an amount for other assets in Part X line 15 that is 5 or more of its total assets reported in Part X line 16 If Yes complete Schedule D Part IX 11 d X
e Did the organization report an amount for other liabilities in Part X line 25 If Yes complete Schedule D Part X
f Did the organizations separate or consolidated financial statements for the tax year include a footnote that addresses the organizations liability for uncertain tax positions under FIN 48 (ASe 740) If Yes complete Schedule D Part X 11 f X
12a Did the organization obtain separate independent audited financial statements for the tax year If Yes complete Schedule D Parts XI and XII 12a X
b Was the organization included in consolidated independent audited financial statements for the tax year If Yes and if the organization answered No to line 72a then completing Schedule D Parts XI and XII is optional
13 Is the organization a school described in section 170(b)(1)(A)(ii) If Yes complete Schedule E
14a Did the organization maintain an office employees or agents outside of the United States 14a X
b Did the organization have aggregate revenues or expenses of more than $10000 from grantmaking fundraising business investment and program service activities outside the United States or aggregate foreign investments valued at $100000 or more If Yes complete Schedule F Parts I and IV 14b X
15 Did the organization report on Part IX column (A) line 3 more than $5000 of grants or assistance to any organization or entity located outside the United States If Yes complete Schedule F Parts I and IV 15 X
16 Did the organization report on Part IX column (A) line 3 more than $5000 of aggregate grants or assistance to individuals located outside the United States If Yes complete Schedule F Parts III and IV 16 X
17 Did the organization report a total of more than $15000 of expenses for professional fundraising services on Pall IX column (A) lines 6 and 11 e If Yes complete Schedule G Part I (see instructions) 17 X
18 Did the organization report more than $15000 tolal of fund raising event gross income and contributions on Part VIII lines 1 c and 8a If Yes complete Schedule G Part I 18 X
19 Did the organization report more than $15000 of gross income from gaming activities on Part VIII line 9a If Yes complete Schedule G Part III 19
6 v
20 a Did the organization operate one or more hospital facilities If Yes complete Schedule X b If Yes to line 200 did the organizatior attach a copy of its audited financial statemeilts this return 20b
EEAOI03L 121312 Form 990 (2012)
94-2460211 Page 4
21 Did the organization report more than $5000 of grants and other assistance to governments and organizations In the United States on Part IX column (A) line 1 If Yes complete Schedule I Parts I and II
22 Did the organization report more than $5000 of grants and other assistance to individuals in the United States on Part IX column (A) line 2 If Yes complete Schedule I Parts I and III
23 Did the organization answer Yes to Part VII Section A line 34 or 5 about compensation of the organizations 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 $100000 as of
~o~~r~t~a~c~~~u~ltif ~N~ k~tt~~~~~ed ~~~~ ~~~~~~~r~~ ~a02 If Ye~~n~~~~ ~i~~s ~~~ t~~~~~~ ~4~ and
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
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 organizations prior Forms 990 or 990-EZ If Yes complete Schedule L Part I
26 Was a loan to or by a cUITent or former officer director trustee key employee highest compensated employee or disqualified person outstanding as of the end of the organizations 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 employee thereof a grant selection committee member or to a 35 controlled entity or family member of any of these persons If Yes complete Schedule L Part III
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 (or a family member thereof) was an officer director trustee or direct or indirect owner If Yes complete Schedule L Part IV
29 Did the organization receive more than $25000 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
31 Did the organization liquidate terminate or dissolve and cease operations If Yes complete Schedule N Part I
32 Did the organization sell exchange dispose of or transfer more than 25 of its net assets If Yes complete Schedule N Part II
33 Did the organization own 100 of an entity disregarded as separate from the organization under Regulations sections 3017701-2 and 3017701-37 If Yes complete Schedule R Part I _
34 Was the organization related to any tax-exempt or taxable entity If Yes complete Schedule R Parts II Ill IV and V line 1
35a Did the organization have a controlled entity within the meaning of section 512(b)(13)
b If Yes to line 35a did the organization receive any payment from or engage in any transaction with 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-charitable 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 band 19 Note All Form 990 filers are required to complete Schedule 0
BAA
Yes No
21 X
22 X
23 X
24a X
25a X
25b X
26 X
27 X
32 X
33 X f---I---I-- shy
34 X 1-------- shy
35b f-------I-- shy
36 x
37 X
38 X Form 990 (2012)
080812
94-2460211 Page 5
1 a Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable
b Enter the number of Forms W-2G included in line 1 a Enter -0- if not applicable
c Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners
2a Enter the number of employees reported on Form W-3 Transmittal of Wage and Tax State-i I
ments filed for the calendar year ending with or within the year covered by this return 2 a ------------------~
b If at least one is reported on line 2a did the organization file all required federal employment tax returns
Note If the sum of lines 1 a and 2a is greater than 250 you may be required to e-file (see instructions)
3 a Did the organization have unrelated business gross income of $1 000 or more during the year
b If Yes has it filed a Form 990-T for this year If No provide an explanation in Schedule Q
4a At any time during the calendar year did the organization have an interest in or a signature or other authority over a financial account in a foreign country (such as a bank account securities account or other financial account)
b If Yes enter the name of the foreign country ~
See instructions for filing requirements for Form TO F 90-221 Report of Foreign Bank and Financial Accounts
5 a 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
6a Does the organization have annual gross receipts that are normally greater than $100000 and did the organization solicit any contributions that were not tax deductible as charitable contributions
b If Yes did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible
7 Organizations that may receive deductible contributions under section 170(c)
a Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor
b If Yes did the organization notify the donor of the value of the goods or services provided
c Did the organization sell exchange or otherwise dispose of tangible personal property for which it was required to file Form 8282
d If Yes indicate the number of Forms 8282 filed during the year 7d e Did the organization receive any funds directly or indirectly to pay premiums on a personal benefit contract
r------1----- shyf Did the organization during the year pay premiums directly or indirectly on a personal benefit contract
g If the organization received a contribution of qualified intellectual property did the organization file Form 8899 as required
h If the organization received a contribution of cars boats airplanes or other vehicles did the organization file a Form 1098-C
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
9 Sponsoring organizations maintaining donor advised funds
a Did the organization make any taxable distributions under section 49667
b Did the organization make a distribution to a donor donor advisor or related person
10 Section 501(c)(7) organizations Enter
a Initiation fees and capital contributions included on Part VIII line 12
b Gross receipts included on Form 990 Part VIII line 12 for public use of club facilities
1 Section 501 (c)(12) organizations Enter
a Gross income from members or shareholders
b Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them)
12a Section 4947(a)(1) non - exempt charitable trusts Is the organization filing Form 990 in lieu 1041 b If Yes enter the amount of tax-exempt interest received or accrued during the year L-__L-______________~
13 Section 501 (c)(29) qualified nonprofit health insurance issuers a Is the organization licensed to issue qualified health plans in more than one state
Note See the instructions for additional information the organization must report on Schedule O
b Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans i 13b l
c Enter the amount of reserves on hand 113cj~~ 14a Did the organization receive any payments for indoor tanning sGrvices during the tax year
b If Yes has it filed a Form 720 to report these payrnenic7 If No provide an explanation SchedJle 0
T[EiOI05L 080812
--------------------------
Form 990 (2012) Community Bridges 94-2460211 Page 6
tallGovernance Management and Disclosure For each Yes response to lines 2 through 7b below and for a No response to line 8a 8b or 70b below describe the circumstances processes or changes in Schedule O See instructions Check if Schedule 0 contains a response to any question in this Part VI
1 a Enter the number of voting members of the governing body at the end of the tax year 1 a If there are material differences in voting rights among members f---I-------- shyof the governing body or if the governing body delegated broad authority to an executive committee or similar committee explain in Schedule O
b Enter the number of voting members included in line 1 a above who are independent 1 b L-~____________~
2 Did any officer director trustee or key employee have a family relationship or a business relationship with any other officer director trustee or key employee
3 Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers directors or trustees or key employees to a management company or other person
4 Did the organization make any significant changes to its governing documents
since the prior Form 990 was filed
5 Did the organization become aware during the year of a significant diversion of the organizations assets 6 Did the organization have members or stockholders
7 a Did the organization have members stockholders or other persons who had the power to elect or appoint one or more members of the governing body
b Are any governance decisions of the organization reserved to (or subject to approval by) members stockholders or other persons other than the governing body
8 Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following
a Tile governing body
b Each committee with authority to act on behalf of the governing body
9 Is there any officer director or trustee or key employee listed in Part VII Section A who cannot be reached at the organizations mailing address If Yes provide the names and addresses in Schedule 0
10 a Did the organization have local chapters branches or affiliates
b If Yes did the organization have written policies and procedures governing the activities of such chapters affiliates and branches to ensure their operations are consistent witll the organizations exempt purposes
11 a Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form
b Describe in Schedule 0 the process if any used by the organization to review this Form 990 See Schedule 0 12a Did the organization have a written conflict of interest policy If No go to line 73
b Were officers directors or trustees and key employees required to disclose annually interests that could give rise to conflicts
c Did the organization regularly and consistently monitor and enforce compliance with the policy If Yes describe in Schedule deghow this is done
13 Did the organization have a written whistleblower policy
14 Did 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 organizations CEO Executive Director or top management official
b Other officers of key employees of the organization See Schedule 0 If Yes to line 15a or 15b describe the process in Schedule O (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 did the organization follow a written policy or procedure requiring the organization to evaluate its partici I in joint venture arrangements under applicable federal tax law and taken steps to safeguard the nrrnl7tl status with ct to such ements
Section C Disclosure
x
17 List the states with which a copy of this Form 990 is required to be filed CA 18 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
[)1 Own website DAnothers website [XI Upon request Other (explain in Schedule 0)
19 Describe in Schedule 0 whether (and if so how) the organization makes Its governing documents conflict of Intel est rllcy and fillallcial statements available to Ute publiC durinl] the tax year See Schedule 0
20 State name phYSical address and telepholle nurnbu of the person who possesses the books iecolds of the organizatron
__B_en~0r1_CIO]~~_Siinta Cruz Apto_s_~~_~~O_03_(831) 688884CJ ____ BAA TEt6JJ i OGl 0808112 Forr 990 (20 12)
----- ----
---------------------
---------------------
---------------------
---------------------
---------------------
------------------------- ----
-----
---
---
Check if Schedule 0 contains a response to any question in this Part VII D Section A Officers Directors Trustees Key Employees and Highest Compensated Employees 1 a Complete this table for all persons required to be listed Report compensation for the calendar year ending with or within the organizations tax year
bull List all of the organizations current officers directors trustees (whether individuals or organizations) regardless of amount of compensation Enter -D- in columns (D) (E) and (F) if no compensation was paid
bull List all of the organizations current key employees if any See instructions for definition of key employee
bull List the organizations five current highest compensated employees (other than an officer director trustee or key employee) who received reportable compensation (Box 5 of Form W-2 andor Box 7 of Form 1 099-MISC) of more than $100000 from the organization and any related organizations
bull List all of the organizations former officers key employees and highest compensated employees who received more than $100000 of reportable compensation from the organization and any related organizations
bull List all of the organizations former directors or trustees that received in the capacity as a former director or trustee of the organization more than $10000 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
DCheck this box if neither the organization nor any related organization compensated any current officer director or trustee
(C)
(A) (8) Position (do not check more than (D) (E) (F) Name and Title Average Reportable Reportable Estimatedone box unless Rerson is both an
officer and a irectortrustee)hours per compensation from compensation from amount of other week (list the organization related organizations compensation any hours =gt J (Wmiddot21099-MISC) (Wmiddot21099-MISC) from the 0 lt I - Of
uo ltD 0 lt ~ organization
organizamiddot ~~ e- (1) 0lt1gt 3 and related for related = Dromiddot
(1) a lt Ugt tions oc =0
~ 3 (D~ ~ organizationsQ~ =gt D roltgtbelow 0 0
~ ltdotted 2 lt1gt 3 Dline) $Ii- 2 (I)
(I) OJ (gt $- raquo (1 ltt a
_Ql~~~1Y~E~a~_________ 5 Community Rep_ 0 X O O O
~~~c~_~aS2~s~~ _____ 5 Community Rep
--
0 X O O O _ l ~th~1_L~~is____ 5
Vice President 0 X X O O O (4) Barbara Frank 5
President 0 X X o O O (5) John Tuck 5
Community Rep 0 X 0_ O O (6) Mark Hartunian 5
Community Rep 0 X O O O _0_~~ry_~u~ll~_______ 40
Staff Sup_ Rep -
0 X 34197 O 7729 (8) Rick Roberts 5
Secretary 0 X X O O O (9) Linda Fawcett 5
Community Rep 0 X O O O 11~)_ ~~rj~ _B~1ia_ ~1r~~y -- ---
40 CB Staff Re12
-
0 X 33302 0_ 7689 11~)_ ~JJs_Eall1~r_______ 5
Community Rep --
0 X o O 0_ (12) Karl Rice 5
Treasurer 0 X X O O O 11~t ~(~ril~n jlip~JJ~____ 5
Community Rep 0 X O O o 11~)_ 8~b~f~a_ ft2w]~~ ___ T
Community Rep _~_-=-1- --t X I __~__~__ _~__ o_________middotlaquo__~_r_
O O - _-shy
1071_ 117l2 ro(rn (2012)
----- ---------------------
------ ---
------------------------------
----------- -
Form 990 (2012) Community Bridges 94-2460211 Page 8
_Section A Officers ~ctors TrLctooc Key Employees and Highest Compensated Employees (cant) (8) (C)
(A) Name and title
Position Average (do not check more than one
hours box unless person is both an per oj-ficer and a directortrustee)
(I~f~y IQ~ I~ I~ ~I fS hoursfor g ltIi - (() Iyen
related ~ ~ I~ lt
O~fo~~a Ii=- ~ Iiamp~below ltto
(0) Reportable
compensation from the organization (Nmiddot2I099-MISC)
(E) Reportable
compensation from related organizations
(N-2I099middotMISC)
(F) Estimated
amount of other compensation
from the organization and related
organizations
dotted ~ line) ~
o o o (16) Martin Bernal 5
rnmmllnity Rep 0 X o o o
X 86662 o 8237
i2~__________________
(22)
i2~_______________________ _ - -- shy
i2~)__ _____________________ _ ----_
i~)______________ -- -- shy
1 b Sub-total It- 220 041 o 31709 c Total from continuation sheets to Part VII Section A ogt- o o o d Total (add lines 1 band 1c 220 041 o 31 709
2 Total number of Individuals (inclucllng but not IlrTllted to those listed above) who received more than $100000 of reportable compensation
from the organization 0
3 Did the organization list any former officer director or trustee key employee or highest compensated employee on line 1 a If Yes complete Schedule J for such individual
4 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 $150000 If Yes complete Schedule J for such individual
5 Did any person listed on line 1 a receive or accrue compensation from any unrelated organization or individual for services rendered to the 0 ization If Yes Schedule J for such on
~om-pmiddotl-etmiddotet~h~is~tmiddotable--fo-r-y-o-u-rfiv-e-hmiddotigh-e-stc-o-m-pe-n-s-ate-d~in-de-p-e-nde-nt-c-o-ntr-a-cto-rs-Cth-at-r-e-cei-ve-d-m-o-r-etha-n~$~l~OOn~O~O~O-of---------compensation from the organization Report compensation for the calendar ending with or within the izations tax r
(A) (8) (C) Name and bUSiness address Description of services Compensation
2 Total number of independent contractors (including but not limited to those listed above) who received more than
$100000 in compensation frcm the organization 10gtshy
BAA TLJNl 1 08L 0112411 3
s 94-2460211 Page 9
Check if Schedule 0 contains a response to any question in this Part VIII D
a Federated campaigns
b Membership dues
c Fundraising events
d Related organizations
e Government grants (contributions)
f All other contributions gifts grants and similar amounts not included above
9 Noncash contributions included in Ins 1a-1 f h Total Add lines 1a-1 f
(A) (8) (C) Total revenue Related or Unrelated
exempt business function revenue
(0) Revenue
excluded from tax under sections
512513 or 514
2 a sect~yipound~ fe~~ gt~in_____ -I-=-==-=-=---_t-----L=-=L~_+----=~~-=-=__t------_t------shyb sect~yis~ fe~~ 1~ls12 shy __ _
-r-~~~-----t
c sect~yis~ fe~~ gtreglt_G9_pounde__ -r-=-=-=-----t__--=-=~--et__--=-=~----t__------t__-----shyd sect~yis~ fe~s_ =- Iil1i1Y jQu __ -I---=----------=--L--------=--L------------------shy
e sect~yis~ fe~~ ~1U_ld_G9_pounde__ -r-=--=-----t__--=-=-=L=~t__--=-=-=L=-------I------shyf All other program service revenue
L-~~~__~+-__~~~~ 9 Total Add lines 2a-2f
--+----shy3 Investment income (including dividends interest and
4
5
other similar amounts)
6 a Gross rents
b Less rental expenses
c Rental income or (loss)
d Net rental income or (I -~~~~---~~--~
7 a Gross amount from sales of assets otller than inventory
b Less cost or other basis and sales expenses
c Gain or (loss) d Net gain or (loss)
LIJ 8 a Gross income from fundraising events ~ (not including $--~--cc--c~shy~ of contributions reported on line 1 c)
---------t
~ See Part IV line 18 a LIJ j---~~~-shy
~ b Less direct expenses o c Net income or (loss) from fundraising
9 a Gross income from gaming activities See Part IV line 19
b Less direct expenses
c Net income or (loss) from gaming acti i -----------
10a Gross sales of inventory less returns and allowances a
b Less cost of goods sold j------ shy
c d 11 other revenue
e Total Add lines 11 a-11 d
lotal revenue See instruction
------------------
94-2460211 Page 10
Do not include amounts reported on lines 6b lb 8b 9b and lOb of Part VIII
1 Grants and other assistance to governments
p~~t ~ryalr~~a1if~~ ~~ t~~ ~ni~d state~ ~~~ 2 Grants and other assistance to individuals in
the United States See Part IV line 22
3 Grants and other assistance to governments organizations and individuals outside the United States See Part IV lines 15 and 16
4 Benefits paid to or for members 5 Compensation of current officers directors
trustees and key employees 251 751 6 Compensation not included above to
disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c) (3) (8)
7 Other salaries and wages
8 Pension plan accruals and contributions (include section 401 (k) and section 403(b) employer contributions)
9 Other employee benefits
10 Payroll taxes
11 Fees for services (non-employees)
a Management
b Legal
c Accounting
d Lobbying
e Professional fundraising services See Part IV line 17 f Investment management fees 9 Other (If line 11 g amt exceeds 10 of line 25 colshy
umn (A) amt list line 11 g expenses on Sch 0) 12 Advertising and promotion
13 Office expenses
14 Information technology
15 Royalties
16 Occupancy
17 Travel
18 Payments of travel or entertainment expenses for any federal state or local public officials
19 Conferences conventions and meetings 20 Interest
21 Payments to affiliates
22 Depreciation depletion and amortization
23 Insurance 24 Other expenses Itemize expenses not
covered above (List miscellaneous expenses in line 24e If line 24e amount exceeds 10 of line 25 column (A) amount list line 24e expenses on Schedule 0)
a ])~ ~sectlr_e_ Io_m~ _F99g lEYlIelts_ +__~~---=--=+-_----L~~~-+-______-+-________ b Administrative services cM~~~_~xp~~s~_______ _ d Y~~iltb~ ~~el1~~ ________ _ e All other expenses
25 Total functional expenses Add lines 1 through 24e
26 Joint costs Complete this line only if the organization reported in column (8) joint costs from a combined educational campaign and fundraising solicitation Check here 0 if following SOP 98-2 (ASe 958720)
TEEAOll OLI2n Ri Form 990 (2012)
Loans and other receivables from current and former officers directors
~~~i1Ff ~eJ~~o[ees ~~~ ~ig~es ~~~~~~~~~~ ~~~I~~~~s ~o~plete Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1raquo persons described in section 4958(c)(3) (B) and contributing employers and sponsoring organizations of section Sal (c)(9) voluntary employees beneficiary organizations (see instructions) Complete Part II of Schedule L
Notes and loans receivable net
Inventories for sale or use
Prepaid expenses and deferred charges
I lOa c~~r-----~--~~~-
other securities See Part IV line 11
program-related See Part IV line 11
Other assets See Part IV line 11
15 Ie an accrue expenses
Grants payable Deferred revenue
Tax-exempt bond liabilities
or custodial account liability Complete Part IV of Schedule D
Loans and other payables to current and former officers directors trustees key employees highest compensated employees and disqualified persons Complete Part II of Schedule L
Secured mortgages and notes payable to unrelated third parties
Unsecured notes and loans payable to unrelated third parties
Other liabilities (including federal income tax payables to related third parties and other liabilities not included on lines 17-24) Complete Part X of Schedule D
Organizations that follow SFAS 117 (ASe 958) check here and complete
Unrestricted net assets
Temporarily restricted net assets
Permanently restricted net assets
Organizations that do not follow SFAS 117 (ASe 958) check here D 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
Total net assets or fund balances
Total liabilities and net assetsfund balances
94-2460211 Page 11
Cash - non-interest-bearing
2 Savings and temporary cash investments 3 Pledges and grants receivable net
4 Accounts receivable net
5
6
A S 7 S E 8 T S 9
lOa Land buildings and equipment cost or other basis Complete Part VI of Schedule D
b Less accumulated depreciation
11 Investments - publicly traded securities
12 Investments shy
13 Investments shy
14 Intangible assets
15 16 17 18 19
L 20 I A 21 Escrow B I 22 L I T I 23E s 24
25
26 Total liabilities Add lines 17 through 25
N E T lines 27 through 29 and lines 33 and 34 A 27s s E 28 T 5 29 0 R
and complete lines 30 through 34J N 30
B 31 D
A L 32A N c 33 E s 34
BAA
(A) (B) Beginning of year End of year
IL 01103113
94-2460211 Page 12
Check if Schedule 0 contains a response to any question in this Part XI
Total revenue (must equal Part VIII column (A) line 12) 2 Total expenses (must equal Part IX column (A) line 25)
3 Revenue less expenses Subtract line 2 from line 1
4 Net assets or fund balances at beginning of year (must equal Part X line 33 column (A))
5 Net unrealized gains (losses) on investments 6 Donated services and use of facilities 7 I nvestment expenses 8 Prior period adjustments
9 Other changes in net assets or fund balances (explain in Schedule 0) Se~ SGb~ciul~ Q 10 Net assets or fund balances at end of year Combine lines 3 through 9 (must equal Part X line 33
column (B)) 10
Financial Statements and Reporting
Check if Schedule 0 contains a response to any question in this Part XII
1 Accounting method used to prepare the Form 990 D Cash [29 Accrual DOther
If the organization changed its method of accounting from a prior year or checked Other explain in Schedule O
2 a Were the organizations financial statements compiled or reviewed by an independent accountant If Yes check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis consolidated basis or both
D Separate basis D Consolidated basis D Both consolidated and separate basis
b Were the organizations financial statements audited by an independent accountant
If Yes check a box below to indicate whether the financial statements for the year were audited on a separate basis consolidated basis or both
~ Separate basis DConsolidated basis 0Both consolidated and separate basis
c 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 O
3 a As a result of a federal award was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133
b If Yes did the organization undergo the required audit or audits If the organization did not undergo the required audit or audits explain why in Schedule 0 and describe any steps taken to undergo such audits
BAA
1 384 061_
3a x
3b X Form (2012)
OMB No 1545-0047
SCHEDULE A Public Charity Status and Public Support (Form 990 or 990-EZ) 2012
Complete if the organization is a section 501 (c)(3) organization or a section 4947(a)(1) nonexempt charitable trust
Department of the Treasury Internal Revenue Service ~ Attach to Form 990 or Form 990-EZ ~ See separate instructions
2
3 4
~ A church convention of churches or association of churches described in section 170(bX1XAXi)
A school described in section 170(bX1)(AXii) (Attach Schedule E)
A hospital or a cooperative hospital service organization described in section 170(bX1XA)(iii)
A medical research organization operated in conjunction with a hospital described in section 170(bXl)(AXiii)- Enter the hospitals
name city and state
5 An organization operatedfOr thebenefit Of acollege oruniversh-Y owned or operated bya-governmentalunltdescribed in sectiOn - - - - - - shyD 170(bX1XAXiv) (Complete Part II)
6 A federal state or local government or governmental unit described in section 170(b)(1)(AXv) R7 X 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)(1XAXvi) (Complete Part II)
8 D A community trust described in section 170(bX1XAXvi) (Complete Part II)
9 D An organization that normally receives (1) more than 33-13 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 33-13 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)
10 An organization organized and operated exclusively to test for public safety See section 509(aX4) R11 An organization organized and operated exclusively for the benefit of to perform the functions of or carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2) See section 509(aX3) Check the box that describes the type of supporting organization and complete lines 11 e through 11 h
a DType I b DType II c D Type III - Functionally integrated d D Type III - Non-functionally integrated
e D 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 is a Type I Type II or Type III supporting organization check this box D
9 Since August 172006 has the organization accepted any gift or contribution from any of the following persons
I Yes No (i) A person who directly or indirectly controls either alone or together with persons described in (ii) and (iii)
below the governing body of the supported organization 11 g (i) ~-----r---+---shy
(ii) A family member of a person described in (i) above 11 9 (ii)
(iii) A 35 controlled entity of a person described in (i) or (ii) above 11 g (iii) h Provide the following information about the supported organization(s)
(i) Name of supported organization
(ii) EIN (iii) Type of organization (described on lines 1-9
(iv) Is the organization in
(v) Di d you notify the organization in
(vi) Is the organization in
(vii) Amount of monetary support
above or IRe section column (i) listed in column (i) of your column (i) (see instructionsraquo your governing
document support organized in the
US
(A)
(8)
(C)
(D)
(E)
Total
For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990-EZ
I EEA040 Il_
Schedule A (Form 990 or 990-EZ) 2012 Community Bridges 94-2460211 Page 2
_Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5 7 or 8 of Part I or if the organization failed to qualify under Part III If the organization fails to qualify under the tests listed below please complete Part III)
Section A Public Su rt Calendar year (or fiscal year beginning in) ~ (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts grants contributions and membership fees received ltpo not include any unusual grants ) 11700497 12531538 11914396 13085089 12897266 62 128 786
2 Tax revenues levied for the organizations benefit and either paid to or expended on its behalf o
3 The value of services or facilities furnished by a governmental unit to the organization without charge
4 Total Add lines 1 through 3 5 The portion of total
contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2 of the amount shown on line 11 column (f) o
6 786
Calendar year (or fiscal year beginning in) ~
7 Amounts from line 4
8 Gross income from interest dividends payments received on securities loans rents royalties and income from similar sources 7 754 3 403 5 421 244 51 392 68 214
9 Net income from unrelated business activities whether or not the business is regularly carried on o
10 Other income Do not include gain or loss from the sale of capital aS~~Se(Ep~fie irrV
13 First five years If the Form 990 is for the organizations first second third fourth or fifth tax year as a section 501 (c) (3) organization check this box and stop here ~ D
Section C Computation of Public Support Percentage 14 Public support percentage for 2012 (line 6 column (f) divided by line 11 column (f)) 9892 15 Public support percentage from 2011 Schedule A Part II line 14 9886
16a 33-13 support test - 2012 If the organization did not check the box on line 13 and the line 14 is 33-13 or more check this box and stop here The organization qualifies as a publicly supported organization ~ ~
b 33-13 support test - 2011 If the organization did not check a box on line 13 or 16a and line 15 is 33-13 or more check this box and stop here The organization qualifies as a publicly supported organization ~ D
17 a 1 O-facts-and-circumstances test - 2012 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-andmiddot circumstances test check this box and stop here Explain in Part IV how the organization meets the factsmiddotand-circumstances test The organization qualifies as a publicly supported organization ~ lJ
Part IV)
11 rh~~aJ9shu~8~~ ~dd Iin~s
612 273
12 Gross receipts from related activities etc (see instructions) L-__~~~~~~~
b 1 O-facts-and-circumstances test - 2011 If the organization did not check a box on line 13 16a 16b or 17a and line 15 is 10 or more and if the organization meets the facts-and-circumstances test check this box and stop here Explain in Part IV how the 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 o( l7b check this box and see instructions
Schedule A (rorm 990 or 990middot[2) 202
~EEA0402L 080912
Section A Public rt Calendar year (or fiscal yr beginning in)
1 Gifts grants contributions
Schedule A (Form 990 or 990middotEZ) 2012 Communi Br s 94-2460211 3 Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II If the organization fails to qualify under the tests listed below please complete Part II)
and membership fees received (Do not include any unusual grants)
2 Gross receipts from admisshysions merchandise sold or services performed or facilities furnished in any activity that is related to the organizations taxmiddotexempt purpose
3 Gross receipts from activities that are not an unrelated trade or business under section 513
4 Tax revenues levied for the organizations benefit and either paid to or expended on its behalf
5 The value of services or facilities furnished by a governmental unit to the organization without charge
6 Total Add lines 1 through 5 7 a Amounts included on lines 1
2 and 3 received from disqualified persons
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5000 or 1 of the amount on line 13 for the year
c Add lines 7a and 7b
8
Calendar year (or fiscal yr beginning in) (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (I) Total
9 Amounts from line 6 10 a Gross income from interest
dividends payments received on securities loans rents royalties and income from similar sources
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30 1975
c Add lines lOa and 1 Db Net income from unrelated business
activities not included in line lOb whether or not the business is regularly carried on
12 Other income Do not include gain or loss from the sale of capital assets (Explain in Part IV)
13 Total support (Add Ins9 10c 11 and 12) ~~~____~~~~____~~__~__-L__________ __~~~~~__~
14 First five years If the Form 990 is for the organizations first second third fourth or fifth tax year as a section 501 (c)(3)organization check this box and stop here
Section C Computation of Public Support Percentage shy15 Public support percentage for 2012 (line 8 column (I) divided by line 13 column (I)) 16 Public support percentage from 2011 Schedule A Part III line 15
Section D Computation of Investment Income Percentage 17 Investment income percentage for 2012 (line 10c column (I) divided by line 13 column (I)) 17
18 Investment income percentage from 2011 Schedule A Part III line 17 18 19a 33-13 support tests - 2012 If the organization did not check the box on IIn8 14 and line 15 is more than 33-13 and line 17
is not more than 33-13 check this box and stop here The organization qualifies as a publicly supported organization
b 33-13 support tests - 2011 If the organization did not check a box on line 14 or line 19a and line 16 is more than 33-13 and line 18 is not mOIe than 33-13 check this box and stop here The organization qualifies as a publicly supported organization
20 Private foundation If the organization did not check hox Orl line 14 19a or 19b check box and see instructions ~H -----o------~--- ------
BAA NJ403L 080912 Schedule A (Form 990 or 99QZ) 2012
4 Schedule A (Form 990 or 990-EZ) 2012 Communi s 94-2460211 Supplemental Information Complete this part to provide the explanations required by Part II line 10 Part II line 17a or 17b and Part III line 12 Also complete this part for any additional information (See instructions)
___~P~~t1~cJ~Cule_~dJltli9~lt ~~~lelTI_e~U~f9l1aiQf _______________________________ _
_ _cLeID1tu_g1_lzgti_ol)-PSlYlJ1~nL _ _ _ _ _ _ _ _ _ _ _ _ ________________________________ _
BAA
081012
2012 Schedule A Part IV - Supplemental Information PageS
Community Bridges 94-2460211
Part II Line 10 - Other Income
Nature and Source 2012 2011 2010 2009 2008
Other Income Total
$ 108645 $ 108645
$ 36333 $ 36333
$ 130009 $ 130009
$ 169710 $ 169710
$ $
167576 167576
------
---------------
OMB No 1545middot0047SCHEDULE C Political Campaign and Lobbying Activities (Form 990 or 990-EZ)
For Organizations Exempt From Income Tax Under section 501 (c) and section 527 2012 Complete if the organization is described below Attach to Form 990 or Form 990-EZ
Department of the Treasury Internal Revenue Service See separate instructions
If the organization answered Yes to Form 990 Part IV line 3 or Form 990-EZ Part V line 46 (Political Campaign Activities) then bull Section 501 (c)(3) organizations Complete Parts I-A and B Do not complete Part I-C bull Section 501 (c) (other than section 501 (c)(3raquo) organizations Complete Parts I-A and C below Do not complete Part I-B bull Section 527 organizations Complete Part I-A only
If the organization answered Yes to Form 990 Part IV line 4 or Form 990-EZ Part VI line 47 (Lobbying Activities) then bull Section 501 (c) (3) organizations that have filed Form 5768 (election under section 501 (h)) Complete Part II-A Do not complete Part II-B
bull Section 501 (c) (3) organizations that have NOT filed Form 5768 (election under section 501 (h)) Complete Part II-B Do not complete Part II-A
If the organization answered Yes to Form 990 Part IV line 5 (Proxy Tax) or Form 990-EZ Part V line 35a (Proxy Tax) then bull Section 501 (c)(4) (5) or (6) organizations Complete Part III
See Part IV 2 3 Volunteer hours bull w Complete if the organization is exempt under section 501 (c)(3) 1 Enter the amount of any excise tax incurred by the organization under section 4955
2 Enter the amount of any excise tax incurred by organization managers under section 4955
3 If the organization incurred a section 4955 tax did it file Form 4720 for this year DYes
4a Was a correction made middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotDYes b If Yes describe in Part IV
II~~~~~~~~~~~~--~~~~~~~--~~---------2 Enter the amount of the filing organizations funds contributed to other organizations for section 527 exempt
function activities $
3 Total exempt function expenditures Add lines 1 and 2 Enter here and on Form 1120-POL line 17b ~ $
4 Did the filing organization file Form 1120-POL for this year DYes
5 Enter the names addresses and employer identification number (EIN) of all section 527 political organizations to which the filing organization made payments For each organization listed enter the amount paid from the filing organizations funds Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization such as a separate segregated fund or a political action committee (PAC) If additional space is needed provide information in Part IV
(a) Name (b) Address (e) EIN (d) Amount paid from filing (e) Amount of political organizations funds If contributions received and
none enter-Omiddot promptly and directly delivered to a separate political organization If
none enter -0middot
(1) ~---------------~---
(2) ~------
(3) ~-
(4)
~~)~~~~~--~~~~--~-~---~~-~---~~~~~~~-~_-_~~~~-----~~~~~~-~~~~~~~~~~-~~~~~-~---------_-_--f------c_~~~_-middot_J_L~~--------+---~ -~ -shyBAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990middotEZ Schedule C (Form 990 or 990middotEZ) 2012
TEEA320 I L 217112
----
Schedule C(Form 990 or 990-EZ) 2012 Communi Bri s 4-2460211 Page 2
Complete if the organization is exempt under section 501 (c)(3) and filed Form 5768 (election under section 501 (hraquo
A Check ~ 0 if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group members name
address EIN expenses and share of excess lobbying expenditures)
B Check ~ 0 if the filing organization checked box A and limited control provisions apply
Limits on Lobbying Expenditures (a) Filing (b) Affiliated organizations totals group totals (The term expenditures means amounts paid or incurred)
1 a Total lobbying expenditures to influence public opinion (grass roots lobbying)
b Total lobbying expenditures to influen_ce a legislative body (direct lobbying)
c Total lobbying expenditures (add lines 1a and 1b)
d Other exempt purpose expenditures
e Total exempt purpose expenditures (add lines 1c and 1d)
f Lobbying nontaxable amount Enter the amount from the following table in both columns
g Grassroots nontaxable amount (enter 25 of line 1f)
h Subtract line 1g from line 1a If zero or less enter -0-
Subtract line 1f from line 1c If zero or less enter -0-
If there is an amount other than zero on either line 1h or line 1i did the organization file Form 4720 reporting section 4911 tax for this year DYes 0No
4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501 (h) election do not have to complete all of the five
columns below See the instructions for lines 2a through 2f)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total year beginning in)
13l7 524
2a Lobbying non-taxable amount 3 513 393
b Lobbying ceiling amount (150 of line 2a column (eraquo 5 270 090
c Total lobbying enditures 18 425
d Grassroots nontaxable amount 878 349
e Grassroots ceiling amount (150 of line 2d column
f Grassroots lobbying expenditures o
BAA Schedule C (Form 990 or 990-EZ) 2012
-EEA3202L 010713
3 Schedule C(Form 990 or 2012 Bri 94-2460211 Complete if the organization is exempt under se as NOT filed Form 5768 (election under section 501 (hraquo
For each Yesresponse to lines 7a through Ii below provide in Part IVa detailed description of the lobbying activity
During the year did the filing organization attempt to influence foreign national state or local legislation including any attempt to influence public opinion on a legislative matter or referendum through the use of
a Volunteers
b Paid staff or management (include compensation in expenses reported on lines 1 c through 1 i)
c Media advertisements
d Mailings to members legislators or the pUblic ~~---+--------------
e Publications or published or broadcast statements
f Grants to other organizations for lobbying purposes
9 Direct contact with legislators their staffs government ofFicials or a legislative body
h Rallies demonstrations seminars conventions speeches lectures or any similar means
i Other activities ~~~~--------
j Total Add lines 1c through 1 i ~lli~J~i01 ~2iJn
I----t---- shy
2 a Did the activities in line 1 cause the organization to be not described in section 501 (c)(3)
b If Yes enter the amount of any tax incurred under section 4912
c If Yes enter the amount of any tax incurred by organization managers under section 4912
d If the filing organization incurred a section 4912 tax did it file Form 4720 for this year
Complete if ization is exempt under section 501 (c)(4) section 501 (c)(5) or section 501
Were substantially all (90 or more) dues received nondeductible by members 1----+---1---shy
2 Did the organization make only inmiddothouse lobbying expenditures of $2000 or less f----j----j--- shy
3 Did the organization agree to carryover lobbying and political from the prior year
Complete if the organization is exempt under section 501 (c)(4) section 501 (c)(5) or section 501 (c) (6) and if either (a) BOTH Part III-A lines 1 and 2 are answered No OR (b) Part III-A line 3 is answered Yes
Dues assessments and similar amounts from members
2 Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid)
a Current year
b Carryover from last year
c Total
3 Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues
4 If notices were sent and the amount on line 2c exceeds the amount on line 3 what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year
I---~--------------5 Taxable amount of lobbying and political expenditures (see instructions)
Complete this part to provide the descriptions required for Part ImiddotA line 1 Part ImiddotB line 4 Part Imiddote line 5 Part IImiddotA (affiliated group list) Part IImiddotA line 2 and Part IImiddotB line 1 Also complete this part for any additional information
TEEA32031 OliO
Scheciu1e
-----------------
OMB I~o 1545-0047 SCHEDULE D (Form 990) Supplemental Financial Statements 2012
~ Complete if the organization answered Yes to Form 990 Part IV lines 6 7 8 9 10 l1a 11 b 1lc l1d l1e l1f 12a or 12b
~ Attach to Form 990 ~ See instructions
(a) Donor advised funds
1 Total number at end of year
2 Aggregate contributions to (during year
3 Aggregate grants from (during year) 4 Aggregate value at end of year
S Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organizations property subject to the organizations exclusive legal control DYes
6 Did the organization inform all grantees donors and donor advisors in writing that grant funds can be used only
impermissible private benefit for charitable purposes and not for the benefit of the donor or donor advisor or for any other purpose conferring
No
(b) Funds and other accounts
Purpose(s) of conservation easements held by the organization (check all that apply)
Preservation of land for public use (eg recreation or education) D Preservation of an historically important land area
Protection of natural habitat D Preservation of a certified historic structure
Preservation of open space ~
2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the iast day of the tax year
a Total number of conservation easements
b Total acreage restricted by conservation easements
c Number of conservation easements on a certified historic structure included in (a)
d Number of conservation easements included in (c) acquired after 81706 and not on a historic structure listed in the National Register 2 dL-__L-_________________________
3 Number of conservation easements modified transferred released extinguished or terminated by the organization during the tax year Igt
4 Number of states where property subject to conservation easement is located Igt
S Does the organization have a written policy regarding the periodic monitoring inspection handling of violations and enforcement of the conservation easements it holds DYes
6 Staff and volunteer hours devoted to monitoring inspecting and enforcing conservation easements during the year Igt
7 Amount of expenses incurred in monitoring inspecting and enforcing conservation easements during the year 1gt$
8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(8)(i) and section 170(h)(4)(8)(ii) DYes
9 In Part XIII describe how the organization reports conservation easements in its revenue and expense statement and balance sheet and include if applicable the text of the footnote to the organizations financial statements that describes the organizations accounting for conservation easements
tf~rtiml Organizations Maintaining Collections of Art Historical Treasures or Other Similar Assets Complete if the organization answered Yes to Form 990 Part IV line 8
1 a If the organization elected as permitted under SFAS 116 (ASC 958) 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 XIII the text of the footnote to its financial statements that describes these items
b If the organization elected as permitted under SFAS 116 (ASe 958) 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 VI I line 1 ~$
(ii) Assets included in Form 990 Part X 11gt-$
2 If the organization received or held works of art histOrical treasures or other similar assets for financial gaill provide the following amounts required to be reported under SFAS 116 (ASe 958) relating to these items
11gt-$ -~~-------
$ BAA For Paperwork Reduction Act Notice the Instructions for Form 990 991l) CJ12
~--~-------------------------
-----------------------------------------------
-------
e2
3 Using the organizations acquisition accession and other records check any of the following that are a significant use of its collection items (check all that apply)
a sectPublic exhibition d BLoan or exchange programs b Scholarly research e Other
c Preservation for future generations
4 Provide a description of the organizations collections and explain how they further the organizations exempt purpose in Part XIII
5 During the year did the organization solicit or receive donations of art historical treasures or other similar assets D to be sold to raise funds rather than to be maintained as part of the organizations collection Yes
IRal~IYRI Escrow and Custodial Arrangemel1ts Complete if the organization answered Yes to Form 990 Part IV line 9 or reported an amount on Form 990 Part X line 21
1 a ~nt~~r~g~~~~~r~ ~~ ~~~~t~ trus~e~ ~u~t~~i~~ or ot~er int~~~~~~~~~ ~o~contnbu~i~~~ ~r ~~e~ ass~ts n~i~cI~~~d DYes
b If Yes explain the arrangement in Part XIII and complete the following table
Amount
c Beginning balance 1 c d Additions during the year d
e Distributions during the year 1 e f Ending balance 1f
2a Did the organization include an amount on Form 990 Part X line 21 UYes NOb If Yes explain the arrangement in Part XIII Check here if the explantion has been provided in Part Xlll D
fBaIM~1 Endowment Funds Complete if the or~anization answered Yes to Form 990 Part IV line 10 (a) Current (b) Prior year (e) Two years (d) Three years (e) Four years
1 a Beginning of year balance
b Contributions
c Net investment earnings gains and losses
d Grants or scholarships
e Other expenditures for facilities and programs
f Administrative expenses
9 End of year balance
2 PrOVide the estimated percentage of the current year end balance (line 1 g column (araquo held as
a Board designated or quasi-endowment b Permanent endowment c Temporarily restricted endowment
The percentages in lines 2a 2b and 2c should equal 10000
3 a Are there endowment funds not in the possession of the organization that are held and administered for the organization by Yes No (i) unrelated organizations 3a(i)
(ii) related organiZations 3a(ii)
b If Yes to 3a(ii) are the related organizations listed as required on Schedule R 3b I 4 Describe in Part XIII the intended uses of the organizations endowment funds
1 a Land
b Buildings
c Leasehold improvements
d Equipment
e Other
Total Add lines 1 a
BAA
(d) Book value
TEEt3302L 06e71 i 2
-------------------------
of security or rfpnlrl
name of secu (1) Financial derivatives
94-2460211
uation Cost or rket value
Page 3
~------------~--------------------------------------(2) Closely-held equity interests
~------------~--------------------------------------(3) Other ______________________ +----------f--------------------shyi~ __________________________1---_______-+____________________ (8)
iq __________________________~-----~---------------------------iD1_ - - - - - - - - - - - - - - - - - - - - - - -- -f------------+-------------------------------shy(E)- - - - - - - - - - - - - - - - - - - - - - - - - - - - ~-------------I---------------------------------------~~--------------------------f__----------+_-------------------------------iGl ______ -- _________ - _ - - - __ - - -f__----------l-----------------------------shy(H)- - - - - - - - - - - - - - - - - - - - - - - - - - - -- ~-------------+---------------------------------------J~ _____________________ _
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10) ----shy
(11)
Total (Column (b) must equal Form 990 Part X column (8) line 25) 2 FIN 48 CASe 740) Footnote In Part XIII provide the text of the footnote to the organizations financial statements that reports the organizations liability for uncertain tax positions under FIN 48 (ASe 740) Cherv here If the text of the footnote has been provided 11 Part XIII LJ BAA ____~_~__O~_ ~-~-~~~~--~~~-- --~T~-~middotA3303L- 122312 -- gt--~~-- Schedule 0 (Form 990) 2012
Page 4
2 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 XIII)
e Add lines 2a through 2d
3 Subtract line 2e from line 1 4 Amounts included on Form 990 Part VIII line 12 but not on line 1
a Investment expenses not included on Form 990 Part VIII line 7b
b Other (Describe in Part XII I)
c Add lines 4a and 4b
5 Total revenue Add lines 3 and 4c (This must equal Form 990 Part I line 72)
Total expenses and losses per audited financial statements
2 Amounts included on line 1 but not on Form 990 Part IX line 25
a Donated services and use of facilities 13 244 b Prior year adjustments c Other losses
d Other (Describe in Part XIII)
e Add lines 2a through 2d 3 Subtract line 2e from line 1
4 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 XIII) c Add lines 4a and 4b
must equal Form 990 Part I line 78)
Complete this part to provide the descriptions required for Part II lines 3 5 and 9 Part III lines 1a and 4 Part IV lines 1b and 2b Part V line 4 Part X line 2 Part XI lines 2d and 4b and Part XII lines 2d and 4b Also complete this part to provide any additional information
BAA Schedule 0 (Form 990) 2012
fEEA3304L 1
OMS No 1545middot0047
SCHEDULE G Supplemental Information Regarding (Form 990 or 990-EZ) Fundraising or Gaming Activities 2012
Complete if the organization answered Yes to Form 990 Part IV lines 17 18 or 19 or if the organization entered more than $15000 on Form 990-EZ line 6aDepartment of the Treasury
Internal Revenue Service ~ Attach to Form 990 or Form 990-EZ ~ See separate instructions
Name of Employer
94-2460211 InnInn ACtlVlllles Complete if the organization
___-c---cFo_r_m--- ~ filers are not required to complete this part
Indicate whether the organization raised funds through any of the following activities Check all that apply
a DMail solicitations e DSolicitation of non-government grants
b D Internet and email solicitations f DSolicitation of government grants
c D Phone solicitations g D Special fundraising events
d D Inmiddotperson solicitations
2 a 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 DYes ~No
b If Yes list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fund raiser is to be compensated at least $5000 by the organization
(i) Name and address of individual or entity (fund raiser)
(ii) Activity (iii) Did fund raiser have custod6or control
of contri utions
(iv) Gross receipts from activity
(v) Amount paid to (or retained by)
fundraiser listed in
(vi) Amount paid to (or retained by)
organization column (i)
Yes No
1
-- shy2
3 I
4 -----~--------
5
6
7 -__----shy
8
9
10
Total O bull -
3 List all states In which the organization IS reglslered or licensed to SOliCit contributions or has been notified It IS exempt from registration or licensing
- --~---~---~-- ~-~--~-~--~-~~-- ---
BAA for Paperwork Reduction Act Notice see the Instructions Form 990 or 990-EL Schedule G (runn 990 or 990-EZ) 2012 TEEA3701L 01107113
--
------
Schedule G (Form 990 or 990-EZ) 2012 Commun Br 94-2460211 Page 2
Fun ng Events Complete if the organization answered Yes to Form 990 Part IV ine 18 or reported more than $15000 of fundraising event contributions and gross income on Form 990-EZ lines 1 and 6b List events with gross receipts greater than $5000
(a) Event 1 (b) Event 2 (c) Other events (d) Total events (add column (a)
Italian Affair None through column (craquoR (event type) (event type) (total number) E V E N 1 Gross receipts 20186 20186 U E
2 Less Charitable contributions
3 Gross income (line 1 minus line 2) 20186 20186
4 Cash prizes
5 Noncash prizes D
R I
6 Rentfacility costs E C T 7 Food and beverages 5391 539l E x p 8 Entertainment E
N s 9 Other direct expenses 5822 5822E S
10 Direct expense summary Add lines 4 through 9 in column (d) 11213 11 Net income summary Combine line 3 column (d) and line 1 Q 8973
[Pifllll Gaming Complete if the o~ganization answered Yes to Form 990 Part IV line 19 or reported more than
(a) Bingo (b) Pull tabsllnstant (c) Other gaming (d) Total gaming R E bingoprogressive (add column (a) V bingo through column (eraquo E N U E Gross revenue
2 Cash prizes ~------------4---------------+--------------~--------------E
D X I P 3 Non-cash prizes R E E N C S T E
S 4 Rentfacility costs
5 Other direct expenses
Yes Yes Yes 6 Volunteer labor No No No
7 Direct expense summary Add lines 2 through 5 in column (d)
8 Net gaming income summary Combine lines 1 column (d) and line 7
9 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 0 Yes
b If No explain
lOa Were any of the organizations gaming licenses revoked suspended or terminated during the tax year 0 Yes b If Yes explain
BAA TFJ3]02L 010713 ScheclJle G (F (JIm 990 or 990 2012
------------
-----------
Schedule G (Form 990 or 990-EZ) 2012 Community Bridges 94-2460211 Page 3 11 Does the organization operate gaming activities with nonmembers DYes 12 Is the organization a grantor beneficiary or trustee of a trust or a member of a partnership or other entity formed to
administer charitable gaming DYes 13 Indicate the percentage of gaming activity operated in
a The organizations facility 13a ~13-b~------------~~b An outside facility
14 Enter the name and address of the person who prepares the organizations gamingspecial events books and records
Name
Address
15a Does the organization have a contact with a third party from whom the organization receives gaming revenue DYes b If Yes enter the amount of gaming revenue received by the organization $ and the amount
of gaming revenue retained by the third party $ c If Yes enter name and address of the third party
Name ---------------------------------------------~-----l
I Address I
16 Gaming manager information
Name
Gaming manager compensation $
Description of services provided
D Directorofficer DEmployee D independent contractor
17 Mandatory distributions
a Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the ~~egaminglicense ___________________________________________________________________ D~s ~No
b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the
organizations own exempt activities during the tax year $ lean~IlUI Supplemental Information Complete this part to provide the explanations required by Igtart I line 2b
columns (iii) and (v) and Part III lines 9 9b 1 ~b 15b 15c 16 and 17b as applicable Also complete this part to provide any additional information (see instructions)
----------------------- -------------------- ------ ----------------------------- __--shy
_ ---_ --------------- ---------------- ----- shy
BAA TEEA3703L 010113 Schedule G (Form 990 or 990middotEZ) 2012
--------------------------------------------------------- ---------
OMB No 1545-0047SCHEDULE 0 Supplemental Information to Form 990 or 990middotEZ (Form 990 or 990-EZ)
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information
Department of the Treasury ~ Attach to Form 990 or 990-EZInternal Revenue Service
Name of the
94-2460211
health care 4112-63012
BAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990-EZ TFEIA)IJIL 12812 Schedule 0 (Forrn 990 or 2012
Schedule 0 (Form 990 or 990-EZ) 2012 Page 2 Name of the organization Employer Identification number
Community Bridges 94-2460211
~ ~~Oy~~sjg1~~ge~~~e~~~~~ ~~~ ~ ~ ~~ ~~ ~_ ~~ ~ ~ ~~~~~~~ ~ ~ ~ ~ ~ ~~~~ ~ ~ ~~ ~ ~~~~~ ~ ~ ~ ~ _
Schedule (Form 990 or
TEEA4902L
2012
2012 Schedule 0 bull Supplemental Information Page 1
Community Bridges 94-2460211
Form 990 Part XI Line 9 Other Changes In Net Assets Or Fund Balances
Depreciation Grant Funded Assets $ -140124 Familia Net Assets 82104
Total $ -58020========
-------------------
OMS No 1545-0047
SCHEDULE R (Form 990) Related Organizations and Unrelated Partnerships 2012
Complete if the organization answered Yes to Fonn 990 Part IV line 33343536 or 37DqJ21rTrrent of the Treasury Internal Revenue Service Attach to Form 990 ~ See separate instructions Name of the organization
s 94-2460211Commu
rp~ Identification of Disregarded Entities (Complete if the organization answered Yes to Form 990 Part
(a) (b) (c) (e) (f) iiame address and EIN (if applicable) of disregarded entity Primary activity Legal domicile (state End-of-year assets Direct controlling
or foreiqn country) entity
=== === =_===== =_ ===== == ===__1 1-- -- -=-=1 TI ~~
FPafIIldentification 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)
(a) Name address and EIN of related organization
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Exempt Code
section
(e) Public charity status (if section 501 (c) (3raquo)
(f) Direct controlling
entity
(g)Sec 512(b)(13)
controlled entity
Yes No (1) FAMILIA CENTER
236SANTA-rnUZAVE----------- shy------------------------- shyAPTOS CA 95003770071589 - - shy - - - -- shy - - - -- shy - - shy BILINGUAL FAMILY
SERVICES CA I
501(C)3 PUBLIC
CHARITY COMMUNITY
BRIDGES X
---------------------- shy_shy --shy --------------------- shy - shy - -- -- shy - - shy - - shy - - - - - - - - - - - - - - -
- --
----------~--------------
-shy - shy --------------------- shy
-shy - shy - shy - shy shy -shy - - ---------------- shy- c--- shy
- - -- --- -- - - - - --- - - - - - - - - - - - - shy
- - -- - shy
- -- - --------------------- shy -=r_ I _ __ I
~-- I ------- - -- ----- --- --
BAt For Paperwork Reduction Act Notice see the Instructions for Form 990 TEEA5001 L 122812 Schedule R (Form 990) 2012
- -- ------
----- -
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 2
re~rtUI Iidentific~tion of Related Organizations T~xable 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)
me oddltl od EIN of I PIm~~cttyrelated organization
-+shy----shy
-_--shy -- -shy ~
(c) Legal
domicile (state or foreign country)
(d) Direct
controlling entity
(e) Predominant income (related unrelated excluded from tax
under sections 512-514)
(f) Share of total
income
(g) Share of
end-of-year assets
(h) Disproporshy
tionate allocations
Yes No
(i) Code V-UBI
amount in box 20 of Schedule
K-1 (Form 1065)
(j) General or managing partner
Yes No
(k) Percentage ownership
shy -shy --shy --shy -shy
-shy -__shy ---shy -shy
_ _ _____ ___ J~
-- -- -- - - - -- - -- shy
-
--T~ --=~ -- ~~==~=-
I
IPaHJVl Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered Yes to Form 990 Part IV L----_-l line 34 because it had one or more related organizations treated as a corporation or trust during the tax year)
(a) (b) I (c) (d) (e) I (f) (g) (h) I (i)iiame address and EIN of related organization Primary activity Legal domicile Direct Type of entity Share of Share of end-of- Percentage Sec S12(b)(13)
(state or foreign controlling (C corp S corp total income year assets ownership controlled entitycountry) entity or trust)
Yes I No
- - - - - - - - - -- - - - - - -- --I --------------------4
--==========1------~--------------~------------~------------~------------~--------------~--------------~--------~I----~------TEEA5002L 1228112 Schedule R (Form 990) 2012
---------
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 3
i])~ Transactions With Related Organizations (Complete if the organization answered Yes to Form 990 Part IV line 34 35b or 36)
Note Complete line 1 if any entity is listed in Parts II III or IV of this schedule During the lax year did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity b Gift grant or capital contribution to related organization(s)
Gift grant or capital contribution from related organization(s)
d Loans or loan guarantees to or for related organization(s)
e Loans or loan guarantees by related organization(s)
Dividends from related organization(s) 9 Sale of assets to related organization(s)
h Purchase of assets from related organization(s)
Exchange of assets with related organization(s)
Lease c[racilities equipment or other assets to related organization(s)
Lease of facilities equipment or other assets from related organization(s)
Performance of services or membership or fundraising solicitations for related organization(s)
Ferformance of services or membership or fundraising solicitations by related organization(s)
Sharing of facilities equipment mailing lists or other assets with related organization(s)
o Sharing of paid employees with related organization(s)
Reimbursement paid to related organization(s) for expenses
q Reimbursement paid by related organization(s) for expenses
r Other transfer of cash or property to related organization(s
5 Other transfer of cash or property from related organization(s)
If the answer to any of the above is Yes see the instructions for information on who must complete this line including covered relationships and transaction thresholds
(b) (c)N f h(a) d (2 lame 0 ot er organization Transaction Amount involved Metho of etermlnlng --~
type (a-s) amount involved
(1)
(2)
ltd ~ ~J
I I I
(5) ------------shy
(6) ~---------------------------------------------------------------------------~--------------~--------~~~~--~--~~~
TEEIS003L 1228112 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 4
e~~I1 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) I (b) (c) (d) (e) (f) (g) (h) (i) (j) I (k)Jame address and EIN of entity Primary activity Legal domicile Predominant Are all partners Share of Share of Dispropor- Code V-UBI General or Percentage
(state or foreign income section total income end-of-year tionate amount in box managing ownership country) (related unre- 501 (c)(3) assets allocations 20 of Schedule partner
lated excluded organizations i K- 1 from tax under ~---c--- Form (1065)
section 512-514) Yes I No Yes No Yes No----+----1
- --==~ ~ ~ ====== ~ I ~ --I------+--+----t--shy
(3)
--------------1
(6)
-____ __~__ - I I I SAl TEEAS004L 122812 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Page 5 _ Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions)
-r- I - lt-j005L middot22312 Schedule R (Forni
94-2460211 Page 3
Is the organization described in section 501 (c)(3) or 4947(a)(1) (other than a private foundation) If Yes complete Schedule A
2 Is the organization required to complete Schedule B Schedule of Contributors (see instructions)
3 Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office If Yes complete Schedule C Part I 3 x
1----1--1--shy
4 Section 501 (c)(3) organizations Did the organization engage in lobbying activities or have a section 501 (h) election in effect during the tax year If Yes complete Schedule C Part II 4 x
I-----t---I- shy
5 Is the organization a section 501 (c) (4) 501 (c)(5) or 501 (c) (6) organization that receives membership dues assessments or similar amounts as defined in Revenue Procedure 98-19 If Yes complete Schedule C Part III 5 x
1----1---1-shy
6 Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts If Yes complete Schedule D Part I 6 X
f----I--I-- shy
7 Did the organization receive or hold a conservation easement including easements to preserve open space the environment historic land areas or historic structures If Yes complete Schedule D Part II 7 x
8 Did the organization maintain collections of works of art historical treasures or other similar assets If Yes complete Schedule D Part 11 8 X
I-----t----t- shy
9 Did the organization report an amount in Part X line 21 for escrow or custodial account liability serve as a custodian for amounts not listed in Part X or provide credit counseling debt management credit repair or debt negotiation services If Yes complete Schedule D Part IV 9 X
I----I---I~-
10 Did the organization directly or through a related organization hold assets in temporarily restricted endowments permanent endowments or quasi-endowments If Yes complete Schedule D Part V 10 X
11 If the organizations answer to any of the following questions is Yes then complete Schedule D Parts VI VII VIII IX or X as applicable
a Did the organization report an amount for land buildings and equipment in Part X line 107 If Yes complete Schedule D Part Vi 11 a X
b Did the organization report an amount for investments - other securities in Part X line 12 that is 5 or more of its total assets reported in Part X line 16 If Yes complete Schedule D Part Vii 11 b X
c Did the organization report an amount for investments - program related in Part X line 13 that is 5 or more of its total assets reported in Part X line 16 If Yes complete Schedule D Part VIII 11 c X
d Did the organization report an amount for other assets in Part X line 15 that is 5 or more of its total assets reported in Part X line 16 If Yes complete Schedule D Part IX 11 d X
e Did the organization report an amount for other liabilities in Part X line 25 If Yes complete Schedule D Part X
f Did the organizations separate or consolidated financial statements for the tax year include a footnote that addresses the organizations liability for uncertain tax positions under FIN 48 (ASe 740) If Yes complete Schedule D Part X 11 f X
12a Did the organization obtain separate independent audited financial statements for the tax year If Yes complete Schedule D Parts XI and XII 12a X
b Was the organization included in consolidated independent audited financial statements for the tax year If Yes and if the organization answered No to line 72a then completing Schedule D Parts XI and XII is optional
13 Is the organization a school described in section 170(b)(1)(A)(ii) If Yes complete Schedule E
14a Did the organization maintain an office employees or agents outside of the United States 14a X
b Did the organization have aggregate revenues or expenses of more than $10000 from grantmaking fundraising business investment and program service activities outside the United States or aggregate foreign investments valued at $100000 or more If Yes complete Schedule F Parts I and IV 14b X
15 Did the organization report on Part IX column (A) line 3 more than $5000 of grants or assistance to any organization or entity located outside the United States If Yes complete Schedule F Parts I and IV 15 X
16 Did the organization report on Part IX column (A) line 3 more than $5000 of aggregate grants or assistance to individuals located outside the United States If Yes complete Schedule F Parts III and IV 16 X
17 Did the organization report a total of more than $15000 of expenses for professional fundraising services on Pall IX column (A) lines 6 and 11 e If Yes complete Schedule G Part I (see instructions) 17 X
18 Did the organization report more than $15000 tolal of fund raising event gross income and contributions on Part VIII lines 1 c and 8a If Yes complete Schedule G Part I 18 X
19 Did the organization report more than $15000 of gross income from gaming activities on Part VIII line 9a If Yes complete Schedule G Part III 19
6 v
20 a Did the organization operate one or more hospital facilities If Yes complete Schedule X b If Yes to line 200 did the organizatior attach a copy of its audited financial statemeilts this return 20b
EEAOI03L 121312 Form 990 (2012)
94-2460211 Page 4
21 Did the organization report more than $5000 of grants and other assistance to governments and organizations In the United States on Part IX column (A) line 1 If Yes complete Schedule I Parts I and II
22 Did the organization report more than $5000 of grants and other assistance to individuals in the United States on Part IX column (A) line 2 If Yes complete Schedule I Parts I and III
23 Did the organization answer Yes to Part VII Section A line 34 or 5 about compensation of the organizations 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 $100000 as of
~o~~r~t~a~c~~~u~ltif ~N~ k~tt~~~~~ed ~~~~ ~~~~~~~r~~ ~a02 If Ye~~n~~~~ ~i~~s ~~~ t~~~~~~ ~4~ and
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
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 organizations prior Forms 990 or 990-EZ If Yes complete Schedule L Part I
26 Was a loan to or by a cUITent or former officer director trustee key employee highest compensated employee or disqualified person outstanding as of the end of the organizations 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 employee thereof a grant selection committee member or to a 35 controlled entity or family member of any of these persons If Yes complete Schedule L Part III
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 (or a family member thereof) was an officer director trustee or direct or indirect owner If Yes complete Schedule L Part IV
29 Did the organization receive more than $25000 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
31 Did the organization liquidate terminate or dissolve and cease operations If Yes complete Schedule N Part I
32 Did the organization sell exchange dispose of or transfer more than 25 of its net assets If Yes complete Schedule N Part II
33 Did the organization own 100 of an entity disregarded as separate from the organization under Regulations sections 3017701-2 and 3017701-37 If Yes complete Schedule R Part I _
34 Was the organization related to any tax-exempt or taxable entity If Yes complete Schedule R Parts II Ill IV and V line 1
35a Did the organization have a controlled entity within the meaning of section 512(b)(13)
b If Yes to line 35a did the organization receive any payment from or engage in any transaction with 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-charitable 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 band 19 Note All Form 990 filers are required to complete Schedule 0
BAA
Yes No
21 X
22 X
23 X
24a X
25a X
25b X
26 X
27 X
32 X
33 X f---I---I-- shy
34 X 1-------- shy
35b f-------I-- shy
36 x
37 X
38 X Form 990 (2012)
080812
94-2460211 Page 5
1 a Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable
b Enter the number of Forms W-2G included in line 1 a Enter -0- if not applicable
c Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners
2a Enter the number of employees reported on Form W-3 Transmittal of Wage and Tax State-i I
ments filed for the calendar year ending with or within the year covered by this return 2 a ------------------~
b If at least one is reported on line 2a did the organization file all required federal employment tax returns
Note If the sum of lines 1 a and 2a is greater than 250 you may be required to e-file (see instructions)
3 a Did the organization have unrelated business gross income of $1 000 or more during the year
b If Yes has it filed a Form 990-T for this year If No provide an explanation in Schedule Q
4a At any time during the calendar year did the organization have an interest in or a signature or other authority over a financial account in a foreign country (such as a bank account securities account or other financial account)
b If Yes enter the name of the foreign country ~
See instructions for filing requirements for Form TO F 90-221 Report of Foreign Bank and Financial Accounts
5 a 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
6a Does the organization have annual gross receipts that are normally greater than $100000 and did the organization solicit any contributions that were not tax deductible as charitable contributions
b If Yes did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible
7 Organizations that may receive deductible contributions under section 170(c)
a Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor
b If Yes did the organization notify the donor of the value of the goods or services provided
c Did the organization sell exchange or otherwise dispose of tangible personal property for which it was required to file Form 8282
d If Yes indicate the number of Forms 8282 filed during the year 7d e Did the organization receive any funds directly or indirectly to pay premiums on a personal benefit contract
r------1----- shyf Did the organization during the year pay premiums directly or indirectly on a personal benefit contract
g If the organization received a contribution of qualified intellectual property did the organization file Form 8899 as required
h If the organization received a contribution of cars boats airplanes or other vehicles did the organization file a Form 1098-C
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
9 Sponsoring organizations maintaining donor advised funds
a Did the organization make any taxable distributions under section 49667
b Did the organization make a distribution to a donor donor advisor or related person
10 Section 501(c)(7) organizations Enter
a Initiation fees and capital contributions included on Part VIII line 12
b Gross receipts included on Form 990 Part VIII line 12 for public use of club facilities
1 Section 501 (c)(12) organizations Enter
a Gross income from members or shareholders
b Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them)
12a Section 4947(a)(1) non - exempt charitable trusts Is the organization filing Form 990 in lieu 1041 b If Yes enter the amount of tax-exempt interest received or accrued during the year L-__L-______________~
13 Section 501 (c)(29) qualified nonprofit health insurance issuers a Is the organization licensed to issue qualified health plans in more than one state
Note See the instructions for additional information the organization must report on Schedule O
b Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans i 13b l
c Enter the amount of reserves on hand 113cj~~ 14a Did the organization receive any payments for indoor tanning sGrvices during the tax year
b If Yes has it filed a Form 720 to report these payrnenic7 If No provide an explanation SchedJle 0
T[EiOI05L 080812
--------------------------
Form 990 (2012) Community Bridges 94-2460211 Page 6
tallGovernance Management and Disclosure For each Yes response to lines 2 through 7b below and for a No response to line 8a 8b or 70b below describe the circumstances processes or changes in Schedule O See instructions Check if Schedule 0 contains a response to any question in this Part VI
1 a Enter the number of voting members of the governing body at the end of the tax year 1 a If there are material differences in voting rights among members f---I-------- shyof the governing body or if the governing body delegated broad authority to an executive committee or similar committee explain in Schedule O
b Enter the number of voting members included in line 1 a above who are independent 1 b L-~____________~
2 Did any officer director trustee or key employee have a family relationship or a business relationship with any other officer director trustee or key employee
3 Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers directors or trustees or key employees to a management company or other person
4 Did the organization make any significant changes to its governing documents
since the prior Form 990 was filed
5 Did the organization become aware during the year of a significant diversion of the organizations assets 6 Did the organization have members or stockholders
7 a Did the organization have members stockholders or other persons who had the power to elect or appoint one or more members of the governing body
b Are any governance decisions of the organization reserved to (or subject to approval by) members stockholders or other persons other than the governing body
8 Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following
a Tile governing body
b Each committee with authority to act on behalf of the governing body
9 Is there any officer director or trustee or key employee listed in Part VII Section A who cannot be reached at the organizations mailing address If Yes provide the names and addresses in Schedule 0
10 a Did the organization have local chapters branches or affiliates
b If Yes did the organization have written policies and procedures governing the activities of such chapters affiliates and branches to ensure their operations are consistent witll the organizations exempt purposes
11 a Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form
b Describe in Schedule 0 the process if any used by the organization to review this Form 990 See Schedule 0 12a Did the organization have a written conflict of interest policy If No go to line 73
b Were officers directors or trustees and key employees required to disclose annually interests that could give rise to conflicts
c Did the organization regularly and consistently monitor and enforce compliance with the policy If Yes describe in Schedule deghow this is done
13 Did the organization have a written whistleblower policy
14 Did 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 organizations CEO Executive Director or top management official
b Other officers of key employees of the organization See Schedule 0 If Yes to line 15a or 15b describe the process in Schedule O (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 did the organization follow a written policy or procedure requiring the organization to evaluate its partici I in joint venture arrangements under applicable federal tax law and taken steps to safeguard the nrrnl7tl status with ct to such ements
Section C Disclosure
x
17 List the states with which a copy of this Form 990 is required to be filed CA 18 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
[)1 Own website DAnothers website [XI Upon request Other (explain in Schedule 0)
19 Describe in Schedule 0 whether (and if so how) the organization makes Its governing documents conflict of Intel est rllcy and fillallcial statements available to Ute publiC durinl] the tax year See Schedule 0
20 State name phYSical address and telepholle nurnbu of the person who possesses the books iecolds of the organizatron
__B_en~0r1_CIO]~~_Siinta Cruz Apto_s_~~_~~O_03_(831) 688884CJ ____ BAA TEt6JJ i OGl 0808112 Forr 990 (20 12)
----- ----
---------------------
---------------------
---------------------
---------------------
---------------------
------------------------- ----
-----
---
---
Check if Schedule 0 contains a response to any question in this Part VII D Section A Officers Directors Trustees Key Employees and Highest Compensated Employees 1 a Complete this table for all persons required to be listed Report compensation for the calendar year ending with or within the organizations tax year
bull List all of the organizations current officers directors trustees (whether individuals or organizations) regardless of amount of compensation Enter -D- in columns (D) (E) and (F) if no compensation was paid
bull List all of the organizations current key employees if any See instructions for definition of key employee
bull List the organizations five current highest compensated employees (other than an officer director trustee or key employee) who received reportable compensation (Box 5 of Form W-2 andor Box 7 of Form 1 099-MISC) of more than $100000 from the organization and any related organizations
bull List all of the organizations former officers key employees and highest compensated employees who received more than $100000 of reportable compensation from the organization and any related organizations
bull List all of the organizations former directors or trustees that received in the capacity as a former director or trustee of the organization more than $10000 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
DCheck this box if neither the organization nor any related organization compensated any current officer director or trustee
(C)
(A) (8) Position (do not check more than (D) (E) (F) Name and Title Average Reportable Reportable Estimatedone box unless Rerson is both an
officer and a irectortrustee)hours per compensation from compensation from amount of other week (list the organization related organizations compensation any hours =gt J (Wmiddot21099-MISC) (Wmiddot21099-MISC) from the 0 lt I - Of
uo ltD 0 lt ~ organization
organizamiddot ~~ e- (1) 0lt1gt 3 and related for related = Dromiddot
(1) a lt Ugt tions oc =0
~ 3 (D~ ~ organizationsQ~ =gt D roltgtbelow 0 0
~ ltdotted 2 lt1gt 3 Dline) $Ii- 2 (I)
(I) OJ (gt $- raquo (1 ltt a
_Ql~~~1Y~E~a~_________ 5 Community Rep_ 0 X O O O
~~~c~_~aS2~s~~ _____ 5 Community Rep
--
0 X O O O _ l ~th~1_L~~is____ 5
Vice President 0 X X O O O (4) Barbara Frank 5
President 0 X X o O O (5) John Tuck 5
Community Rep 0 X 0_ O O (6) Mark Hartunian 5
Community Rep 0 X O O O _0_~~ry_~u~ll~_______ 40
Staff Sup_ Rep -
0 X 34197 O 7729 (8) Rick Roberts 5
Secretary 0 X X O O O (9) Linda Fawcett 5
Community Rep 0 X O O O 11~)_ ~~rj~ _B~1ia_ ~1r~~y -- ---
40 CB Staff Re12
-
0 X 33302 0_ 7689 11~)_ ~JJs_Eall1~r_______ 5
Community Rep --
0 X o O 0_ (12) Karl Rice 5
Treasurer 0 X X O O O 11~t ~(~ril~n jlip~JJ~____ 5
Community Rep 0 X O O o 11~)_ 8~b~f~a_ ft2w]~~ ___ T
Community Rep _~_-=-1- --t X I __~__~__ _~__ o_________middotlaquo__~_r_
O O - _-shy
1071_ 117l2 ro(rn (2012)
----- ---------------------
------ ---
------------------------------
----------- -
Form 990 (2012) Community Bridges 94-2460211 Page 8
_Section A Officers ~ctors TrLctooc Key Employees and Highest Compensated Employees (cant) (8) (C)
(A) Name and title
Position Average (do not check more than one
hours box unless person is both an per oj-ficer and a directortrustee)
(I~f~y IQ~ I~ I~ ~I fS hoursfor g ltIi - (() Iyen
related ~ ~ I~ lt
O~fo~~a Ii=- ~ Iiamp~below ltto
(0) Reportable
compensation from the organization (Nmiddot2I099-MISC)
(E) Reportable
compensation from related organizations
(N-2I099middotMISC)
(F) Estimated
amount of other compensation
from the organization and related
organizations
dotted ~ line) ~
o o o (16) Martin Bernal 5
rnmmllnity Rep 0 X o o o
X 86662 o 8237
i2~__________________
(22)
i2~_______________________ _ - -- shy
i2~)__ _____________________ _ ----_
i~)______________ -- -- shy
1 b Sub-total It- 220 041 o 31709 c Total from continuation sheets to Part VII Section A ogt- o o o d Total (add lines 1 band 1c 220 041 o 31 709
2 Total number of Individuals (inclucllng but not IlrTllted to those listed above) who received more than $100000 of reportable compensation
from the organization 0
3 Did the organization list any former officer director or trustee key employee or highest compensated employee on line 1 a If Yes complete Schedule J for such individual
4 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 $150000 If Yes complete Schedule J for such individual
5 Did any person listed on line 1 a receive or accrue compensation from any unrelated organization or individual for services rendered to the 0 ization If Yes Schedule J for such on
~om-pmiddotl-etmiddotet~h~is~tmiddotable--fo-r-y-o-u-rfiv-e-hmiddotigh-e-stc-o-m-pe-n-s-ate-d~in-de-p-e-nde-nt-c-o-ntr-a-cto-rs-Cth-at-r-e-cei-ve-d-m-o-r-etha-n~$~l~OOn~O~O~O-of---------compensation from the organization Report compensation for the calendar ending with or within the izations tax r
(A) (8) (C) Name and bUSiness address Description of services Compensation
2 Total number of independent contractors (including but not limited to those listed above) who received more than
$100000 in compensation frcm the organization 10gtshy
BAA TLJNl 1 08L 0112411 3
s 94-2460211 Page 9
Check if Schedule 0 contains a response to any question in this Part VIII D
a Federated campaigns
b Membership dues
c Fundraising events
d Related organizations
e Government grants (contributions)
f All other contributions gifts grants and similar amounts not included above
9 Noncash contributions included in Ins 1a-1 f h Total Add lines 1a-1 f
(A) (8) (C) Total revenue Related or Unrelated
exempt business function revenue
(0) Revenue
excluded from tax under sections
512513 or 514
2 a sect~yipound~ fe~~ gt~in_____ -I-=-==-=-=---_t-----L=-=L~_+----=~~-=-=__t------_t------shyb sect~yis~ fe~~ 1~ls12 shy __ _
-r-~~~-----t
c sect~yis~ fe~~ gtreglt_G9_pounde__ -r-=-=-=-----t__--=-=~--et__--=-=~----t__------t__-----shyd sect~yis~ fe~s_ =- Iil1i1Y jQu __ -I---=----------=--L--------=--L------------------shy
e sect~yis~ fe~~ ~1U_ld_G9_pounde__ -r-=--=-----t__--=-=-=L=~t__--=-=-=L=-------I------shyf All other program service revenue
L-~~~__~+-__~~~~ 9 Total Add lines 2a-2f
--+----shy3 Investment income (including dividends interest and
4
5
other similar amounts)
6 a Gross rents
b Less rental expenses
c Rental income or (loss)
d Net rental income or (I -~~~~---~~--~
7 a Gross amount from sales of assets otller than inventory
b Less cost or other basis and sales expenses
c Gain or (loss) d Net gain or (loss)
LIJ 8 a Gross income from fundraising events ~ (not including $--~--cc--c~shy~ of contributions reported on line 1 c)
---------t
~ See Part IV line 18 a LIJ j---~~~-shy
~ b Less direct expenses o c Net income or (loss) from fundraising
9 a Gross income from gaming activities See Part IV line 19
b Less direct expenses
c Net income or (loss) from gaming acti i -----------
10a Gross sales of inventory less returns and allowances a
b Less cost of goods sold j------ shy
c d 11 other revenue
e Total Add lines 11 a-11 d
lotal revenue See instruction
------------------
94-2460211 Page 10
Do not include amounts reported on lines 6b lb 8b 9b and lOb of Part VIII
1 Grants and other assistance to governments
p~~t ~ryalr~~a1if~~ ~~ t~~ ~ni~d state~ ~~~ 2 Grants and other assistance to individuals in
the United States See Part IV line 22
3 Grants and other assistance to governments organizations and individuals outside the United States See Part IV lines 15 and 16
4 Benefits paid to or for members 5 Compensation of current officers directors
trustees and key employees 251 751 6 Compensation not included above to
disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c) (3) (8)
7 Other salaries and wages
8 Pension plan accruals and contributions (include section 401 (k) and section 403(b) employer contributions)
9 Other employee benefits
10 Payroll taxes
11 Fees for services (non-employees)
a Management
b Legal
c Accounting
d Lobbying
e Professional fundraising services See Part IV line 17 f Investment management fees 9 Other (If line 11 g amt exceeds 10 of line 25 colshy
umn (A) amt list line 11 g expenses on Sch 0) 12 Advertising and promotion
13 Office expenses
14 Information technology
15 Royalties
16 Occupancy
17 Travel
18 Payments of travel or entertainment expenses for any federal state or local public officials
19 Conferences conventions and meetings 20 Interest
21 Payments to affiliates
22 Depreciation depletion and amortization
23 Insurance 24 Other expenses Itemize expenses not
covered above (List miscellaneous expenses in line 24e If line 24e amount exceeds 10 of line 25 column (A) amount list line 24e expenses on Schedule 0)
a ])~ ~sectlr_e_ Io_m~ _F99g lEYlIelts_ +__~~---=--=+-_----L~~~-+-______-+-________ b Administrative services cM~~~_~xp~~s~_______ _ d Y~~iltb~ ~~el1~~ ________ _ e All other expenses
25 Total functional expenses Add lines 1 through 24e
26 Joint costs Complete this line only if the organization reported in column (8) joint costs from a combined educational campaign and fundraising solicitation Check here 0 if following SOP 98-2 (ASe 958720)
TEEAOll OLI2n Ri Form 990 (2012)
Loans and other receivables from current and former officers directors
~~~i1Ff ~eJ~~o[ees ~~~ ~ig~es ~~~~~~~~~~ ~~~I~~~~s ~o~plete Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1raquo persons described in section 4958(c)(3) (B) and contributing employers and sponsoring organizations of section Sal (c)(9) voluntary employees beneficiary organizations (see instructions) Complete Part II of Schedule L
Notes and loans receivable net
Inventories for sale or use
Prepaid expenses and deferred charges
I lOa c~~r-----~--~~~-
other securities See Part IV line 11
program-related See Part IV line 11
Other assets See Part IV line 11
15 Ie an accrue expenses
Grants payable Deferred revenue
Tax-exempt bond liabilities
or custodial account liability Complete Part IV of Schedule D
Loans and other payables to current and former officers directors trustees key employees highest compensated employees and disqualified persons Complete Part II of Schedule L
Secured mortgages and notes payable to unrelated third parties
Unsecured notes and loans payable to unrelated third parties
Other liabilities (including federal income tax payables to related third parties and other liabilities not included on lines 17-24) Complete Part X of Schedule D
Organizations that follow SFAS 117 (ASe 958) check here and complete
Unrestricted net assets
Temporarily restricted net assets
Permanently restricted net assets
Organizations that do not follow SFAS 117 (ASe 958) check here D 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
Total net assets or fund balances
Total liabilities and net assetsfund balances
94-2460211 Page 11
Cash - non-interest-bearing
2 Savings and temporary cash investments 3 Pledges and grants receivable net
4 Accounts receivable net
5
6
A S 7 S E 8 T S 9
lOa Land buildings and equipment cost or other basis Complete Part VI of Schedule D
b Less accumulated depreciation
11 Investments - publicly traded securities
12 Investments shy
13 Investments shy
14 Intangible assets
15 16 17 18 19
L 20 I A 21 Escrow B I 22 L I T I 23E s 24
25
26 Total liabilities Add lines 17 through 25
N E T lines 27 through 29 and lines 33 and 34 A 27s s E 28 T 5 29 0 R
and complete lines 30 through 34J N 30
B 31 D
A L 32A N c 33 E s 34
BAA
(A) (B) Beginning of year End of year
IL 01103113
94-2460211 Page 12
Check if Schedule 0 contains a response to any question in this Part XI
Total revenue (must equal Part VIII column (A) line 12) 2 Total expenses (must equal Part IX column (A) line 25)
3 Revenue less expenses Subtract line 2 from line 1
4 Net assets or fund balances at beginning of year (must equal Part X line 33 column (A))
5 Net unrealized gains (losses) on investments 6 Donated services and use of facilities 7 I nvestment expenses 8 Prior period adjustments
9 Other changes in net assets or fund balances (explain in Schedule 0) Se~ SGb~ciul~ Q 10 Net assets or fund balances at end of year Combine lines 3 through 9 (must equal Part X line 33
column (B)) 10
Financial Statements and Reporting
Check if Schedule 0 contains a response to any question in this Part XII
1 Accounting method used to prepare the Form 990 D Cash [29 Accrual DOther
If the organization changed its method of accounting from a prior year or checked Other explain in Schedule O
2 a Were the organizations financial statements compiled or reviewed by an independent accountant If Yes check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis consolidated basis or both
D Separate basis D Consolidated basis D Both consolidated and separate basis
b Were the organizations financial statements audited by an independent accountant
If Yes check a box below to indicate whether the financial statements for the year were audited on a separate basis consolidated basis or both
~ Separate basis DConsolidated basis 0Both consolidated and separate basis
c 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 O
3 a As a result of a federal award was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133
b If Yes did the organization undergo the required audit or audits If the organization did not undergo the required audit or audits explain why in Schedule 0 and describe any steps taken to undergo such audits
BAA
1 384 061_
3a x
3b X Form (2012)
OMB No 1545-0047
SCHEDULE A Public Charity Status and Public Support (Form 990 or 990-EZ) 2012
Complete if the organization is a section 501 (c)(3) organization or a section 4947(a)(1) nonexempt charitable trust
Department of the Treasury Internal Revenue Service ~ Attach to Form 990 or Form 990-EZ ~ See separate instructions
2
3 4
~ A church convention of churches or association of churches described in section 170(bX1XAXi)
A school described in section 170(bX1)(AXii) (Attach Schedule E)
A hospital or a cooperative hospital service organization described in section 170(bX1XA)(iii)
A medical research organization operated in conjunction with a hospital described in section 170(bXl)(AXiii)- Enter the hospitals
name city and state
5 An organization operatedfOr thebenefit Of acollege oruniversh-Y owned or operated bya-governmentalunltdescribed in sectiOn - - - - - - shyD 170(bX1XAXiv) (Complete Part II)
6 A federal state or local government or governmental unit described in section 170(b)(1)(AXv) R7 X 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)(1XAXvi) (Complete Part II)
8 D A community trust described in section 170(bX1XAXvi) (Complete Part II)
9 D An organization that normally receives (1) more than 33-13 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 33-13 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)
10 An organization organized and operated exclusively to test for public safety See section 509(aX4) R11 An organization organized and operated exclusively for the benefit of to perform the functions of or carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2) See section 509(aX3) Check the box that describes the type of supporting organization and complete lines 11 e through 11 h
a DType I b DType II c D Type III - Functionally integrated d D Type III - Non-functionally integrated
e D 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 is a Type I Type II or Type III supporting organization check this box D
9 Since August 172006 has the organization accepted any gift or contribution from any of the following persons
I Yes No (i) A person who directly or indirectly controls either alone or together with persons described in (ii) and (iii)
below the governing body of the supported organization 11 g (i) ~-----r---+---shy
(ii) A family member of a person described in (i) above 11 9 (ii)
(iii) A 35 controlled entity of a person described in (i) or (ii) above 11 g (iii) h Provide the following information about the supported organization(s)
(i) Name of supported organization
(ii) EIN (iii) Type of organization (described on lines 1-9
(iv) Is the organization in
(v) Di d you notify the organization in
(vi) Is the organization in
(vii) Amount of monetary support
above or IRe section column (i) listed in column (i) of your column (i) (see instructionsraquo your governing
document support organized in the
US
(A)
(8)
(C)
(D)
(E)
Total
For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990-EZ
I EEA040 Il_
Schedule A (Form 990 or 990-EZ) 2012 Community Bridges 94-2460211 Page 2
_Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5 7 or 8 of Part I or if the organization failed to qualify under Part III If the organization fails to qualify under the tests listed below please complete Part III)
Section A Public Su rt Calendar year (or fiscal year beginning in) ~ (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts grants contributions and membership fees received ltpo not include any unusual grants ) 11700497 12531538 11914396 13085089 12897266 62 128 786
2 Tax revenues levied for the organizations benefit and either paid to or expended on its behalf o
3 The value of services or facilities furnished by a governmental unit to the organization without charge
4 Total Add lines 1 through 3 5 The portion of total
contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2 of the amount shown on line 11 column (f) o
6 786
Calendar year (or fiscal year beginning in) ~
7 Amounts from line 4
8 Gross income from interest dividends payments received on securities loans rents royalties and income from similar sources 7 754 3 403 5 421 244 51 392 68 214
9 Net income from unrelated business activities whether or not the business is regularly carried on o
10 Other income Do not include gain or loss from the sale of capital aS~~Se(Ep~fie irrV
13 First five years If the Form 990 is for the organizations first second third fourth or fifth tax year as a section 501 (c) (3) organization check this box and stop here ~ D
Section C Computation of Public Support Percentage 14 Public support percentage for 2012 (line 6 column (f) divided by line 11 column (f)) 9892 15 Public support percentage from 2011 Schedule A Part II line 14 9886
16a 33-13 support test - 2012 If the organization did not check the box on line 13 and the line 14 is 33-13 or more check this box and stop here The organization qualifies as a publicly supported organization ~ ~
b 33-13 support test - 2011 If the organization did not check a box on line 13 or 16a and line 15 is 33-13 or more check this box and stop here The organization qualifies as a publicly supported organization ~ D
17 a 1 O-facts-and-circumstances test - 2012 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-andmiddot circumstances test check this box and stop here Explain in Part IV how the organization meets the factsmiddotand-circumstances test The organization qualifies as a publicly supported organization ~ lJ
Part IV)
11 rh~~aJ9shu~8~~ ~dd Iin~s
612 273
12 Gross receipts from related activities etc (see instructions) L-__~~~~~~~
b 1 O-facts-and-circumstances test - 2011 If the organization did not check a box on line 13 16a 16b or 17a and line 15 is 10 or more and if the organization meets the facts-and-circumstances test check this box and stop here Explain in Part IV how the 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 o( l7b check this box and see instructions
Schedule A (rorm 990 or 990middot[2) 202
~EEA0402L 080912
Section A Public rt Calendar year (or fiscal yr beginning in)
1 Gifts grants contributions
Schedule A (Form 990 or 990middotEZ) 2012 Communi Br s 94-2460211 3 Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II If the organization fails to qualify under the tests listed below please complete Part II)
and membership fees received (Do not include any unusual grants)
2 Gross receipts from admisshysions merchandise sold or services performed or facilities furnished in any activity that is related to the organizations taxmiddotexempt purpose
3 Gross receipts from activities that are not an unrelated trade or business under section 513
4 Tax revenues levied for the organizations benefit and either paid to or expended on its behalf
5 The value of services or facilities furnished by a governmental unit to the organization without charge
6 Total Add lines 1 through 5 7 a Amounts included on lines 1
2 and 3 received from disqualified persons
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5000 or 1 of the amount on line 13 for the year
c Add lines 7a and 7b
8
Calendar year (or fiscal yr beginning in) (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (I) Total
9 Amounts from line 6 10 a Gross income from interest
dividends payments received on securities loans rents royalties and income from similar sources
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30 1975
c Add lines lOa and 1 Db Net income from unrelated business
activities not included in line lOb whether or not the business is regularly carried on
12 Other income Do not include gain or loss from the sale of capital assets (Explain in Part IV)
13 Total support (Add Ins9 10c 11 and 12) ~~~____~~~~____~~__~__-L__________ __~~~~~__~
14 First five years If the Form 990 is for the organizations first second third fourth or fifth tax year as a section 501 (c)(3)organization check this box and stop here
Section C Computation of Public Support Percentage shy15 Public support percentage for 2012 (line 8 column (I) divided by line 13 column (I)) 16 Public support percentage from 2011 Schedule A Part III line 15
Section D Computation of Investment Income Percentage 17 Investment income percentage for 2012 (line 10c column (I) divided by line 13 column (I)) 17
18 Investment income percentage from 2011 Schedule A Part III line 17 18 19a 33-13 support tests - 2012 If the organization did not check the box on IIn8 14 and line 15 is more than 33-13 and line 17
is not more than 33-13 check this box and stop here The organization qualifies as a publicly supported organization
b 33-13 support tests - 2011 If the organization did not check a box on line 14 or line 19a and line 16 is more than 33-13 and line 18 is not mOIe than 33-13 check this box and stop here The organization qualifies as a publicly supported organization
20 Private foundation If the organization did not check hox Orl line 14 19a or 19b check box and see instructions ~H -----o------~--- ------
BAA NJ403L 080912 Schedule A (Form 990 or 99QZ) 2012
4 Schedule A (Form 990 or 990-EZ) 2012 Communi s 94-2460211 Supplemental Information Complete this part to provide the explanations required by Part II line 10 Part II line 17a or 17b and Part III line 12 Also complete this part for any additional information (See instructions)
___~P~~t1~cJ~Cule_~dJltli9~lt ~~~lelTI_e~U~f9l1aiQf _______________________________ _
_ _cLeID1tu_g1_lzgti_ol)-PSlYlJ1~nL _ _ _ _ _ _ _ _ _ _ _ _ ________________________________ _
BAA
081012
2012 Schedule A Part IV - Supplemental Information PageS
Community Bridges 94-2460211
Part II Line 10 - Other Income
Nature and Source 2012 2011 2010 2009 2008
Other Income Total
$ 108645 $ 108645
$ 36333 $ 36333
$ 130009 $ 130009
$ 169710 $ 169710
$ $
167576 167576
------
---------------
OMB No 1545middot0047SCHEDULE C Political Campaign and Lobbying Activities (Form 990 or 990-EZ)
For Organizations Exempt From Income Tax Under section 501 (c) and section 527 2012 Complete if the organization is described below Attach to Form 990 or Form 990-EZ
Department of the Treasury Internal Revenue Service See separate instructions
If the organization answered Yes to Form 990 Part IV line 3 or Form 990-EZ Part V line 46 (Political Campaign Activities) then bull Section 501 (c)(3) organizations Complete Parts I-A and B Do not complete Part I-C bull Section 501 (c) (other than section 501 (c)(3raquo) organizations Complete Parts I-A and C below Do not complete Part I-B bull Section 527 organizations Complete Part I-A only
If the organization answered Yes to Form 990 Part IV line 4 or Form 990-EZ Part VI line 47 (Lobbying Activities) then bull Section 501 (c) (3) organizations that have filed Form 5768 (election under section 501 (h)) Complete Part II-A Do not complete Part II-B
bull Section 501 (c) (3) organizations that have NOT filed Form 5768 (election under section 501 (h)) Complete Part II-B Do not complete Part II-A
If the organization answered Yes to Form 990 Part IV line 5 (Proxy Tax) or Form 990-EZ Part V line 35a (Proxy Tax) then bull Section 501 (c)(4) (5) or (6) organizations Complete Part III
See Part IV 2 3 Volunteer hours bull w Complete if the organization is exempt under section 501 (c)(3) 1 Enter the amount of any excise tax incurred by the organization under section 4955
2 Enter the amount of any excise tax incurred by organization managers under section 4955
3 If the organization incurred a section 4955 tax did it file Form 4720 for this year DYes
4a Was a correction made middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotDYes b If Yes describe in Part IV
II~~~~~~~~~~~~--~~~~~~~--~~---------2 Enter the amount of the filing organizations funds contributed to other organizations for section 527 exempt
function activities $
3 Total exempt function expenditures Add lines 1 and 2 Enter here and on Form 1120-POL line 17b ~ $
4 Did the filing organization file Form 1120-POL for this year DYes
5 Enter the names addresses and employer identification number (EIN) of all section 527 political organizations to which the filing organization made payments For each organization listed enter the amount paid from the filing organizations funds Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization such as a separate segregated fund or a political action committee (PAC) If additional space is needed provide information in Part IV
(a) Name (b) Address (e) EIN (d) Amount paid from filing (e) Amount of political organizations funds If contributions received and
none enter-Omiddot promptly and directly delivered to a separate political organization If
none enter -0middot
(1) ~---------------~---
(2) ~------
(3) ~-
(4)
~~)~~~~~--~~~~--~-~---~~-~---~~~~~~~-~_-_~~~~-----~~~~~~-~~~~~~~~~~-~~~~~-~---------_-_--f------c_~~~_-middot_J_L~~--------+---~ -~ -shyBAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990middotEZ Schedule C (Form 990 or 990middotEZ) 2012
TEEA320 I L 217112
----
Schedule C(Form 990 or 990-EZ) 2012 Communi Bri s 4-2460211 Page 2
Complete if the organization is exempt under section 501 (c)(3) and filed Form 5768 (election under section 501 (hraquo
A Check ~ 0 if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group members name
address EIN expenses and share of excess lobbying expenditures)
B Check ~ 0 if the filing organization checked box A and limited control provisions apply
Limits on Lobbying Expenditures (a) Filing (b) Affiliated organizations totals group totals (The term expenditures means amounts paid or incurred)
1 a Total lobbying expenditures to influence public opinion (grass roots lobbying)
b Total lobbying expenditures to influen_ce a legislative body (direct lobbying)
c Total lobbying expenditures (add lines 1a and 1b)
d Other exempt purpose expenditures
e Total exempt purpose expenditures (add lines 1c and 1d)
f Lobbying nontaxable amount Enter the amount from the following table in both columns
g Grassroots nontaxable amount (enter 25 of line 1f)
h Subtract line 1g from line 1a If zero or less enter -0-
Subtract line 1f from line 1c If zero or less enter -0-
If there is an amount other than zero on either line 1h or line 1i did the organization file Form 4720 reporting section 4911 tax for this year DYes 0No
4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501 (h) election do not have to complete all of the five
columns below See the instructions for lines 2a through 2f)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total year beginning in)
13l7 524
2a Lobbying non-taxable amount 3 513 393
b Lobbying ceiling amount (150 of line 2a column (eraquo 5 270 090
c Total lobbying enditures 18 425
d Grassroots nontaxable amount 878 349
e Grassroots ceiling amount (150 of line 2d column
f Grassroots lobbying expenditures o
BAA Schedule C (Form 990 or 990-EZ) 2012
-EEA3202L 010713
3 Schedule C(Form 990 or 2012 Bri 94-2460211 Complete if the organization is exempt under se as NOT filed Form 5768 (election under section 501 (hraquo
For each Yesresponse to lines 7a through Ii below provide in Part IVa detailed description of the lobbying activity
During the year did the filing organization attempt to influence foreign national state or local legislation including any attempt to influence public opinion on a legislative matter or referendum through the use of
a Volunteers
b Paid staff or management (include compensation in expenses reported on lines 1 c through 1 i)
c Media advertisements
d Mailings to members legislators or the pUblic ~~---+--------------
e Publications or published or broadcast statements
f Grants to other organizations for lobbying purposes
9 Direct contact with legislators their staffs government ofFicials or a legislative body
h Rallies demonstrations seminars conventions speeches lectures or any similar means
i Other activities ~~~~--------
j Total Add lines 1c through 1 i ~lli~J~i01 ~2iJn
I----t---- shy
2 a Did the activities in line 1 cause the organization to be not described in section 501 (c)(3)
b If Yes enter the amount of any tax incurred under section 4912
c If Yes enter the amount of any tax incurred by organization managers under section 4912
d If the filing organization incurred a section 4912 tax did it file Form 4720 for this year
Complete if ization is exempt under section 501 (c)(4) section 501 (c)(5) or section 501
Were substantially all (90 or more) dues received nondeductible by members 1----+---1---shy
2 Did the organization make only inmiddothouse lobbying expenditures of $2000 or less f----j----j--- shy
3 Did the organization agree to carryover lobbying and political from the prior year
Complete if the organization is exempt under section 501 (c)(4) section 501 (c)(5) or section 501 (c) (6) and if either (a) BOTH Part III-A lines 1 and 2 are answered No OR (b) Part III-A line 3 is answered Yes
Dues assessments and similar amounts from members
2 Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid)
a Current year
b Carryover from last year
c Total
3 Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues
4 If notices were sent and the amount on line 2c exceeds the amount on line 3 what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year
I---~--------------5 Taxable amount of lobbying and political expenditures (see instructions)
Complete this part to provide the descriptions required for Part ImiddotA line 1 Part ImiddotB line 4 Part Imiddote line 5 Part IImiddotA (affiliated group list) Part IImiddotA line 2 and Part IImiddotB line 1 Also complete this part for any additional information
TEEA32031 OliO
Scheciu1e
-----------------
OMB I~o 1545-0047 SCHEDULE D (Form 990) Supplemental Financial Statements 2012
~ Complete if the organization answered Yes to Form 990 Part IV lines 6 7 8 9 10 l1a 11 b 1lc l1d l1e l1f 12a or 12b
~ Attach to Form 990 ~ See instructions
(a) Donor advised funds
1 Total number at end of year
2 Aggregate contributions to (during year
3 Aggregate grants from (during year) 4 Aggregate value at end of year
S Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organizations property subject to the organizations exclusive legal control DYes
6 Did the organization inform all grantees donors and donor advisors in writing that grant funds can be used only
impermissible private benefit for charitable purposes and not for the benefit of the donor or donor advisor or for any other purpose conferring
No
(b) Funds and other accounts
Purpose(s) of conservation easements held by the organization (check all that apply)
Preservation of land for public use (eg recreation or education) D Preservation of an historically important land area
Protection of natural habitat D Preservation of a certified historic structure
Preservation of open space ~
2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the iast day of the tax year
a Total number of conservation easements
b Total acreage restricted by conservation easements
c Number of conservation easements on a certified historic structure included in (a)
d Number of conservation easements included in (c) acquired after 81706 and not on a historic structure listed in the National Register 2 dL-__L-_________________________
3 Number of conservation easements modified transferred released extinguished or terminated by the organization during the tax year Igt
4 Number of states where property subject to conservation easement is located Igt
S Does the organization have a written policy regarding the periodic monitoring inspection handling of violations and enforcement of the conservation easements it holds DYes
6 Staff and volunteer hours devoted to monitoring inspecting and enforcing conservation easements during the year Igt
7 Amount of expenses incurred in monitoring inspecting and enforcing conservation easements during the year 1gt$
8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(8)(i) and section 170(h)(4)(8)(ii) DYes
9 In Part XIII describe how the organization reports conservation easements in its revenue and expense statement and balance sheet and include if applicable the text of the footnote to the organizations financial statements that describes the organizations accounting for conservation easements
tf~rtiml Organizations Maintaining Collections of Art Historical Treasures or Other Similar Assets Complete if the organization answered Yes to Form 990 Part IV line 8
1 a If the organization elected as permitted under SFAS 116 (ASC 958) 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 XIII the text of the footnote to its financial statements that describes these items
b If the organization elected as permitted under SFAS 116 (ASe 958) 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 VI I line 1 ~$
(ii) Assets included in Form 990 Part X 11gt-$
2 If the organization received or held works of art histOrical treasures or other similar assets for financial gaill provide the following amounts required to be reported under SFAS 116 (ASe 958) relating to these items
11gt-$ -~~-------
$ BAA For Paperwork Reduction Act Notice the Instructions for Form 990 991l) CJ12
~--~-------------------------
-----------------------------------------------
-------
e2
3 Using the organizations acquisition accession and other records check any of the following that are a significant use of its collection items (check all that apply)
a sectPublic exhibition d BLoan or exchange programs b Scholarly research e Other
c Preservation for future generations
4 Provide a description of the organizations collections and explain how they further the organizations exempt purpose in Part XIII
5 During the year did the organization solicit or receive donations of art historical treasures or other similar assets D to be sold to raise funds rather than to be maintained as part of the organizations collection Yes
IRal~IYRI Escrow and Custodial Arrangemel1ts Complete if the organization answered Yes to Form 990 Part IV line 9 or reported an amount on Form 990 Part X line 21
1 a ~nt~~r~g~~~~~r~ ~~ ~~~~t~ trus~e~ ~u~t~~i~~ or ot~er int~~~~~~~~~ ~o~contnbu~i~~~ ~r ~~e~ ass~ts n~i~cI~~~d DYes
b If Yes explain the arrangement in Part XIII and complete the following table
Amount
c Beginning balance 1 c d Additions during the year d
e Distributions during the year 1 e f Ending balance 1f
2a Did the organization include an amount on Form 990 Part X line 21 UYes NOb If Yes explain the arrangement in Part XIII Check here if the explantion has been provided in Part Xlll D
fBaIM~1 Endowment Funds Complete if the or~anization answered Yes to Form 990 Part IV line 10 (a) Current (b) Prior year (e) Two years (d) Three years (e) Four years
1 a Beginning of year balance
b Contributions
c Net investment earnings gains and losses
d Grants or scholarships
e Other expenditures for facilities and programs
f Administrative expenses
9 End of year balance
2 PrOVide the estimated percentage of the current year end balance (line 1 g column (araquo held as
a Board designated or quasi-endowment b Permanent endowment c Temporarily restricted endowment
The percentages in lines 2a 2b and 2c should equal 10000
3 a Are there endowment funds not in the possession of the organization that are held and administered for the organization by Yes No (i) unrelated organizations 3a(i)
(ii) related organiZations 3a(ii)
b If Yes to 3a(ii) are the related organizations listed as required on Schedule R 3b I 4 Describe in Part XIII the intended uses of the organizations endowment funds
1 a Land
b Buildings
c Leasehold improvements
d Equipment
e Other
Total Add lines 1 a
BAA
(d) Book value
TEEt3302L 06e71 i 2
-------------------------
of security or rfpnlrl
name of secu (1) Financial derivatives
94-2460211
uation Cost or rket value
Page 3
~------------~--------------------------------------(2) Closely-held equity interests
~------------~--------------------------------------(3) Other ______________________ +----------f--------------------shyi~ __________________________1---_______-+____________________ (8)
iq __________________________~-----~---------------------------iD1_ - - - - - - - - - - - - - - - - - - - - - - -- -f------------+-------------------------------shy(E)- - - - - - - - - - - - - - - - - - - - - - - - - - - - ~-------------I---------------------------------------~~--------------------------f__----------+_-------------------------------iGl ______ -- _________ - _ - - - __ - - -f__----------l-----------------------------shy(H)- - - - - - - - - - - - - - - - - - - - - - - - - - - -- ~-------------+---------------------------------------J~ _____________________ _
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10) ----shy
(11)
Total (Column (b) must equal Form 990 Part X column (8) line 25) 2 FIN 48 CASe 740) Footnote In Part XIII provide the text of the footnote to the organizations financial statements that reports the organizations liability for uncertain tax positions under FIN 48 (ASe 740) Cherv here If the text of the footnote has been provided 11 Part XIII LJ BAA ____~_~__O~_ ~-~-~~~~--~~~-- --~T~-~middotA3303L- 122312 -- gt--~~-- Schedule 0 (Form 990) 2012
Page 4
2 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 XIII)
e Add lines 2a through 2d
3 Subtract line 2e from line 1 4 Amounts included on Form 990 Part VIII line 12 but not on line 1
a Investment expenses not included on Form 990 Part VIII line 7b
b Other (Describe in Part XII I)
c Add lines 4a and 4b
5 Total revenue Add lines 3 and 4c (This must equal Form 990 Part I line 72)
Total expenses and losses per audited financial statements
2 Amounts included on line 1 but not on Form 990 Part IX line 25
a Donated services and use of facilities 13 244 b Prior year adjustments c Other losses
d Other (Describe in Part XIII)
e Add lines 2a through 2d 3 Subtract line 2e from line 1
4 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 XIII) c Add lines 4a and 4b
must equal Form 990 Part I line 78)
Complete this part to provide the descriptions required for Part II lines 3 5 and 9 Part III lines 1a and 4 Part IV lines 1b and 2b Part V line 4 Part X line 2 Part XI lines 2d and 4b and Part XII lines 2d and 4b Also complete this part to provide any additional information
BAA Schedule 0 (Form 990) 2012
fEEA3304L 1
OMS No 1545middot0047
SCHEDULE G Supplemental Information Regarding (Form 990 or 990-EZ) Fundraising or Gaming Activities 2012
Complete if the organization answered Yes to Form 990 Part IV lines 17 18 or 19 or if the organization entered more than $15000 on Form 990-EZ line 6aDepartment of the Treasury
Internal Revenue Service ~ Attach to Form 990 or Form 990-EZ ~ See separate instructions
Name of Employer
94-2460211 InnInn ACtlVlllles Complete if the organization
___-c---cFo_r_m--- ~ filers are not required to complete this part
Indicate whether the organization raised funds through any of the following activities Check all that apply
a DMail solicitations e DSolicitation of non-government grants
b D Internet and email solicitations f DSolicitation of government grants
c D Phone solicitations g D Special fundraising events
d D Inmiddotperson solicitations
2 a 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 DYes ~No
b If Yes list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fund raiser is to be compensated at least $5000 by the organization
(i) Name and address of individual or entity (fund raiser)
(ii) Activity (iii) Did fund raiser have custod6or control
of contri utions
(iv) Gross receipts from activity
(v) Amount paid to (or retained by)
fundraiser listed in
(vi) Amount paid to (or retained by)
organization column (i)
Yes No
1
-- shy2
3 I
4 -----~--------
5
6
7 -__----shy
8
9
10
Total O bull -
3 List all states In which the organization IS reglslered or licensed to SOliCit contributions or has been notified It IS exempt from registration or licensing
- --~---~---~-- ~-~--~-~--~-~~-- ---
BAA for Paperwork Reduction Act Notice see the Instructions Form 990 or 990-EL Schedule G (runn 990 or 990-EZ) 2012 TEEA3701L 01107113
--
------
Schedule G (Form 990 or 990-EZ) 2012 Commun Br 94-2460211 Page 2
Fun ng Events Complete if the organization answered Yes to Form 990 Part IV ine 18 or reported more than $15000 of fundraising event contributions and gross income on Form 990-EZ lines 1 and 6b List events with gross receipts greater than $5000
(a) Event 1 (b) Event 2 (c) Other events (d) Total events (add column (a)
Italian Affair None through column (craquoR (event type) (event type) (total number) E V E N 1 Gross receipts 20186 20186 U E
2 Less Charitable contributions
3 Gross income (line 1 minus line 2) 20186 20186
4 Cash prizes
5 Noncash prizes D
R I
6 Rentfacility costs E C T 7 Food and beverages 5391 539l E x p 8 Entertainment E
N s 9 Other direct expenses 5822 5822E S
10 Direct expense summary Add lines 4 through 9 in column (d) 11213 11 Net income summary Combine line 3 column (d) and line 1 Q 8973
[Pifllll Gaming Complete if the o~ganization answered Yes to Form 990 Part IV line 19 or reported more than
(a) Bingo (b) Pull tabsllnstant (c) Other gaming (d) Total gaming R E bingoprogressive (add column (a) V bingo through column (eraquo E N U E Gross revenue
2 Cash prizes ~------------4---------------+--------------~--------------E
D X I P 3 Non-cash prizes R E E N C S T E
S 4 Rentfacility costs
5 Other direct expenses
Yes Yes Yes 6 Volunteer labor No No No
7 Direct expense summary Add lines 2 through 5 in column (d)
8 Net gaming income summary Combine lines 1 column (d) and line 7
9 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 0 Yes
b If No explain
lOa Were any of the organizations gaming licenses revoked suspended or terminated during the tax year 0 Yes b If Yes explain
BAA TFJ3]02L 010713 ScheclJle G (F (JIm 990 or 990 2012
------------
-----------
Schedule G (Form 990 or 990-EZ) 2012 Community Bridges 94-2460211 Page 3 11 Does the organization operate gaming activities with nonmembers DYes 12 Is the organization a grantor beneficiary or trustee of a trust or a member of a partnership or other entity formed to
administer charitable gaming DYes 13 Indicate the percentage of gaming activity operated in
a The organizations facility 13a ~13-b~------------~~b An outside facility
14 Enter the name and address of the person who prepares the organizations gamingspecial events books and records
Name
Address
15a Does the organization have a contact with a third party from whom the organization receives gaming revenue DYes b If Yes enter the amount of gaming revenue received by the organization $ and the amount
of gaming revenue retained by the third party $ c If Yes enter name and address of the third party
Name ---------------------------------------------~-----l
I Address I
16 Gaming manager information
Name
Gaming manager compensation $
Description of services provided
D Directorofficer DEmployee D independent contractor
17 Mandatory distributions
a Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the ~~egaminglicense ___________________________________________________________________ D~s ~No
b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the
organizations own exempt activities during the tax year $ lean~IlUI Supplemental Information Complete this part to provide the explanations required by Igtart I line 2b
columns (iii) and (v) and Part III lines 9 9b 1 ~b 15b 15c 16 and 17b as applicable Also complete this part to provide any additional information (see instructions)
----------------------- -------------------- ------ ----------------------------- __--shy
_ ---_ --------------- ---------------- ----- shy
BAA TEEA3703L 010113 Schedule G (Form 990 or 990middotEZ) 2012
--------------------------------------------------------- ---------
OMB No 1545-0047SCHEDULE 0 Supplemental Information to Form 990 or 990middotEZ (Form 990 or 990-EZ)
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information
Department of the Treasury ~ Attach to Form 990 or 990-EZInternal Revenue Service
Name of the
94-2460211
health care 4112-63012
BAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990-EZ TFEIA)IJIL 12812 Schedule 0 (Forrn 990 or 2012
Schedule 0 (Form 990 or 990-EZ) 2012 Page 2 Name of the organization Employer Identification number
Community Bridges 94-2460211
~ ~~Oy~~sjg1~~ge~~~e~~~~~ ~~~ ~ ~ ~~ ~~ ~_ ~~ ~ ~ ~~~~~~~ ~ ~ ~ ~ ~ ~~~~ ~ ~ ~~ ~ ~~~~~ ~ ~ ~ ~ _
Schedule (Form 990 or
TEEA4902L
2012
2012 Schedule 0 bull Supplemental Information Page 1
Community Bridges 94-2460211
Form 990 Part XI Line 9 Other Changes In Net Assets Or Fund Balances
Depreciation Grant Funded Assets $ -140124 Familia Net Assets 82104
Total $ -58020========
-------------------
OMS No 1545-0047
SCHEDULE R (Form 990) Related Organizations and Unrelated Partnerships 2012
Complete if the organization answered Yes to Fonn 990 Part IV line 33343536 or 37DqJ21rTrrent of the Treasury Internal Revenue Service Attach to Form 990 ~ See separate instructions Name of the organization
s 94-2460211Commu
rp~ Identification of Disregarded Entities (Complete if the organization answered Yes to Form 990 Part
(a) (b) (c) (e) (f) iiame address and EIN (if applicable) of disregarded entity Primary activity Legal domicile (state End-of-year assets Direct controlling
or foreiqn country) entity
=== === =_===== =_ ===== == ===__1 1-- -- -=-=1 TI ~~
FPafIIldentification 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)
(a) Name address and EIN of related organization
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Exempt Code
section
(e) Public charity status (if section 501 (c) (3raquo)
(f) Direct controlling
entity
(g)Sec 512(b)(13)
controlled entity
Yes No (1) FAMILIA CENTER
236SANTA-rnUZAVE----------- shy------------------------- shyAPTOS CA 95003770071589 - - shy - - - -- shy - - - -- shy - - shy BILINGUAL FAMILY
SERVICES CA I
501(C)3 PUBLIC
CHARITY COMMUNITY
BRIDGES X
---------------------- shy_shy --shy --------------------- shy - shy - -- -- shy - - shy - - shy - - - - - - - - - - - - - - -
- --
----------~--------------
-shy - shy --------------------- shy
-shy - shy - shy - shy shy -shy - - ---------------- shy- c--- shy
- - -- --- -- - - - - --- - - - - - - - - - - - - shy
- - -- - shy
- -- - --------------------- shy -=r_ I _ __ I
~-- I ------- - -- ----- --- --
BAt For Paperwork Reduction Act Notice see the Instructions for Form 990 TEEA5001 L 122812 Schedule R (Form 990) 2012
- -- ------
----- -
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 2
re~rtUI Iidentific~tion of Related Organizations T~xable 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)
me oddltl od EIN of I PIm~~cttyrelated organization
-+shy----shy
-_--shy -- -shy ~
(c) Legal
domicile (state or foreign country)
(d) Direct
controlling entity
(e) Predominant income (related unrelated excluded from tax
under sections 512-514)
(f) Share of total
income
(g) Share of
end-of-year assets
(h) Disproporshy
tionate allocations
Yes No
(i) Code V-UBI
amount in box 20 of Schedule
K-1 (Form 1065)
(j) General or managing partner
Yes No
(k) Percentage ownership
shy -shy --shy --shy -shy
-shy -__shy ---shy -shy
_ _ _____ ___ J~
-- -- -- - - - -- - -- shy
-
--T~ --=~ -- ~~==~=-
I
IPaHJVl Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered Yes to Form 990 Part IV L----_-l line 34 because it had one or more related organizations treated as a corporation or trust during the tax year)
(a) (b) I (c) (d) (e) I (f) (g) (h) I (i)iiame address and EIN of related organization Primary activity Legal domicile Direct Type of entity Share of Share of end-of- Percentage Sec S12(b)(13)
(state or foreign controlling (C corp S corp total income year assets ownership controlled entitycountry) entity or trust)
Yes I No
- - - - - - - - - -- - - - - - -- --I --------------------4
--==========1------~--------------~------------~------------~------------~--------------~--------------~--------~I----~------TEEA5002L 1228112 Schedule R (Form 990) 2012
---------
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 3
i])~ Transactions With Related Organizations (Complete if the organization answered Yes to Form 990 Part IV line 34 35b or 36)
Note Complete line 1 if any entity is listed in Parts II III or IV of this schedule During the lax year did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity b Gift grant or capital contribution to related organization(s)
Gift grant or capital contribution from related organization(s)
d Loans or loan guarantees to or for related organization(s)
e Loans or loan guarantees by related organization(s)
Dividends from related organization(s) 9 Sale of assets to related organization(s)
h Purchase of assets from related organization(s)
Exchange of assets with related organization(s)
Lease c[racilities equipment or other assets to related organization(s)
Lease of facilities equipment or other assets from related organization(s)
Performance of services or membership or fundraising solicitations for related organization(s)
Ferformance of services or membership or fundraising solicitations by related organization(s)
Sharing of facilities equipment mailing lists or other assets with related organization(s)
o Sharing of paid employees with related organization(s)
Reimbursement paid to related organization(s) for expenses
q Reimbursement paid by related organization(s) for expenses
r Other transfer of cash or property to related organization(s
5 Other transfer of cash or property from related organization(s)
If the answer to any of the above is Yes see the instructions for information on who must complete this line including covered relationships and transaction thresholds
(b) (c)N f h(a) d (2 lame 0 ot er organization Transaction Amount involved Metho of etermlnlng --~
type (a-s) amount involved
(1)
(2)
ltd ~ ~J
I I I
(5) ------------shy
(6) ~---------------------------------------------------------------------------~--------------~--------~~~~--~--~~~
TEEIS003L 1228112 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 4
e~~I1 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) I (b) (c) (d) (e) (f) (g) (h) (i) (j) I (k)Jame address and EIN of entity Primary activity Legal domicile Predominant Are all partners Share of Share of Dispropor- Code V-UBI General or Percentage
(state or foreign income section total income end-of-year tionate amount in box managing ownership country) (related unre- 501 (c)(3) assets allocations 20 of Schedule partner
lated excluded organizations i K- 1 from tax under ~---c--- Form (1065)
section 512-514) Yes I No Yes No Yes No----+----1
- --==~ ~ ~ ====== ~ I ~ --I------+--+----t--shy
(3)
--------------1
(6)
-____ __~__ - I I I SAl TEEAS004L 122812 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Page 5 _ Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions)
-r- I - lt-j005L middot22312 Schedule R (Forni
94-2460211 Page 4
21 Did the organization report more than $5000 of grants and other assistance to governments and organizations In the United States on Part IX column (A) line 1 If Yes complete Schedule I Parts I and II
22 Did the organization report more than $5000 of grants and other assistance to individuals in the United States on Part IX column (A) line 2 If Yes complete Schedule I Parts I and III
23 Did the organization answer Yes to Part VII Section A line 34 or 5 about compensation of the organizations 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 $100000 as of
~o~~r~t~a~c~~~u~ltif ~N~ k~tt~~~~~ed ~~~~ ~~~~~~~r~~ ~a02 If Ye~~n~~~~ ~i~~s ~~~ t~~~~~~ ~4~ and
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
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 organizations prior Forms 990 or 990-EZ If Yes complete Schedule L Part I
26 Was a loan to or by a cUITent or former officer director trustee key employee highest compensated employee or disqualified person outstanding as of the end of the organizations 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 employee thereof a grant selection committee member or to a 35 controlled entity or family member of any of these persons If Yes complete Schedule L Part III
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 (or a family member thereof) was an officer director trustee or direct or indirect owner If Yes complete Schedule L Part IV
29 Did the organization receive more than $25000 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
31 Did the organization liquidate terminate or dissolve and cease operations If Yes complete Schedule N Part I
32 Did the organization sell exchange dispose of or transfer more than 25 of its net assets If Yes complete Schedule N Part II
33 Did the organization own 100 of an entity disregarded as separate from the organization under Regulations sections 3017701-2 and 3017701-37 If Yes complete Schedule R Part I _
34 Was the organization related to any tax-exempt or taxable entity If Yes complete Schedule R Parts II Ill IV and V line 1
35a Did the organization have a controlled entity within the meaning of section 512(b)(13)
b If Yes to line 35a did the organization receive any payment from or engage in any transaction with 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-charitable 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 band 19 Note All Form 990 filers are required to complete Schedule 0
BAA
Yes No
21 X
22 X
23 X
24a X
25a X
25b X
26 X
27 X
32 X
33 X f---I---I-- shy
34 X 1-------- shy
35b f-------I-- shy
36 x
37 X
38 X Form 990 (2012)
080812
94-2460211 Page 5
1 a Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable
b Enter the number of Forms W-2G included in line 1 a Enter -0- if not applicable
c Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners
2a Enter the number of employees reported on Form W-3 Transmittal of Wage and Tax State-i I
ments filed for the calendar year ending with or within the year covered by this return 2 a ------------------~
b If at least one is reported on line 2a did the organization file all required federal employment tax returns
Note If the sum of lines 1 a and 2a is greater than 250 you may be required to e-file (see instructions)
3 a Did the organization have unrelated business gross income of $1 000 or more during the year
b If Yes has it filed a Form 990-T for this year If No provide an explanation in Schedule Q
4a At any time during the calendar year did the organization have an interest in or a signature or other authority over a financial account in a foreign country (such as a bank account securities account or other financial account)
b If Yes enter the name of the foreign country ~
See instructions for filing requirements for Form TO F 90-221 Report of Foreign Bank and Financial Accounts
5 a 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
6a Does the organization have annual gross receipts that are normally greater than $100000 and did the organization solicit any contributions that were not tax deductible as charitable contributions
b If Yes did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible
7 Organizations that may receive deductible contributions under section 170(c)
a Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor
b If Yes did the organization notify the donor of the value of the goods or services provided
c Did the organization sell exchange or otherwise dispose of tangible personal property for which it was required to file Form 8282
d If Yes indicate the number of Forms 8282 filed during the year 7d e Did the organization receive any funds directly or indirectly to pay premiums on a personal benefit contract
r------1----- shyf Did the organization during the year pay premiums directly or indirectly on a personal benefit contract
g If the organization received a contribution of qualified intellectual property did the organization file Form 8899 as required
h If the organization received a contribution of cars boats airplanes or other vehicles did the organization file a Form 1098-C
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
9 Sponsoring organizations maintaining donor advised funds
a Did the organization make any taxable distributions under section 49667
b Did the organization make a distribution to a donor donor advisor or related person
10 Section 501(c)(7) organizations Enter
a Initiation fees and capital contributions included on Part VIII line 12
b Gross receipts included on Form 990 Part VIII line 12 for public use of club facilities
1 Section 501 (c)(12) organizations Enter
a Gross income from members or shareholders
b Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them)
12a Section 4947(a)(1) non - exempt charitable trusts Is the organization filing Form 990 in lieu 1041 b If Yes enter the amount of tax-exempt interest received or accrued during the year L-__L-______________~
13 Section 501 (c)(29) qualified nonprofit health insurance issuers a Is the organization licensed to issue qualified health plans in more than one state
Note See the instructions for additional information the organization must report on Schedule O
b Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans i 13b l
c Enter the amount of reserves on hand 113cj~~ 14a Did the organization receive any payments for indoor tanning sGrvices during the tax year
b If Yes has it filed a Form 720 to report these payrnenic7 If No provide an explanation SchedJle 0
T[EiOI05L 080812
--------------------------
Form 990 (2012) Community Bridges 94-2460211 Page 6
tallGovernance Management and Disclosure For each Yes response to lines 2 through 7b below and for a No response to line 8a 8b or 70b below describe the circumstances processes or changes in Schedule O See instructions Check if Schedule 0 contains a response to any question in this Part VI
1 a Enter the number of voting members of the governing body at the end of the tax year 1 a If there are material differences in voting rights among members f---I-------- shyof the governing body or if the governing body delegated broad authority to an executive committee or similar committee explain in Schedule O
b Enter the number of voting members included in line 1 a above who are independent 1 b L-~____________~
2 Did any officer director trustee or key employee have a family relationship or a business relationship with any other officer director trustee or key employee
3 Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers directors or trustees or key employees to a management company or other person
4 Did the organization make any significant changes to its governing documents
since the prior Form 990 was filed
5 Did the organization become aware during the year of a significant diversion of the organizations assets 6 Did the organization have members or stockholders
7 a Did the organization have members stockholders or other persons who had the power to elect or appoint one or more members of the governing body
b Are any governance decisions of the organization reserved to (or subject to approval by) members stockholders or other persons other than the governing body
8 Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following
a Tile governing body
b Each committee with authority to act on behalf of the governing body
9 Is there any officer director or trustee or key employee listed in Part VII Section A who cannot be reached at the organizations mailing address If Yes provide the names and addresses in Schedule 0
10 a Did the organization have local chapters branches or affiliates
b If Yes did the organization have written policies and procedures governing the activities of such chapters affiliates and branches to ensure their operations are consistent witll the organizations exempt purposes
11 a Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form
b Describe in Schedule 0 the process if any used by the organization to review this Form 990 See Schedule 0 12a Did the organization have a written conflict of interest policy If No go to line 73
b Were officers directors or trustees and key employees required to disclose annually interests that could give rise to conflicts
c Did the organization regularly and consistently monitor and enforce compliance with the policy If Yes describe in Schedule deghow this is done
13 Did the organization have a written whistleblower policy
14 Did 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 organizations CEO Executive Director or top management official
b Other officers of key employees of the organization See Schedule 0 If Yes to line 15a or 15b describe the process in Schedule O (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 did the organization follow a written policy or procedure requiring the organization to evaluate its partici I in joint venture arrangements under applicable federal tax law and taken steps to safeguard the nrrnl7tl status with ct to such ements
Section C Disclosure
x
17 List the states with which a copy of this Form 990 is required to be filed CA 18 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
[)1 Own website DAnothers website [XI Upon request Other (explain in Schedule 0)
19 Describe in Schedule 0 whether (and if so how) the organization makes Its governing documents conflict of Intel est rllcy and fillallcial statements available to Ute publiC durinl] the tax year See Schedule 0
20 State name phYSical address and telepholle nurnbu of the person who possesses the books iecolds of the organizatron
__B_en~0r1_CIO]~~_Siinta Cruz Apto_s_~~_~~O_03_(831) 688884CJ ____ BAA TEt6JJ i OGl 0808112 Forr 990 (20 12)
----- ----
---------------------
---------------------
---------------------
---------------------
---------------------
------------------------- ----
-----
---
---
Check if Schedule 0 contains a response to any question in this Part VII D Section A Officers Directors Trustees Key Employees and Highest Compensated Employees 1 a Complete this table for all persons required to be listed Report compensation for the calendar year ending with or within the organizations tax year
bull List all of the organizations current officers directors trustees (whether individuals or organizations) regardless of amount of compensation Enter -D- in columns (D) (E) and (F) if no compensation was paid
bull List all of the organizations current key employees if any See instructions for definition of key employee
bull List the organizations five current highest compensated employees (other than an officer director trustee or key employee) who received reportable compensation (Box 5 of Form W-2 andor Box 7 of Form 1 099-MISC) of more than $100000 from the organization and any related organizations
bull List all of the organizations former officers key employees and highest compensated employees who received more than $100000 of reportable compensation from the organization and any related organizations
bull List all of the organizations former directors or trustees that received in the capacity as a former director or trustee of the organization more than $10000 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
DCheck this box if neither the organization nor any related organization compensated any current officer director or trustee
(C)
(A) (8) Position (do not check more than (D) (E) (F) Name and Title Average Reportable Reportable Estimatedone box unless Rerson is both an
officer and a irectortrustee)hours per compensation from compensation from amount of other week (list the organization related organizations compensation any hours =gt J (Wmiddot21099-MISC) (Wmiddot21099-MISC) from the 0 lt I - Of
uo ltD 0 lt ~ organization
organizamiddot ~~ e- (1) 0lt1gt 3 and related for related = Dromiddot
(1) a lt Ugt tions oc =0
~ 3 (D~ ~ organizationsQ~ =gt D roltgtbelow 0 0
~ ltdotted 2 lt1gt 3 Dline) $Ii- 2 (I)
(I) OJ (gt $- raquo (1 ltt a
_Ql~~~1Y~E~a~_________ 5 Community Rep_ 0 X O O O
~~~c~_~aS2~s~~ _____ 5 Community Rep
--
0 X O O O _ l ~th~1_L~~is____ 5
Vice President 0 X X O O O (4) Barbara Frank 5
President 0 X X o O O (5) John Tuck 5
Community Rep 0 X 0_ O O (6) Mark Hartunian 5
Community Rep 0 X O O O _0_~~ry_~u~ll~_______ 40
Staff Sup_ Rep -
0 X 34197 O 7729 (8) Rick Roberts 5
Secretary 0 X X O O O (9) Linda Fawcett 5
Community Rep 0 X O O O 11~)_ ~~rj~ _B~1ia_ ~1r~~y -- ---
40 CB Staff Re12
-
0 X 33302 0_ 7689 11~)_ ~JJs_Eall1~r_______ 5
Community Rep --
0 X o O 0_ (12) Karl Rice 5
Treasurer 0 X X O O O 11~t ~(~ril~n jlip~JJ~____ 5
Community Rep 0 X O O o 11~)_ 8~b~f~a_ ft2w]~~ ___ T
Community Rep _~_-=-1- --t X I __~__~__ _~__ o_________middotlaquo__~_r_
O O - _-shy
1071_ 117l2 ro(rn (2012)
----- ---------------------
------ ---
------------------------------
----------- -
Form 990 (2012) Community Bridges 94-2460211 Page 8
_Section A Officers ~ctors TrLctooc Key Employees and Highest Compensated Employees (cant) (8) (C)
(A) Name and title
Position Average (do not check more than one
hours box unless person is both an per oj-ficer and a directortrustee)
(I~f~y IQ~ I~ I~ ~I fS hoursfor g ltIi - (() Iyen
related ~ ~ I~ lt
O~fo~~a Ii=- ~ Iiamp~below ltto
(0) Reportable
compensation from the organization (Nmiddot2I099-MISC)
(E) Reportable
compensation from related organizations
(N-2I099middotMISC)
(F) Estimated
amount of other compensation
from the organization and related
organizations
dotted ~ line) ~
o o o (16) Martin Bernal 5
rnmmllnity Rep 0 X o o o
X 86662 o 8237
i2~__________________
(22)
i2~_______________________ _ - -- shy
i2~)__ _____________________ _ ----_
i~)______________ -- -- shy
1 b Sub-total It- 220 041 o 31709 c Total from continuation sheets to Part VII Section A ogt- o o o d Total (add lines 1 band 1c 220 041 o 31 709
2 Total number of Individuals (inclucllng but not IlrTllted to those listed above) who received more than $100000 of reportable compensation
from the organization 0
3 Did the organization list any former officer director or trustee key employee or highest compensated employee on line 1 a If Yes complete Schedule J for such individual
4 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 $150000 If Yes complete Schedule J for such individual
5 Did any person listed on line 1 a receive or accrue compensation from any unrelated organization or individual for services rendered to the 0 ization If Yes Schedule J for such on
~om-pmiddotl-etmiddotet~h~is~tmiddotable--fo-r-y-o-u-rfiv-e-hmiddotigh-e-stc-o-m-pe-n-s-ate-d~in-de-p-e-nde-nt-c-o-ntr-a-cto-rs-Cth-at-r-e-cei-ve-d-m-o-r-etha-n~$~l~OOn~O~O~O-of---------compensation from the organization Report compensation for the calendar ending with or within the izations tax r
(A) (8) (C) Name and bUSiness address Description of services Compensation
2 Total number of independent contractors (including but not limited to those listed above) who received more than
$100000 in compensation frcm the organization 10gtshy
BAA TLJNl 1 08L 0112411 3
s 94-2460211 Page 9
Check if Schedule 0 contains a response to any question in this Part VIII D
a Federated campaigns
b Membership dues
c Fundraising events
d Related organizations
e Government grants (contributions)
f All other contributions gifts grants and similar amounts not included above
9 Noncash contributions included in Ins 1a-1 f h Total Add lines 1a-1 f
(A) (8) (C) Total revenue Related or Unrelated
exempt business function revenue
(0) Revenue
excluded from tax under sections
512513 or 514
2 a sect~yipound~ fe~~ gt~in_____ -I-=-==-=-=---_t-----L=-=L~_+----=~~-=-=__t------_t------shyb sect~yis~ fe~~ 1~ls12 shy __ _
-r-~~~-----t
c sect~yis~ fe~~ gtreglt_G9_pounde__ -r-=-=-=-----t__--=-=~--et__--=-=~----t__------t__-----shyd sect~yis~ fe~s_ =- Iil1i1Y jQu __ -I---=----------=--L--------=--L------------------shy
e sect~yis~ fe~~ ~1U_ld_G9_pounde__ -r-=--=-----t__--=-=-=L=~t__--=-=-=L=-------I------shyf All other program service revenue
L-~~~__~+-__~~~~ 9 Total Add lines 2a-2f
--+----shy3 Investment income (including dividends interest and
4
5
other similar amounts)
6 a Gross rents
b Less rental expenses
c Rental income or (loss)
d Net rental income or (I -~~~~---~~--~
7 a Gross amount from sales of assets otller than inventory
b Less cost or other basis and sales expenses
c Gain or (loss) d Net gain or (loss)
LIJ 8 a Gross income from fundraising events ~ (not including $--~--cc--c~shy~ of contributions reported on line 1 c)
---------t
~ See Part IV line 18 a LIJ j---~~~-shy
~ b Less direct expenses o c Net income or (loss) from fundraising
9 a Gross income from gaming activities See Part IV line 19
b Less direct expenses
c Net income or (loss) from gaming acti i -----------
10a Gross sales of inventory less returns and allowances a
b Less cost of goods sold j------ shy
c d 11 other revenue
e Total Add lines 11 a-11 d
lotal revenue See instruction
------------------
94-2460211 Page 10
Do not include amounts reported on lines 6b lb 8b 9b and lOb of Part VIII
1 Grants and other assistance to governments
p~~t ~ryalr~~a1if~~ ~~ t~~ ~ni~d state~ ~~~ 2 Grants and other assistance to individuals in
the United States See Part IV line 22
3 Grants and other assistance to governments organizations and individuals outside the United States See Part IV lines 15 and 16
4 Benefits paid to or for members 5 Compensation of current officers directors
trustees and key employees 251 751 6 Compensation not included above to
disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c) (3) (8)
7 Other salaries and wages
8 Pension plan accruals and contributions (include section 401 (k) and section 403(b) employer contributions)
9 Other employee benefits
10 Payroll taxes
11 Fees for services (non-employees)
a Management
b Legal
c Accounting
d Lobbying
e Professional fundraising services See Part IV line 17 f Investment management fees 9 Other (If line 11 g amt exceeds 10 of line 25 colshy
umn (A) amt list line 11 g expenses on Sch 0) 12 Advertising and promotion
13 Office expenses
14 Information technology
15 Royalties
16 Occupancy
17 Travel
18 Payments of travel or entertainment expenses for any federal state or local public officials
19 Conferences conventions and meetings 20 Interest
21 Payments to affiliates
22 Depreciation depletion and amortization
23 Insurance 24 Other expenses Itemize expenses not
covered above (List miscellaneous expenses in line 24e If line 24e amount exceeds 10 of line 25 column (A) amount list line 24e expenses on Schedule 0)
a ])~ ~sectlr_e_ Io_m~ _F99g lEYlIelts_ +__~~---=--=+-_----L~~~-+-______-+-________ b Administrative services cM~~~_~xp~~s~_______ _ d Y~~iltb~ ~~el1~~ ________ _ e All other expenses
25 Total functional expenses Add lines 1 through 24e
26 Joint costs Complete this line only if the organization reported in column (8) joint costs from a combined educational campaign and fundraising solicitation Check here 0 if following SOP 98-2 (ASe 958720)
TEEAOll OLI2n Ri Form 990 (2012)
Loans and other receivables from current and former officers directors
~~~i1Ff ~eJ~~o[ees ~~~ ~ig~es ~~~~~~~~~~ ~~~I~~~~s ~o~plete Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1raquo persons described in section 4958(c)(3) (B) and contributing employers and sponsoring organizations of section Sal (c)(9) voluntary employees beneficiary organizations (see instructions) Complete Part II of Schedule L
Notes and loans receivable net
Inventories for sale or use
Prepaid expenses and deferred charges
I lOa c~~r-----~--~~~-
other securities See Part IV line 11
program-related See Part IV line 11
Other assets See Part IV line 11
15 Ie an accrue expenses
Grants payable Deferred revenue
Tax-exempt bond liabilities
or custodial account liability Complete Part IV of Schedule D
Loans and other payables to current and former officers directors trustees key employees highest compensated employees and disqualified persons Complete Part II of Schedule L
Secured mortgages and notes payable to unrelated third parties
Unsecured notes and loans payable to unrelated third parties
Other liabilities (including federal income tax payables to related third parties and other liabilities not included on lines 17-24) Complete Part X of Schedule D
Organizations that follow SFAS 117 (ASe 958) check here and complete
Unrestricted net assets
Temporarily restricted net assets
Permanently restricted net assets
Organizations that do not follow SFAS 117 (ASe 958) check here D 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
Total net assets or fund balances
Total liabilities and net assetsfund balances
94-2460211 Page 11
Cash - non-interest-bearing
2 Savings and temporary cash investments 3 Pledges and grants receivable net
4 Accounts receivable net
5
6
A S 7 S E 8 T S 9
lOa Land buildings and equipment cost or other basis Complete Part VI of Schedule D
b Less accumulated depreciation
11 Investments - publicly traded securities
12 Investments shy
13 Investments shy
14 Intangible assets
15 16 17 18 19
L 20 I A 21 Escrow B I 22 L I T I 23E s 24
25
26 Total liabilities Add lines 17 through 25
N E T lines 27 through 29 and lines 33 and 34 A 27s s E 28 T 5 29 0 R
and complete lines 30 through 34J N 30
B 31 D
A L 32A N c 33 E s 34
BAA
(A) (B) Beginning of year End of year
IL 01103113
94-2460211 Page 12
Check if Schedule 0 contains a response to any question in this Part XI
Total revenue (must equal Part VIII column (A) line 12) 2 Total expenses (must equal Part IX column (A) line 25)
3 Revenue less expenses Subtract line 2 from line 1
4 Net assets or fund balances at beginning of year (must equal Part X line 33 column (A))
5 Net unrealized gains (losses) on investments 6 Donated services and use of facilities 7 I nvestment expenses 8 Prior period adjustments
9 Other changes in net assets or fund balances (explain in Schedule 0) Se~ SGb~ciul~ Q 10 Net assets or fund balances at end of year Combine lines 3 through 9 (must equal Part X line 33
column (B)) 10
Financial Statements and Reporting
Check if Schedule 0 contains a response to any question in this Part XII
1 Accounting method used to prepare the Form 990 D Cash [29 Accrual DOther
If the organization changed its method of accounting from a prior year or checked Other explain in Schedule O
2 a Were the organizations financial statements compiled or reviewed by an independent accountant If Yes check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis consolidated basis or both
D Separate basis D Consolidated basis D Both consolidated and separate basis
b Were the organizations financial statements audited by an independent accountant
If Yes check a box below to indicate whether the financial statements for the year were audited on a separate basis consolidated basis or both
~ Separate basis DConsolidated basis 0Both consolidated and separate basis
c 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 O
3 a As a result of a federal award was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133
b If Yes did the organization undergo the required audit or audits If the organization did not undergo the required audit or audits explain why in Schedule 0 and describe any steps taken to undergo such audits
BAA
1 384 061_
3a x
3b X Form (2012)
OMB No 1545-0047
SCHEDULE A Public Charity Status and Public Support (Form 990 or 990-EZ) 2012
Complete if the organization is a section 501 (c)(3) organization or a section 4947(a)(1) nonexempt charitable trust
Department of the Treasury Internal Revenue Service ~ Attach to Form 990 or Form 990-EZ ~ See separate instructions
2
3 4
~ A church convention of churches or association of churches described in section 170(bX1XAXi)
A school described in section 170(bX1)(AXii) (Attach Schedule E)
A hospital or a cooperative hospital service organization described in section 170(bX1XA)(iii)
A medical research organization operated in conjunction with a hospital described in section 170(bXl)(AXiii)- Enter the hospitals
name city and state
5 An organization operatedfOr thebenefit Of acollege oruniversh-Y owned or operated bya-governmentalunltdescribed in sectiOn - - - - - - shyD 170(bX1XAXiv) (Complete Part II)
6 A federal state or local government or governmental unit described in section 170(b)(1)(AXv) R7 X 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)(1XAXvi) (Complete Part II)
8 D A community trust described in section 170(bX1XAXvi) (Complete Part II)
9 D An organization that normally receives (1) more than 33-13 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 33-13 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)
10 An organization organized and operated exclusively to test for public safety See section 509(aX4) R11 An organization organized and operated exclusively for the benefit of to perform the functions of or carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2) See section 509(aX3) Check the box that describes the type of supporting organization and complete lines 11 e through 11 h
a DType I b DType II c D Type III - Functionally integrated d D Type III - Non-functionally integrated
e D 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 is a Type I Type II or Type III supporting organization check this box D
9 Since August 172006 has the organization accepted any gift or contribution from any of the following persons
I Yes No (i) A person who directly or indirectly controls either alone or together with persons described in (ii) and (iii)
below the governing body of the supported organization 11 g (i) ~-----r---+---shy
(ii) A family member of a person described in (i) above 11 9 (ii)
(iii) A 35 controlled entity of a person described in (i) or (ii) above 11 g (iii) h Provide the following information about the supported organization(s)
(i) Name of supported organization
(ii) EIN (iii) Type of organization (described on lines 1-9
(iv) Is the organization in
(v) Di d you notify the organization in
(vi) Is the organization in
(vii) Amount of monetary support
above or IRe section column (i) listed in column (i) of your column (i) (see instructionsraquo your governing
document support organized in the
US
(A)
(8)
(C)
(D)
(E)
Total
For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990-EZ
I EEA040 Il_
Schedule A (Form 990 or 990-EZ) 2012 Community Bridges 94-2460211 Page 2
_Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5 7 or 8 of Part I or if the organization failed to qualify under Part III If the organization fails to qualify under the tests listed below please complete Part III)
Section A Public Su rt Calendar year (or fiscal year beginning in) ~ (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts grants contributions and membership fees received ltpo not include any unusual grants ) 11700497 12531538 11914396 13085089 12897266 62 128 786
2 Tax revenues levied for the organizations benefit and either paid to or expended on its behalf o
3 The value of services or facilities furnished by a governmental unit to the organization without charge
4 Total Add lines 1 through 3 5 The portion of total
contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2 of the amount shown on line 11 column (f) o
6 786
Calendar year (or fiscal year beginning in) ~
7 Amounts from line 4
8 Gross income from interest dividends payments received on securities loans rents royalties and income from similar sources 7 754 3 403 5 421 244 51 392 68 214
9 Net income from unrelated business activities whether or not the business is regularly carried on o
10 Other income Do not include gain or loss from the sale of capital aS~~Se(Ep~fie irrV
13 First five years If the Form 990 is for the organizations first second third fourth or fifth tax year as a section 501 (c) (3) organization check this box and stop here ~ D
Section C Computation of Public Support Percentage 14 Public support percentage for 2012 (line 6 column (f) divided by line 11 column (f)) 9892 15 Public support percentage from 2011 Schedule A Part II line 14 9886
16a 33-13 support test - 2012 If the organization did not check the box on line 13 and the line 14 is 33-13 or more check this box and stop here The organization qualifies as a publicly supported organization ~ ~
b 33-13 support test - 2011 If the organization did not check a box on line 13 or 16a and line 15 is 33-13 or more check this box and stop here The organization qualifies as a publicly supported organization ~ D
17 a 1 O-facts-and-circumstances test - 2012 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-andmiddot circumstances test check this box and stop here Explain in Part IV how the organization meets the factsmiddotand-circumstances test The organization qualifies as a publicly supported organization ~ lJ
Part IV)
11 rh~~aJ9shu~8~~ ~dd Iin~s
612 273
12 Gross receipts from related activities etc (see instructions) L-__~~~~~~~
b 1 O-facts-and-circumstances test - 2011 If the organization did not check a box on line 13 16a 16b or 17a and line 15 is 10 or more and if the organization meets the facts-and-circumstances test check this box and stop here Explain in Part IV how the 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 o( l7b check this box and see instructions
Schedule A (rorm 990 or 990middot[2) 202
~EEA0402L 080912
Section A Public rt Calendar year (or fiscal yr beginning in)
1 Gifts grants contributions
Schedule A (Form 990 or 990middotEZ) 2012 Communi Br s 94-2460211 3 Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II If the organization fails to qualify under the tests listed below please complete Part II)
and membership fees received (Do not include any unusual grants)
2 Gross receipts from admisshysions merchandise sold or services performed or facilities furnished in any activity that is related to the organizations taxmiddotexempt purpose
3 Gross receipts from activities that are not an unrelated trade or business under section 513
4 Tax revenues levied for the organizations benefit and either paid to or expended on its behalf
5 The value of services or facilities furnished by a governmental unit to the organization without charge
6 Total Add lines 1 through 5 7 a Amounts included on lines 1
2 and 3 received from disqualified persons
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5000 or 1 of the amount on line 13 for the year
c Add lines 7a and 7b
8
Calendar year (or fiscal yr beginning in) (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (I) Total
9 Amounts from line 6 10 a Gross income from interest
dividends payments received on securities loans rents royalties and income from similar sources
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30 1975
c Add lines lOa and 1 Db Net income from unrelated business
activities not included in line lOb whether or not the business is regularly carried on
12 Other income Do not include gain or loss from the sale of capital assets (Explain in Part IV)
13 Total support (Add Ins9 10c 11 and 12) ~~~____~~~~____~~__~__-L__________ __~~~~~__~
14 First five years If the Form 990 is for the organizations first second third fourth or fifth tax year as a section 501 (c)(3)organization check this box and stop here
Section C Computation of Public Support Percentage shy15 Public support percentage for 2012 (line 8 column (I) divided by line 13 column (I)) 16 Public support percentage from 2011 Schedule A Part III line 15
Section D Computation of Investment Income Percentage 17 Investment income percentage for 2012 (line 10c column (I) divided by line 13 column (I)) 17
18 Investment income percentage from 2011 Schedule A Part III line 17 18 19a 33-13 support tests - 2012 If the organization did not check the box on IIn8 14 and line 15 is more than 33-13 and line 17
is not more than 33-13 check this box and stop here The organization qualifies as a publicly supported organization
b 33-13 support tests - 2011 If the organization did not check a box on line 14 or line 19a and line 16 is more than 33-13 and line 18 is not mOIe than 33-13 check this box and stop here The organization qualifies as a publicly supported organization
20 Private foundation If the organization did not check hox Orl line 14 19a or 19b check box and see instructions ~H -----o------~--- ------
BAA NJ403L 080912 Schedule A (Form 990 or 99QZ) 2012
4 Schedule A (Form 990 or 990-EZ) 2012 Communi s 94-2460211 Supplemental Information Complete this part to provide the explanations required by Part II line 10 Part II line 17a or 17b and Part III line 12 Also complete this part for any additional information (See instructions)
___~P~~t1~cJ~Cule_~dJltli9~lt ~~~lelTI_e~U~f9l1aiQf _______________________________ _
_ _cLeID1tu_g1_lzgti_ol)-PSlYlJ1~nL _ _ _ _ _ _ _ _ _ _ _ _ ________________________________ _
BAA
081012
2012 Schedule A Part IV - Supplemental Information PageS
Community Bridges 94-2460211
Part II Line 10 - Other Income
Nature and Source 2012 2011 2010 2009 2008
Other Income Total
$ 108645 $ 108645
$ 36333 $ 36333
$ 130009 $ 130009
$ 169710 $ 169710
$ $
167576 167576
------
---------------
OMB No 1545middot0047SCHEDULE C Political Campaign and Lobbying Activities (Form 990 or 990-EZ)
For Organizations Exempt From Income Tax Under section 501 (c) and section 527 2012 Complete if the organization is described below Attach to Form 990 or Form 990-EZ
Department of the Treasury Internal Revenue Service See separate instructions
If the organization answered Yes to Form 990 Part IV line 3 or Form 990-EZ Part V line 46 (Political Campaign Activities) then bull Section 501 (c)(3) organizations Complete Parts I-A and B Do not complete Part I-C bull Section 501 (c) (other than section 501 (c)(3raquo) organizations Complete Parts I-A and C below Do not complete Part I-B bull Section 527 organizations Complete Part I-A only
If the organization answered Yes to Form 990 Part IV line 4 or Form 990-EZ Part VI line 47 (Lobbying Activities) then bull Section 501 (c) (3) organizations that have filed Form 5768 (election under section 501 (h)) Complete Part II-A Do not complete Part II-B
bull Section 501 (c) (3) organizations that have NOT filed Form 5768 (election under section 501 (h)) Complete Part II-B Do not complete Part II-A
If the organization answered Yes to Form 990 Part IV line 5 (Proxy Tax) or Form 990-EZ Part V line 35a (Proxy Tax) then bull Section 501 (c)(4) (5) or (6) organizations Complete Part III
See Part IV 2 3 Volunteer hours bull w Complete if the organization is exempt under section 501 (c)(3) 1 Enter the amount of any excise tax incurred by the organization under section 4955
2 Enter the amount of any excise tax incurred by organization managers under section 4955
3 If the organization incurred a section 4955 tax did it file Form 4720 for this year DYes
4a Was a correction made middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotDYes b If Yes describe in Part IV
II~~~~~~~~~~~~--~~~~~~~--~~---------2 Enter the amount of the filing organizations funds contributed to other organizations for section 527 exempt
function activities $
3 Total exempt function expenditures Add lines 1 and 2 Enter here and on Form 1120-POL line 17b ~ $
4 Did the filing organization file Form 1120-POL for this year DYes
5 Enter the names addresses and employer identification number (EIN) of all section 527 political organizations to which the filing organization made payments For each organization listed enter the amount paid from the filing organizations funds Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization such as a separate segregated fund or a political action committee (PAC) If additional space is needed provide information in Part IV
(a) Name (b) Address (e) EIN (d) Amount paid from filing (e) Amount of political organizations funds If contributions received and
none enter-Omiddot promptly and directly delivered to a separate political organization If
none enter -0middot
(1) ~---------------~---
(2) ~------
(3) ~-
(4)
~~)~~~~~--~~~~--~-~---~~-~---~~~~~~~-~_-_~~~~-----~~~~~~-~~~~~~~~~~-~~~~~-~---------_-_--f------c_~~~_-middot_J_L~~--------+---~ -~ -shyBAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990middotEZ Schedule C (Form 990 or 990middotEZ) 2012
TEEA320 I L 217112
----
Schedule C(Form 990 or 990-EZ) 2012 Communi Bri s 4-2460211 Page 2
Complete if the organization is exempt under section 501 (c)(3) and filed Form 5768 (election under section 501 (hraquo
A Check ~ 0 if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group members name
address EIN expenses and share of excess lobbying expenditures)
B Check ~ 0 if the filing organization checked box A and limited control provisions apply
Limits on Lobbying Expenditures (a) Filing (b) Affiliated organizations totals group totals (The term expenditures means amounts paid or incurred)
1 a Total lobbying expenditures to influence public opinion (grass roots lobbying)
b Total lobbying expenditures to influen_ce a legislative body (direct lobbying)
c Total lobbying expenditures (add lines 1a and 1b)
d Other exempt purpose expenditures
e Total exempt purpose expenditures (add lines 1c and 1d)
f Lobbying nontaxable amount Enter the amount from the following table in both columns
g Grassroots nontaxable amount (enter 25 of line 1f)
h Subtract line 1g from line 1a If zero or less enter -0-
Subtract line 1f from line 1c If zero or less enter -0-
If there is an amount other than zero on either line 1h or line 1i did the organization file Form 4720 reporting section 4911 tax for this year DYes 0No
4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501 (h) election do not have to complete all of the five
columns below See the instructions for lines 2a through 2f)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total year beginning in)
13l7 524
2a Lobbying non-taxable amount 3 513 393
b Lobbying ceiling amount (150 of line 2a column (eraquo 5 270 090
c Total lobbying enditures 18 425
d Grassroots nontaxable amount 878 349
e Grassroots ceiling amount (150 of line 2d column
f Grassroots lobbying expenditures o
BAA Schedule C (Form 990 or 990-EZ) 2012
-EEA3202L 010713
3 Schedule C(Form 990 or 2012 Bri 94-2460211 Complete if the organization is exempt under se as NOT filed Form 5768 (election under section 501 (hraquo
For each Yesresponse to lines 7a through Ii below provide in Part IVa detailed description of the lobbying activity
During the year did the filing organization attempt to influence foreign national state or local legislation including any attempt to influence public opinion on a legislative matter or referendum through the use of
a Volunteers
b Paid staff or management (include compensation in expenses reported on lines 1 c through 1 i)
c Media advertisements
d Mailings to members legislators or the pUblic ~~---+--------------
e Publications or published or broadcast statements
f Grants to other organizations for lobbying purposes
9 Direct contact with legislators their staffs government ofFicials or a legislative body
h Rallies demonstrations seminars conventions speeches lectures or any similar means
i Other activities ~~~~--------
j Total Add lines 1c through 1 i ~lli~J~i01 ~2iJn
I----t---- shy
2 a Did the activities in line 1 cause the organization to be not described in section 501 (c)(3)
b If Yes enter the amount of any tax incurred under section 4912
c If Yes enter the amount of any tax incurred by organization managers under section 4912
d If the filing organization incurred a section 4912 tax did it file Form 4720 for this year
Complete if ization is exempt under section 501 (c)(4) section 501 (c)(5) or section 501
Were substantially all (90 or more) dues received nondeductible by members 1----+---1---shy
2 Did the organization make only inmiddothouse lobbying expenditures of $2000 or less f----j----j--- shy
3 Did the organization agree to carryover lobbying and political from the prior year
Complete if the organization is exempt under section 501 (c)(4) section 501 (c)(5) or section 501 (c) (6) and if either (a) BOTH Part III-A lines 1 and 2 are answered No OR (b) Part III-A line 3 is answered Yes
Dues assessments and similar amounts from members
2 Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid)
a Current year
b Carryover from last year
c Total
3 Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues
4 If notices were sent and the amount on line 2c exceeds the amount on line 3 what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year
I---~--------------5 Taxable amount of lobbying and political expenditures (see instructions)
Complete this part to provide the descriptions required for Part ImiddotA line 1 Part ImiddotB line 4 Part Imiddote line 5 Part IImiddotA (affiliated group list) Part IImiddotA line 2 and Part IImiddotB line 1 Also complete this part for any additional information
TEEA32031 OliO
Scheciu1e
-----------------
OMB I~o 1545-0047 SCHEDULE D (Form 990) Supplemental Financial Statements 2012
~ Complete if the organization answered Yes to Form 990 Part IV lines 6 7 8 9 10 l1a 11 b 1lc l1d l1e l1f 12a or 12b
~ Attach to Form 990 ~ See instructions
(a) Donor advised funds
1 Total number at end of year
2 Aggregate contributions to (during year
3 Aggregate grants from (during year) 4 Aggregate value at end of year
S Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organizations property subject to the organizations exclusive legal control DYes
6 Did the organization inform all grantees donors and donor advisors in writing that grant funds can be used only
impermissible private benefit for charitable purposes and not for the benefit of the donor or donor advisor or for any other purpose conferring
No
(b) Funds and other accounts
Purpose(s) of conservation easements held by the organization (check all that apply)
Preservation of land for public use (eg recreation or education) D Preservation of an historically important land area
Protection of natural habitat D Preservation of a certified historic structure
Preservation of open space ~
2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the iast day of the tax year
a Total number of conservation easements
b Total acreage restricted by conservation easements
c Number of conservation easements on a certified historic structure included in (a)
d Number of conservation easements included in (c) acquired after 81706 and not on a historic structure listed in the National Register 2 dL-__L-_________________________
3 Number of conservation easements modified transferred released extinguished or terminated by the organization during the tax year Igt
4 Number of states where property subject to conservation easement is located Igt
S Does the organization have a written policy regarding the periodic monitoring inspection handling of violations and enforcement of the conservation easements it holds DYes
6 Staff and volunteer hours devoted to monitoring inspecting and enforcing conservation easements during the year Igt
7 Amount of expenses incurred in monitoring inspecting and enforcing conservation easements during the year 1gt$
8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(8)(i) and section 170(h)(4)(8)(ii) DYes
9 In Part XIII describe how the organization reports conservation easements in its revenue and expense statement and balance sheet and include if applicable the text of the footnote to the organizations financial statements that describes the organizations accounting for conservation easements
tf~rtiml Organizations Maintaining Collections of Art Historical Treasures or Other Similar Assets Complete if the organization answered Yes to Form 990 Part IV line 8
1 a If the organization elected as permitted under SFAS 116 (ASC 958) 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 XIII the text of the footnote to its financial statements that describes these items
b If the organization elected as permitted under SFAS 116 (ASe 958) 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 VI I line 1 ~$
(ii) Assets included in Form 990 Part X 11gt-$
2 If the organization received or held works of art histOrical treasures or other similar assets for financial gaill provide the following amounts required to be reported under SFAS 116 (ASe 958) relating to these items
11gt-$ -~~-------
$ BAA For Paperwork Reduction Act Notice the Instructions for Form 990 991l) CJ12
~--~-------------------------
-----------------------------------------------
-------
e2
3 Using the organizations acquisition accession and other records check any of the following that are a significant use of its collection items (check all that apply)
a sectPublic exhibition d BLoan or exchange programs b Scholarly research e Other
c Preservation for future generations
4 Provide a description of the organizations collections and explain how they further the organizations exempt purpose in Part XIII
5 During the year did the organization solicit or receive donations of art historical treasures or other similar assets D to be sold to raise funds rather than to be maintained as part of the organizations collection Yes
IRal~IYRI Escrow and Custodial Arrangemel1ts Complete if the organization answered Yes to Form 990 Part IV line 9 or reported an amount on Form 990 Part X line 21
1 a ~nt~~r~g~~~~~r~ ~~ ~~~~t~ trus~e~ ~u~t~~i~~ or ot~er int~~~~~~~~~ ~o~contnbu~i~~~ ~r ~~e~ ass~ts n~i~cI~~~d DYes
b If Yes explain the arrangement in Part XIII and complete the following table
Amount
c Beginning balance 1 c d Additions during the year d
e Distributions during the year 1 e f Ending balance 1f
2a Did the organization include an amount on Form 990 Part X line 21 UYes NOb If Yes explain the arrangement in Part XIII Check here if the explantion has been provided in Part Xlll D
fBaIM~1 Endowment Funds Complete if the or~anization answered Yes to Form 990 Part IV line 10 (a) Current (b) Prior year (e) Two years (d) Three years (e) Four years
1 a Beginning of year balance
b Contributions
c Net investment earnings gains and losses
d Grants or scholarships
e Other expenditures for facilities and programs
f Administrative expenses
9 End of year balance
2 PrOVide the estimated percentage of the current year end balance (line 1 g column (araquo held as
a Board designated or quasi-endowment b Permanent endowment c Temporarily restricted endowment
The percentages in lines 2a 2b and 2c should equal 10000
3 a Are there endowment funds not in the possession of the organization that are held and administered for the organization by Yes No (i) unrelated organizations 3a(i)
(ii) related organiZations 3a(ii)
b If Yes to 3a(ii) are the related organizations listed as required on Schedule R 3b I 4 Describe in Part XIII the intended uses of the organizations endowment funds
1 a Land
b Buildings
c Leasehold improvements
d Equipment
e Other
Total Add lines 1 a
BAA
(d) Book value
TEEt3302L 06e71 i 2
-------------------------
of security or rfpnlrl
name of secu (1) Financial derivatives
94-2460211
uation Cost or rket value
Page 3
~------------~--------------------------------------(2) Closely-held equity interests
~------------~--------------------------------------(3) Other ______________________ +----------f--------------------shyi~ __________________________1---_______-+____________________ (8)
iq __________________________~-----~---------------------------iD1_ - - - - - - - - - - - - - - - - - - - - - - -- -f------------+-------------------------------shy(E)- - - - - - - - - - - - - - - - - - - - - - - - - - - - ~-------------I---------------------------------------~~--------------------------f__----------+_-------------------------------iGl ______ -- _________ - _ - - - __ - - -f__----------l-----------------------------shy(H)- - - - - - - - - - - - - - - - - - - - - - - - - - - -- ~-------------+---------------------------------------J~ _____________________ _
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10) ----shy
(11)
Total (Column (b) must equal Form 990 Part X column (8) line 25) 2 FIN 48 CASe 740) Footnote In Part XIII provide the text of the footnote to the organizations financial statements that reports the organizations liability for uncertain tax positions under FIN 48 (ASe 740) Cherv here If the text of the footnote has been provided 11 Part XIII LJ BAA ____~_~__O~_ ~-~-~~~~--~~~-- --~T~-~middotA3303L- 122312 -- gt--~~-- Schedule 0 (Form 990) 2012
Page 4
2 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 XIII)
e Add lines 2a through 2d
3 Subtract line 2e from line 1 4 Amounts included on Form 990 Part VIII line 12 but not on line 1
a Investment expenses not included on Form 990 Part VIII line 7b
b Other (Describe in Part XII I)
c Add lines 4a and 4b
5 Total revenue Add lines 3 and 4c (This must equal Form 990 Part I line 72)
Total expenses and losses per audited financial statements
2 Amounts included on line 1 but not on Form 990 Part IX line 25
a Donated services and use of facilities 13 244 b Prior year adjustments c Other losses
d Other (Describe in Part XIII)
e Add lines 2a through 2d 3 Subtract line 2e from line 1
4 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 XIII) c Add lines 4a and 4b
must equal Form 990 Part I line 78)
Complete this part to provide the descriptions required for Part II lines 3 5 and 9 Part III lines 1a and 4 Part IV lines 1b and 2b Part V line 4 Part X line 2 Part XI lines 2d and 4b and Part XII lines 2d and 4b Also complete this part to provide any additional information
BAA Schedule 0 (Form 990) 2012
fEEA3304L 1
OMS No 1545middot0047
SCHEDULE G Supplemental Information Regarding (Form 990 or 990-EZ) Fundraising or Gaming Activities 2012
Complete if the organization answered Yes to Form 990 Part IV lines 17 18 or 19 or if the organization entered more than $15000 on Form 990-EZ line 6aDepartment of the Treasury
Internal Revenue Service ~ Attach to Form 990 or Form 990-EZ ~ See separate instructions
Name of Employer
94-2460211 InnInn ACtlVlllles Complete if the organization
___-c---cFo_r_m--- ~ filers are not required to complete this part
Indicate whether the organization raised funds through any of the following activities Check all that apply
a DMail solicitations e DSolicitation of non-government grants
b D Internet and email solicitations f DSolicitation of government grants
c D Phone solicitations g D Special fundraising events
d D Inmiddotperson solicitations
2 a 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 DYes ~No
b If Yes list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fund raiser is to be compensated at least $5000 by the organization
(i) Name and address of individual or entity (fund raiser)
(ii) Activity (iii) Did fund raiser have custod6or control
of contri utions
(iv) Gross receipts from activity
(v) Amount paid to (or retained by)
fundraiser listed in
(vi) Amount paid to (or retained by)
organization column (i)
Yes No
1
-- shy2
3 I
4 -----~--------
5
6
7 -__----shy
8
9
10
Total O bull -
3 List all states In which the organization IS reglslered or licensed to SOliCit contributions or has been notified It IS exempt from registration or licensing
- --~---~---~-- ~-~--~-~--~-~~-- ---
BAA for Paperwork Reduction Act Notice see the Instructions Form 990 or 990-EL Schedule G (runn 990 or 990-EZ) 2012 TEEA3701L 01107113
--
------
Schedule G (Form 990 or 990-EZ) 2012 Commun Br 94-2460211 Page 2
Fun ng Events Complete if the organization answered Yes to Form 990 Part IV ine 18 or reported more than $15000 of fundraising event contributions and gross income on Form 990-EZ lines 1 and 6b List events with gross receipts greater than $5000
(a) Event 1 (b) Event 2 (c) Other events (d) Total events (add column (a)
Italian Affair None through column (craquoR (event type) (event type) (total number) E V E N 1 Gross receipts 20186 20186 U E
2 Less Charitable contributions
3 Gross income (line 1 minus line 2) 20186 20186
4 Cash prizes
5 Noncash prizes D
R I
6 Rentfacility costs E C T 7 Food and beverages 5391 539l E x p 8 Entertainment E
N s 9 Other direct expenses 5822 5822E S
10 Direct expense summary Add lines 4 through 9 in column (d) 11213 11 Net income summary Combine line 3 column (d) and line 1 Q 8973
[Pifllll Gaming Complete if the o~ganization answered Yes to Form 990 Part IV line 19 or reported more than
(a) Bingo (b) Pull tabsllnstant (c) Other gaming (d) Total gaming R E bingoprogressive (add column (a) V bingo through column (eraquo E N U E Gross revenue
2 Cash prizes ~------------4---------------+--------------~--------------E
D X I P 3 Non-cash prizes R E E N C S T E
S 4 Rentfacility costs
5 Other direct expenses
Yes Yes Yes 6 Volunteer labor No No No
7 Direct expense summary Add lines 2 through 5 in column (d)
8 Net gaming income summary Combine lines 1 column (d) and line 7
9 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 0 Yes
b If No explain
lOa Were any of the organizations gaming licenses revoked suspended or terminated during the tax year 0 Yes b If Yes explain
BAA TFJ3]02L 010713 ScheclJle G (F (JIm 990 or 990 2012
------------
-----------
Schedule G (Form 990 or 990-EZ) 2012 Community Bridges 94-2460211 Page 3 11 Does the organization operate gaming activities with nonmembers DYes 12 Is the organization a grantor beneficiary or trustee of a trust or a member of a partnership or other entity formed to
administer charitable gaming DYes 13 Indicate the percentage of gaming activity operated in
a The organizations facility 13a ~13-b~------------~~b An outside facility
14 Enter the name and address of the person who prepares the organizations gamingspecial events books and records
Name
Address
15a Does the organization have a contact with a third party from whom the organization receives gaming revenue DYes b If Yes enter the amount of gaming revenue received by the organization $ and the amount
of gaming revenue retained by the third party $ c If Yes enter name and address of the third party
Name ---------------------------------------------~-----l
I Address I
16 Gaming manager information
Name
Gaming manager compensation $
Description of services provided
D Directorofficer DEmployee D independent contractor
17 Mandatory distributions
a Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the ~~egaminglicense ___________________________________________________________________ D~s ~No
b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the
organizations own exempt activities during the tax year $ lean~IlUI Supplemental Information Complete this part to provide the explanations required by Igtart I line 2b
columns (iii) and (v) and Part III lines 9 9b 1 ~b 15b 15c 16 and 17b as applicable Also complete this part to provide any additional information (see instructions)
----------------------- -------------------- ------ ----------------------------- __--shy
_ ---_ --------------- ---------------- ----- shy
BAA TEEA3703L 010113 Schedule G (Form 990 or 990middotEZ) 2012
--------------------------------------------------------- ---------
OMB No 1545-0047SCHEDULE 0 Supplemental Information to Form 990 or 990middotEZ (Form 990 or 990-EZ)
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information
Department of the Treasury ~ Attach to Form 990 or 990-EZInternal Revenue Service
Name of the
94-2460211
health care 4112-63012
BAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990-EZ TFEIA)IJIL 12812 Schedule 0 (Forrn 990 or 2012
Schedule 0 (Form 990 or 990-EZ) 2012 Page 2 Name of the organization Employer Identification number
Community Bridges 94-2460211
~ ~~Oy~~sjg1~~ge~~~e~~~~~ ~~~ ~ ~ ~~ ~~ ~_ ~~ ~ ~ ~~~~~~~ ~ ~ ~ ~ ~ ~~~~ ~ ~ ~~ ~ ~~~~~ ~ ~ ~ ~ _
Schedule (Form 990 or
TEEA4902L
2012
2012 Schedule 0 bull Supplemental Information Page 1
Community Bridges 94-2460211
Form 990 Part XI Line 9 Other Changes In Net Assets Or Fund Balances
Depreciation Grant Funded Assets $ -140124 Familia Net Assets 82104
Total $ -58020========
-------------------
OMS No 1545-0047
SCHEDULE R (Form 990) Related Organizations and Unrelated Partnerships 2012
Complete if the organization answered Yes to Fonn 990 Part IV line 33343536 or 37DqJ21rTrrent of the Treasury Internal Revenue Service Attach to Form 990 ~ See separate instructions Name of the organization
s 94-2460211Commu
rp~ Identification of Disregarded Entities (Complete if the organization answered Yes to Form 990 Part
(a) (b) (c) (e) (f) iiame address and EIN (if applicable) of disregarded entity Primary activity Legal domicile (state End-of-year assets Direct controlling
or foreiqn country) entity
=== === =_===== =_ ===== == ===__1 1-- -- -=-=1 TI ~~
FPafIIldentification 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)
(a) Name address and EIN of related organization
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Exempt Code
section
(e) Public charity status (if section 501 (c) (3raquo)
(f) Direct controlling
entity
(g)Sec 512(b)(13)
controlled entity
Yes No (1) FAMILIA CENTER
236SANTA-rnUZAVE----------- shy------------------------- shyAPTOS CA 95003770071589 - - shy - - - -- shy - - - -- shy - - shy BILINGUAL FAMILY
SERVICES CA I
501(C)3 PUBLIC
CHARITY COMMUNITY
BRIDGES X
---------------------- shy_shy --shy --------------------- shy - shy - -- -- shy - - shy - - shy - - - - - - - - - - - - - - -
- --
----------~--------------
-shy - shy --------------------- shy
-shy - shy - shy - shy shy -shy - - ---------------- shy- c--- shy
- - -- --- -- - - - - --- - - - - - - - - - - - - shy
- - -- - shy
- -- - --------------------- shy -=r_ I _ __ I
~-- I ------- - -- ----- --- --
BAt For Paperwork Reduction Act Notice see the Instructions for Form 990 TEEA5001 L 122812 Schedule R (Form 990) 2012
- -- ------
----- -
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 2
re~rtUI Iidentific~tion of Related Organizations T~xable 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)
me oddltl od EIN of I PIm~~cttyrelated organization
-+shy----shy
-_--shy -- -shy ~
(c) Legal
domicile (state or foreign country)
(d) Direct
controlling entity
(e) Predominant income (related unrelated excluded from tax
under sections 512-514)
(f) Share of total
income
(g) Share of
end-of-year assets
(h) Disproporshy
tionate allocations
Yes No
(i) Code V-UBI
amount in box 20 of Schedule
K-1 (Form 1065)
(j) General or managing partner
Yes No
(k) Percentage ownership
shy -shy --shy --shy -shy
-shy -__shy ---shy -shy
_ _ _____ ___ J~
-- -- -- - - - -- - -- shy
-
--T~ --=~ -- ~~==~=-
I
IPaHJVl Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered Yes to Form 990 Part IV L----_-l line 34 because it had one or more related organizations treated as a corporation or trust during the tax year)
(a) (b) I (c) (d) (e) I (f) (g) (h) I (i)iiame address and EIN of related organization Primary activity Legal domicile Direct Type of entity Share of Share of end-of- Percentage Sec S12(b)(13)
(state or foreign controlling (C corp S corp total income year assets ownership controlled entitycountry) entity or trust)
Yes I No
- - - - - - - - - -- - - - - - -- --I --------------------4
--==========1------~--------------~------------~------------~------------~--------------~--------------~--------~I----~------TEEA5002L 1228112 Schedule R (Form 990) 2012
---------
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 3
i])~ Transactions With Related Organizations (Complete if the organization answered Yes to Form 990 Part IV line 34 35b or 36)
Note Complete line 1 if any entity is listed in Parts II III or IV of this schedule During the lax year did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity b Gift grant or capital contribution to related organization(s)
Gift grant or capital contribution from related organization(s)
d Loans or loan guarantees to or for related organization(s)
e Loans or loan guarantees by related organization(s)
Dividends from related organization(s) 9 Sale of assets to related organization(s)
h Purchase of assets from related organization(s)
Exchange of assets with related organization(s)
Lease c[racilities equipment or other assets to related organization(s)
Lease of facilities equipment or other assets from related organization(s)
Performance of services or membership or fundraising solicitations for related organization(s)
Ferformance of services or membership or fundraising solicitations by related organization(s)
Sharing of facilities equipment mailing lists or other assets with related organization(s)
o Sharing of paid employees with related organization(s)
Reimbursement paid to related organization(s) for expenses
q Reimbursement paid by related organization(s) for expenses
r Other transfer of cash or property to related organization(s
5 Other transfer of cash or property from related organization(s)
If the answer to any of the above is Yes see the instructions for information on who must complete this line including covered relationships and transaction thresholds
(b) (c)N f h(a) d (2 lame 0 ot er organization Transaction Amount involved Metho of etermlnlng --~
type (a-s) amount involved
(1)
(2)
ltd ~ ~J
I I I
(5) ------------shy
(6) ~---------------------------------------------------------------------------~--------------~--------~~~~--~--~~~
TEEIS003L 1228112 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 4
e~~I1 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) I (b) (c) (d) (e) (f) (g) (h) (i) (j) I (k)Jame address and EIN of entity Primary activity Legal domicile Predominant Are all partners Share of Share of Dispropor- Code V-UBI General or Percentage
(state or foreign income section total income end-of-year tionate amount in box managing ownership country) (related unre- 501 (c)(3) assets allocations 20 of Schedule partner
lated excluded organizations i K- 1 from tax under ~---c--- Form (1065)
section 512-514) Yes I No Yes No Yes No----+----1
- --==~ ~ ~ ====== ~ I ~ --I------+--+----t--shy
(3)
--------------1
(6)
-____ __~__ - I I I SAl TEEAS004L 122812 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Page 5 _ Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions)
-r- I - lt-j005L middot22312 Schedule R (Forni
94-2460211 Page 5
1 a Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable
b Enter the number of Forms W-2G included in line 1 a Enter -0- if not applicable
c Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners
2a Enter the number of employees reported on Form W-3 Transmittal of Wage and Tax State-i I
ments filed for the calendar year ending with or within the year covered by this return 2 a ------------------~
b If at least one is reported on line 2a did the organization file all required federal employment tax returns
Note If the sum of lines 1 a and 2a is greater than 250 you may be required to e-file (see instructions)
3 a Did the organization have unrelated business gross income of $1 000 or more during the year
b If Yes has it filed a Form 990-T for this year If No provide an explanation in Schedule Q
4a At any time during the calendar year did the organization have an interest in or a signature or other authority over a financial account in a foreign country (such as a bank account securities account or other financial account)
b If Yes enter the name of the foreign country ~
See instructions for filing requirements for Form TO F 90-221 Report of Foreign Bank and Financial Accounts
5 a 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
6a Does the organization have annual gross receipts that are normally greater than $100000 and did the organization solicit any contributions that were not tax deductible as charitable contributions
b If Yes did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible
7 Organizations that may receive deductible contributions under section 170(c)
a Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor
b If Yes did the organization notify the donor of the value of the goods or services provided
c Did the organization sell exchange or otherwise dispose of tangible personal property for which it was required to file Form 8282
d If Yes indicate the number of Forms 8282 filed during the year 7d e Did the organization receive any funds directly or indirectly to pay premiums on a personal benefit contract
r------1----- shyf Did the organization during the year pay premiums directly or indirectly on a personal benefit contract
g If the organization received a contribution of qualified intellectual property did the organization file Form 8899 as required
h If the organization received a contribution of cars boats airplanes or other vehicles did the organization file a Form 1098-C
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
9 Sponsoring organizations maintaining donor advised funds
a Did the organization make any taxable distributions under section 49667
b Did the organization make a distribution to a donor donor advisor or related person
10 Section 501(c)(7) organizations Enter
a Initiation fees and capital contributions included on Part VIII line 12
b Gross receipts included on Form 990 Part VIII line 12 for public use of club facilities
1 Section 501 (c)(12) organizations Enter
a Gross income from members or shareholders
b Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them)
12a Section 4947(a)(1) non - exempt charitable trusts Is the organization filing Form 990 in lieu 1041 b If Yes enter the amount of tax-exempt interest received or accrued during the year L-__L-______________~
13 Section 501 (c)(29) qualified nonprofit health insurance issuers a Is the organization licensed to issue qualified health plans in more than one state
Note See the instructions for additional information the organization must report on Schedule O
b Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans i 13b l
c Enter the amount of reserves on hand 113cj~~ 14a Did the organization receive any payments for indoor tanning sGrvices during the tax year
b If Yes has it filed a Form 720 to report these payrnenic7 If No provide an explanation SchedJle 0
T[EiOI05L 080812
--------------------------
Form 990 (2012) Community Bridges 94-2460211 Page 6
tallGovernance Management and Disclosure For each Yes response to lines 2 through 7b below and for a No response to line 8a 8b or 70b below describe the circumstances processes or changes in Schedule O See instructions Check if Schedule 0 contains a response to any question in this Part VI
1 a Enter the number of voting members of the governing body at the end of the tax year 1 a If there are material differences in voting rights among members f---I-------- shyof the governing body or if the governing body delegated broad authority to an executive committee or similar committee explain in Schedule O
b Enter the number of voting members included in line 1 a above who are independent 1 b L-~____________~
2 Did any officer director trustee or key employee have a family relationship or a business relationship with any other officer director trustee or key employee
3 Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers directors or trustees or key employees to a management company or other person
4 Did the organization make any significant changes to its governing documents
since the prior Form 990 was filed
5 Did the organization become aware during the year of a significant diversion of the organizations assets 6 Did the organization have members or stockholders
7 a Did the organization have members stockholders or other persons who had the power to elect or appoint one or more members of the governing body
b Are any governance decisions of the organization reserved to (or subject to approval by) members stockholders or other persons other than the governing body
8 Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following
a Tile governing body
b Each committee with authority to act on behalf of the governing body
9 Is there any officer director or trustee or key employee listed in Part VII Section A who cannot be reached at the organizations mailing address If Yes provide the names and addresses in Schedule 0
10 a Did the organization have local chapters branches or affiliates
b If Yes did the organization have written policies and procedures governing the activities of such chapters affiliates and branches to ensure their operations are consistent witll the organizations exempt purposes
11 a Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form
b Describe in Schedule 0 the process if any used by the organization to review this Form 990 See Schedule 0 12a Did the organization have a written conflict of interest policy If No go to line 73
b Were officers directors or trustees and key employees required to disclose annually interests that could give rise to conflicts
c Did the organization regularly and consistently monitor and enforce compliance with the policy If Yes describe in Schedule deghow this is done
13 Did the organization have a written whistleblower policy
14 Did 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 organizations CEO Executive Director or top management official
b Other officers of key employees of the organization See Schedule 0 If Yes to line 15a or 15b describe the process in Schedule O (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 did the organization follow a written policy or procedure requiring the organization to evaluate its partici I in joint venture arrangements under applicable federal tax law and taken steps to safeguard the nrrnl7tl status with ct to such ements
Section C Disclosure
x
17 List the states with which a copy of this Form 990 is required to be filed CA 18 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
[)1 Own website DAnothers website [XI Upon request Other (explain in Schedule 0)
19 Describe in Schedule 0 whether (and if so how) the organization makes Its governing documents conflict of Intel est rllcy and fillallcial statements available to Ute publiC durinl] the tax year See Schedule 0
20 State name phYSical address and telepholle nurnbu of the person who possesses the books iecolds of the organizatron
__B_en~0r1_CIO]~~_Siinta Cruz Apto_s_~~_~~O_03_(831) 688884CJ ____ BAA TEt6JJ i OGl 0808112 Forr 990 (20 12)
----- ----
---------------------
---------------------
---------------------
---------------------
---------------------
------------------------- ----
-----
---
---
Check if Schedule 0 contains a response to any question in this Part VII D Section A Officers Directors Trustees Key Employees and Highest Compensated Employees 1 a Complete this table for all persons required to be listed Report compensation for the calendar year ending with or within the organizations tax year
bull List all of the organizations current officers directors trustees (whether individuals or organizations) regardless of amount of compensation Enter -D- in columns (D) (E) and (F) if no compensation was paid
bull List all of the organizations current key employees if any See instructions for definition of key employee
bull List the organizations five current highest compensated employees (other than an officer director trustee or key employee) who received reportable compensation (Box 5 of Form W-2 andor Box 7 of Form 1 099-MISC) of more than $100000 from the organization and any related organizations
bull List all of the organizations former officers key employees and highest compensated employees who received more than $100000 of reportable compensation from the organization and any related organizations
bull List all of the organizations former directors or trustees that received in the capacity as a former director or trustee of the organization more than $10000 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
DCheck this box if neither the organization nor any related organization compensated any current officer director or trustee
(C)
(A) (8) Position (do not check more than (D) (E) (F) Name and Title Average Reportable Reportable Estimatedone box unless Rerson is both an
officer and a irectortrustee)hours per compensation from compensation from amount of other week (list the organization related organizations compensation any hours =gt J (Wmiddot21099-MISC) (Wmiddot21099-MISC) from the 0 lt I - Of
uo ltD 0 lt ~ organization
organizamiddot ~~ e- (1) 0lt1gt 3 and related for related = Dromiddot
(1) a lt Ugt tions oc =0
~ 3 (D~ ~ organizationsQ~ =gt D roltgtbelow 0 0
~ ltdotted 2 lt1gt 3 Dline) $Ii- 2 (I)
(I) OJ (gt $- raquo (1 ltt a
_Ql~~~1Y~E~a~_________ 5 Community Rep_ 0 X O O O
~~~c~_~aS2~s~~ _____ 5 Community Rep
--
0 X O O O _ l ~th~1_L~~is____ 5
Vice President 0 X X O O O (4) Barbara Frank 5
President 0 X X o O O (5) John Tuck 5
Community Rep 0 X 0_ O O (6) Mark Hartunian 5
Community Rep 0 X O O O _0_~~ry_~u~ll~_______ 40
Staff Sup_ Rep -
0 X 34197 O 7729 (8) Rick Roberts 5
Secretary 0 X X O O O (9) Linda Fawcett 5
Community Rep 0 X O O O 11~)_ ~~rj~ _B~1ia_ ~1r~~y -- ---
40 CB Staff Re12
-
0 X 33302 0_ 7689 11~)_ ~JJs_Eall1~r_______ 5
Community Rep --
0 X o O 0_ (12) Karl Rice 5
Treasurer 0 X X O O O 11~t ~(~ril~n jlip~JJ~____ 5
Community Rep 0 X O O o 11~)_ 8~b~f~a_ ft2w]~~ ___ T
Community Rep _~_-=-1- --t X I __~__~__ _~__ o_________middotlaquo__~_r_
O O - _-shy
1071_ 117l2 ro(rn (2012)
----- ---------------------
------ ---
------------------------------
----------- -
Form 990 (2012) Community Bridges 94-2460211 Page 8
_Section A Officers ~ctors TrLctooc Key Employees and Highest Compensated Employees (cant) (8) (C)
(A) Name and title
Position Average (do not check more than one
hours box unless person is both an per oj-ficer and a directortrustee)
(I~f~y IQ~ I~ I~ ~I fS hoursfor g ltIi - (() Iyen
related ~ ~ I~ lt
O~fo~~a Ii=- ~ Iiamp~below ltto
(0) Reportable
compensation from the organization (Nmiddot2I099-MISC)
(E) Reportable
compensation from related organizations
(N-2I099middotMISC)
(F) Estimated
amount of other compensation
from the organization and related
organizations
dotted ~ line) ~
o o o (16) Martin Bernal 5
rnmmllnity Rep 0 X o o o
X 86662 o 8237
i2~__________________
(22)
i2~_______________________ _ - -- shy
i2~)__ _____________________ _ ----_
i~)______________ -- -- shy
1 b Sub-total It- 220 041 o 31709 c Total from continuation sheets to Part VII Section A ogt- o o o d Total (add lines 1 band 1c 220 041 o 31 709
2 Total number of Individuals (inclucllng but not IlrTllted to those listed above) who received more than $100000 of reportable compensation
from the organization 0
3 Did the organization list any former officer director or trustee key employee or highest compensated employee on line 1 a If Yes complete Schedule J for such individual
4 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 $150000 If Yes complete Schedule J for such individual
5 Did any person listed on line 1 a receive or accrue compensation from any unrelated organization or individual for services rendered to the 0 ization If Yes Schedule J for such on
~om-pmiddotl-etmiddotet~h~is~tmiddotable--fo-r-y-o-u-rfiv-e-hmiddotigh-e-stc-o-m-pe-n-s-ate-d~in-de-p-e-nde-nt-c-o-ntr-a-cto-rs-Cth-at-r-e-cei-ve-d-m-o-r-etha-n~$~l~OOn~O~O~O-of---------compensation from the organization Report compensation for the calendar ending with or within the izations tax r
(A) (8) (C) Name and bUSiness address Description of services Compensation
2 Total number of independent contractors (including but not limited to those listed above) who received more than
$100000 in compensation frcm the organization 10gtshy
BAA TLJNl 1 08L 0112411 3
s 94-2460211 Page 9
Check if Schedule 0 contains a response to any question in this Part VIII D
a Federated campaigns
b Membership dues
c Fundraising events
d Related organizations
e Government grants (contributions)
f All other contributions gifts grants and similar amounts not included above
9 Noncash contributions included in Ins 1a-1 f h Total Add lines 1a-1 f
(A) (8) (C) Total revenue Related or Unrelated
exempt business function revenue
(0) Revenue
excluded from tax under sections
512513 or 514
2 a sect~yipound~ fe~~ gt~in_____ -I-=-==-=-=---_t-----L=-=L~_+----=~~-=-=__t------_t------shyb sect~yis~ fe~~ 1~ls12 shy __ _
-r-~~~-----t
c sect~yis~ fe~~ gtreglt_G9_pounde__ -r-=-=-=-----t__--=-=~--et__--=-=~----t__------t__-----shyd sect~yis~ fe~s_ =- Iil1i1Y jQu __ -I---=----------=--L--------=--L------------------shy
e sect~yis~ fe~~ ~1U_ld_G9_pounde__ -r-=--=-----t__--=-=-=L=~t__--=-=-=L=-------I------shyf All other program service revenue
L-~~~__~+-__~~~~ 9 Total Add lines 2a-2f
--+----shy3 Investment income (including dividends interest and
4
5
other similar amounts)
6 a Gross rents
b Less rental expenses
c Rental income or (loss)
d Net rental income or (I -~~~~---~~--~
7 a Gross amount from sales of assets otller than inventory
b Less cost or other basis and sales expenses
c Gain or (loss) d Net gain or (loss)
LIJ 8 a Gross income from fundraising events ~ (not including $--~--cc--c~shy~ of contributions reported on line 1 c)
---------t
~ See Part IV line 18 a LIJ j---~~~-shy
~ b Less direct expenses o c Net income or (loss) from fundraising
9 a Gross income from gaming activities See Part IV line 19
b Less direct expenses
c Net income or (loss) from gaming acti i -----------
10a Gross sales of inventory less returns and allowances a
b Less cost of goods sold j------ shy
c d 11 other revenue
e Total Add lines 11 a-11 d
lotal revenue See instruction
------------------
94-2460211 Page 10
Do not include amounts reported on lines 6b lb 8b 9b and lOb of Part VIII
1 Grants and other assistance to governments
p~~t ~ryalr~~a1if~~ ~~ t~~ ~ni~d state~ ~~~ 2 Grants and other assistance to individuals in
the United States See Part IV line 22
3 Grants and other assistance to governments organizations and individuals outside the United States See Part IV lines 15 and 16
4 Benefits paid to or for members 5 Compensation of current officers directors
trustees and key employees 251 751 6 Compensation not included above to
disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c) (3) (8)
7 Other salaries and wages
8 Pension plan accruals and contributions (include section 401 (k) and section 403(b) employer contributions)
9 Other employee benefits
10 Payroll taxes
11 Fees for services (non-employees)
a Management
b Legal
c Accounting
d Lobbying
e Professional fundraising services See Part IV line 17 f Investment management fees 9 Other (If line 11 g amt exceeds 10 of line 25 colshy
umn (A) amt list line 11 g expenses on Sch 0) 12 Advertising and promotion
13 Office expenses
14 Information technology
15 Royalties
16 Occupancy
17 Travel
18 Payments of travel or entertainment expenses for any federal state or local public officials
19 Conferences conventions and meetings 20 Interest
21 Payments to affiliates
22 Depreciation depletion and amortization
23 Insurance 24 Other expenses Itemize expenses not
covered above (List miscellaneous expenses in line 24e If line 24e amount exceeds 10 of line 25 column (A) amount list line 24e expenses on Schedule 0)
a ])~ ~sectlr_e_ Io_m~ _F99g lEYlIelts_ +__~~---=--=+-_----L~~~-+-______-+-________ b Administrative services cM~~~_~xp~~s~_______ _ d Y~~iltb~ ~~el1~~ ________ _ e All other expenses
25 Total functional expenses Add lines 1 through 24e
26 Joint costs Complete this line only if the organization reported in column (8) joint costs from a combined educational campaign and fundraising solicitation Check here 0 if following SOP 98-2 (ASe 958720)
TEEAOll OLI2n Ri Form 990 (2012)
Loans and other receivables from current and former officers directors
~~~i1Ff ~eJ~~o[ees ~~~ ~ig~es ~~~~~~~~~~ ~~~I~~~~s ~o~plete Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1raquo persons described in section 4958(c)(3) (B) and contributing employers and sponsoring organizations of section Sal (c)(9) voluntary employees beneficiary organizations (see instructions) Complete Part II of Schedule L
Notes and loans receivable net
Inventories for sale or use
Prepaid expenses and deferred charges
I lOa c~~r-----~--~~~-
other securities See Part IV line 11
program-related See Part IV line 11
Other assets See Part IV line 11
15 Ie an accrue expenses
Grants payable Deferred revenue
Tax-exempt bond liabilities
or custodial account liability Complete Part IV of Schedule D
Loans and other payables to current and former officers directors trustees key employees highest compensated employees and disqualified persons Complete Part II of Schedule L
Secured mortgages and notes payable to unrelated third parties
Unsecured notes and loans payable to unrelated third parties
Other liabilities (including federal income tax payables to related third parties and other liabilities not included on lines 17-24) Complete Part X of Schedule D
Organizations that follow SFAS 117 (ASe 958) check here and complete
Unrestricted net assets
Temporarily restricted net assets
Permanently restricted net assets
Organizations that do not follow SFAS 117 (ASe 958) check here D 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
Total net assets or fund balances
Total liabilities and net assetsfund balances
94-2460211 Page 11
Cash - non-interest-bearing
2 Savings and temporary cash investments 3 Pledges and grants receivable net
4 Accounts receivable net
5
6
A S 7 S E 8 T S 9
lOa Land buildings and equipment cost or other basis Complete Part VI of Schedule D
b Less accumulated depreciation
11 Investments - publicly traded securities
12 Investments shy
13 Investments shy
14 Intangible assets
15 16 17 18 19
L 20 I A 21 Escrow B I 22 L I T I 23E s 24
25
26 Total liabilities Add lines 17 through 25
N E T lines 27 through 29 and lines 33 and 34 A 27s s E 28 T 5 29 0 R
and complete lines 30 through 34J N 30
B 31 D
A L 32A N c 33 E s 34
BAA
(A) (B) Beginning of year End of year
IL 01103113
94-2460211 Page 12
Check if Schedule 0 contains a response to any question in this Part XI
Total revenue (must equal Part VIII column (A) line 12) 2 Total expenses (must equal Part IX column (A) line 25)
3 Revenue less expenses Subtract line 2 from line 1
4 Net assets or fund balances at beginning of year (must equal Part X line 33 column (A))
5 Net unrealized gains (losses) on investments 6 Donated services and use of facilities 7 I nvestment expenses 8 Prior period adjustments
9 Other changes in net assets or fund balances (explain in Schedule 0) Se~ SGb~ciul~ Q 10 Net assets or fund balances at end of year Combine lines 3 through 9 (must equal Part X line 33
column (B)) 10
Financial Statements and Reporting
Check if Schedule 0 contains a response to any question in this Part XII
1 Accounting method used to prepare the Form 990 D Cash [29 Accrual DOther
If the organization changed its method of accounting from a prior year or checked Other explain in Schedule O
2 a Were the organizations financial statements compiled or reviewed by an independent accountant If Yes check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis consolidated basis or both
D Separate basis D Consolidated basis D Both consolidated and separate basis
b Were the organizations financial statements audited by an independent accountant
If Yes check a box below to indicate whether the financial statements for the year were audited on a separate basis consolidated basis or both
~ Separate basis DConsolidated basis 0Both consolidated and separate basis
c 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 O
3 a As a result of a federal award was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133
b If Yes did the organization undergo the required audit or audits If the organization did not undergo the required audit or audits explain why in Schedule 0 and describe any steps taken to undergo such audits
BAA
1 384 061_
3a x
3b X Form (2012)
OMB No 1545-0047
SCHEDULE A Public Charity Status and Public Support (Form 990 or 990-EZ) 2012
Complete if the organization is a section 501 (c)(3) organization or a section 4947(a)(1) nonexempt charitable trust
Department of the Treasury Internal Revenue Service ~ Attach to Form 990 or Form 990-EZ ~ See separate instructions
2
3 4
~ A church convention of churches or association of churches described in section 170(bX1XAXi)
A school described in section 170(bX1)(AXii) (Attach Schedule E)
A hospital or a cooperative hospital service organization described in section 170(bX1XA)(iii)
A medical research organization operated in conjunction with a hospital described in section 170(bXl)(AXiii)- Enter the hospitals
name city and state
5 An organization operatedfOr thebenefit Of acollege oruniversh-Y owned or operated bya-governmentalunltdescribed in sectiOn - - - - - - shyD 170(bX1XAXiv) (Complete Part II)
6 A federal state or local government or governmental unit described in section 170(b)(1)(AXv) R7 X 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)(1XAXvi) (Complete Part II)
8 D A community trust described in section 170(bX1XAXvi) (Complete Part II)
9 D An organization that normally receives (1) more than 33-13 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 33-13 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)
10 An organization organized and operated exclusively to test for public safety See section 509(aX4) R11 An organization organized and operated exclusively for the benefit of to perform the functions of or carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2) See section 509(aX3) Check the box that describes the type of supporting organization and complete lines 11 e through 11 h
a DType I b DType II c D Type III - Functionally integrated d D Type III - Non-functionally integrated
e D 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 is a Type I Type II or Type III supporting organization check this box D
9 Since August 172006 has the organization accepted any gift or contribution from any of the following persons
I Yes No (i) A person who directly or indirectly controls either alone or together with persons described in (ii) and (iii)
below the governing body of the supported organization 11 g (i) ~-----r---+---shy
(ii) A family member of a person described in (i) above 11 9 (ii)
(iii) A 35 controlled entity of a person described in (i) or (ii) above 11 g (iii) h Provide the following information about the supported organization(s)
(i) Name of supported organization
(ii) EIN (iii) Type of organization (described on lines 1-9
(iv) Is the organization in
(v) Di d you notify the organization in
(vi) Is the organization in
(vii) Amount of monetary support
above or IRe section column (i) listed in column (i) of your column (i) (see instructionsraquo your governing
document support organized in the
US
(A)
(8)
(C)
(D)
(E)
Total
For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990-EZ
I EEA040 Il_
Schedule A (Form 990 or 990-EZ) 2012 Community Bridges 94-2460211 Page 2
_Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5 7 or 8 of Part I or if the organization failed to qualify under Part III If the organization fails to qualify under the tests listed below please complete Part III)
Section A Public Su rt Calendar year (or fiscal year beginning in) ~ (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts grants contributions and membership fees received ltpo not include any unusual grants ) 11700497 12531538 11914396 13085089 12897266 62 128 786
2 Tax revenues levied for the organizations benefit and either paid to or expended on its behalf o
3 The value of services or facilities furnished by a governmental unit to the organization without charge
4 Total Add lines 1 through 3 5 The portion of total
contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2 of the amount shown on line 11 column (f) o
6 786
Calendar year (or fiscal year beginning in) ~
7 Amounts from line 4
8 Gross income from interest dividends payments received on securities loans rents royalties and income from similar sources 7 754 3 403 5 421 244 51 392 68 214
9 Net income from unrelated business activities whether or not the business is regularly carried on o
10 Other income Do not include gain or loss from the sale of capital aS~~Se(Ep~fie irrV
13 First five years If the Form 990 is for the organizations first second third fourth or fifth tax year as a section 501 (c) (3) organization check this box and stop here ~ D
Section C Computation of Public Support Percentage 14 Public support percentage for 2012 (line 6 column (f) divided by line 11 column (f)) 9892 15 Public support percentage from 2011 Schedule A Part II line 14 9886
16a 33-13 support test - 2012 If the organization did not check the box on line 13 and the line 14 is 33-13 or more check this box and stop here The organization qualifies as a publicly supported organization ~ ~
b 33-13 support test - 2011 If the organization did not check a box on line 13 or 16a and line 15 is 33-13 or more check this box and stop here The organization qualifies as a publicly supported organization ~ D
17 a 1 O-facts-and-circumstances test - 2012 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-andmiddot circumstances test check this box and stop here Explain in Part IV how the organization meets the factsmiddotand-circumstances test The organization qualifies as a publicly supported organization ~ lJ
Part IV)
11 rh~~aJ9shu~8~~ ~dd Iin~s
612 273
12 Gross receipts from related activities etc (see instructions) L-__~~~~~~~
b 1 O-facts-and-circumstances test - 2011 If the organization did not check a box on line 13 16a 16b or 17a and line 15 is 10 or more and if the organization meets the facts-and-circumstances test check this box and stop here Explain in Part IV how the 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 o( l7b check this box and see instructions
Schedule A (rorm 990 or 990middot[2) 202
~EEA0402L 080912
Section A Public rt Calendar year (or fiscal yr beginning in)
1 Gifts grants contributions
Schedule A (Form 990 or 990middotEZ) 2012 Communi Br s 94-2460211 3 Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II If the organization fails to qualify under the tests listed below please complete Part II)
and membership fees received (Do not include any unusual grants)
2 Gross receipts from admisshysions merchandise sold or services performed or facilities furnished in any activity that is related to the organizations taxmiddotexempt purpose
3 Gross receipts from activities that are not an unrelated trade or business under section 513
4 Tax revenues levied for the organizations benefit and either paid to or expended on its behalf
5 The value of services or facilities furnished by a governmental unit to the organization without charge
6 Total Add lines 1 through 5 7 a Amounts included on lines 1
2 and 3 received from disqualified persons
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5000 or 1 of the amount on line 13 for the year
c Add lines 7a and 7b
8
Calendar year (or fiscal yr beginning in) (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (I) Total
9 Amounts from line 6 10 a Gross income from interest
dividends payments received on securities loans rents royalties and income from similar sources
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30 1975
c Add lines lOa and 1 Db Net income from unrelated business
activities not included in line lOb whether or not the business is regularly carried on
12 Other income Do not include gain or loss from the sale of capital assets (Explain in Part IV)
13 Total support (Add Ins9 10c 11 and 12) ~~~____~~~~____~~__~__-L__________ __~~~~~__~
14 First five years If the Form 990 is for the organizations first second third fourth or fifth tax year as a section 501 (c)(3)organization check this box and stop here
Section C Computation of Public Support Percentage shy15 Public support percentage for 2012 (line 8 column (I) divided by line 13 column (I)) 16 Public support percentage from 2011 Schedule A Part III line 15
Section D Computation of Investment Income Percentage 17 Investment income percentage for 2012 (line 10c column (I) divided by line 13 column (I)) 17
18 Investment income percentage from 2011 Schedule A Part III line 17 18 19a 33-13 support tests - 2012 If the organization did not check the box on IIn8 14 and line 15 is more than 33-13 and line 17
is not more than 33-13 check this box and stop here The organization qualifies as a publicly supported organization
b 33-13 support tests - 2011 If the organization did not check a box on line 14 or line 19a and line 16 is more than 33-13 and line 18 is not mOIe than 33-13 check this box and stop here The organization qualifies as a publicly supported organization
20 Private foundation If the organization did not check hox Orl line 14 19a or 19b check box and see instructions ~H -----o------~--- ------
BAA NJ403L 080912 Schedule A (Form 990 or 99QZ) 2012
4 Schedule A (Form 990 or 990-EZ) 2012 Communi s 94-2460211 Supplemental Information Complete this part to provide the explanations required by Part II line 10 Part II line 17a or 17b and Part III line 12 Also complete this part for any additional information (See instructions)
___~P~~t1~cJ~Cule_~dJltli9~lt ~~~lelTI_e~U~f9l1aiQf _______________________________ _
_ _cLeID1tu_g1_lzgti_ol)-PSlYlJ1~nL _ _ _ _ _ _ _ _ _ _ _ _ ________________________________ _
BAA
081012
2012 Schedule A Part IV - Supplemental Information PageS
Community Bridges 94-2460211
Part II Line 10 - Other Income
Nature and Source 2012 2011 2010 2009 2008
Other Income Total
$ 108645 $ 108645
$ 36333 $ 36333
$ 130009 $ 130009
$ 169710 $ 169710
$ $
167576 167576
------
---------------
OMB No 1545middot0047SCHEDULE C Political Campaign and Lobbying Activities (Form 990 or 990-EZ)
For Organizations Exempt From Income Tax Under section 501 (c) and section 527 2012 Complete if the organization is described below Attach to Form 990 or Form 990-EZ
Department of the Treasury Internal Revenue Service See separate instructions
If the organization answered Yes to Form 990 Part IV line 3 or Form 990-EZ Part V line 46 (Political Campaign Activities) then bull Section 501 (c)(3) organizations Complete Parts I-A and B Do not complete Part I-C bull Section 501 (c) (other than section 501 (c)(3raquo) organizations Complete Parts I-A and C below Do not complete Part I-B bull Section 527 organizations Complete Part I-A only
If the organization answered Yes to Form 990 Part IV line 4 or Form 990-EZ Part VI line 47 (Lobbying Activities) then bull Section 501 (c) (3) organizations that have filed Form 5768 (election under section 501 (h)) Complete Part II-A Do not complete Part II-B
bull Section 501 (c) (3) organizations that have NOT filed Form 5768 (election under section 501 (h)) Complete Part II-B Do not complete Part II-A
If the organization answered Yes to Form 990 Part IV line 5 (Proxy Tax) or Form 990-EZ Part V line 35a (Proxy Tax) then bull Section 501 (c)(4) (5) or (6) organizations Complete Part III
See Part IV 2 3 Volunteer hours bull w Complete if the organization is exempt under section 501 (c)(3) 1 Enter the amount of any excise tax incurred by the organization under section 4955
2 Enter the amount of any excise tax incurred by organization managers under section 4955
3 If the organization incurred a section 4955 tax did it file Form 4720 for this year DYes
4a Was a correction made middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotDYes b If Yes describe in Part IV
II~~~~~~~~~~~~--~~~~~~~--~~---------2 Enter the amount of the filing organizations funds contributed to other organizations for section 527 exempt
function activities $
3 Total exempt function expenditures Add lines 1 and 2 Enter here and on Form 1120-POL line 17b ~ $
4 Did the filing organization file Form 1120-POL for this year DYes
5 Enter the names addresses and employer identification number (EIN) of all section 527 political organizations to which the filing organization made payments For each organization listed enter the amount paid from the filing organizations funds Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization such as a separate segregated fund or a political action committee (PAC) If additional space is needed provide information in Part IV
(a) Name (b) Address (e) EIN (d) Amount paid from filing (e) Amount of political organizations funds If contributions received and
none enter-Omiddot promptly and directly delivered to a separate political organization If
none enter -0middot
(1) ~---------------~---
(2) ~------
(3) ~-
(4)
~~)~~~~~--~~~~--~-~---~~-~---~~~~~~~-~_-_~~~~-----~~~~~~-~~~~~~~~~~-~~~~~-~---------_-_--f------c_~~~_-middot_J_L~~--------+---~ -~ -shyBAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990middotEZ Schedule C (Form 990 or 990middotEZ) 2012
TEEA320 I L 217112
----
Schedule C(Form 990 or 990-EZ) 2012 Communi Bri s 4-2460211 Page 2
Complete if the organization is exempt under section 501 (c)(3) and filed Form 5768 (election under section 501 (hraquo
A Check ~ 0 if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group members name
address EIN expenses and share of excess lobbying expenditures)
B Check ~ 0 if the filing organization checked box A and limited control provisions apply
Limits on Lobbying Expenditures (a) Filing (b) Affiliated organizations totals group totals (The term expenditures means amounts paid or incurred)
1 a Total lobbying expenditures to influence public opinion (grass roots lobbying)
b Total lobbying expenditures to influen_ce a legislative body (direct lobbying)
c Total lobbying expenditures (add lines 1a and 1b)
d Other exempt purpose expenditures
e Total exempt purpose expenditures (add lines 1c and 1d)
f Lobbying nontaxable amount Enter the amount from the following table in both columns
g Grassroots nontaxable amount (enter 25 of line 1f)
h Subtract line 1g from line 1a If zero or less enter -0-
Subtract line 1f from line 1c If zero or less enter -0-
If there is an amount other than zero on either line 1h or line 1i did the organization file Form 4720 reporting section 4911 tax for this year DYes 0No
4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501 (h) election do not have to complete all of the five
columns below See the instructions for lines 2a through 2f)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total year beginning in)
13l7 524
2a Lobbying non-taxable amount 3 513 393
b Lobbying ceiling amount (150 of line 2a column (eraquo 5 270 090
c Total lobbying enditures 18 425
d Grassroots nontaxable amount 878 349
e Grassroots ceiling amount (150 of line 2d column
f Grassroots lobbying expenditures o
BAA Schedule C (Form 990 or 990-EZ) 2012
-EEA3202L 010713
3 Schedule C(Form 990 or 2012 Bri 94-2460211 Complete if the organization is exempt under se as NOT filed Form 5768 (election under section 501 (hraquo
For each Yesresponse to lines 7a through Ii below provide in Part IVa detailed description of the lobbying activity
During the year did the filing organization attempt to influence foreign national state or local legislation including any attempt to influence public opinion on a legislative matter or referendum through the use of
a Volunteers
b Paid staff or management (include compensation in expenses reported on lines 1 c through 1 i)
c Media advertisements
d Mailings to members legislators or the pUblic ~~---+--------------
e Publications or published or broadcast statements
f Grants to other organizations for lobbying purposes
9 Direct contact with legislators their staffs government ofFicials or a legislative body
h Rallies demonstrations seminars conventions speeches lectures or any similar means
i Other activities ~~~~--------
j Total Add lines 1c through 1 i ~lli~J~i01 ~2iJn
I----t---- shy
2 a Did the activities in line 1 cause the organization to be not described in section 501 (c)(3)
b If Yes enter the amount of any tax incurred under section 4912
c If Yes enter the amount of any tax incurred by organization managers under section 4912
d If the filing organization incurred a section 4912 tax did it file Form 4720 for this year
Complete if ization is exempt under section 501 (c)(4) section 501 (c)(5) or section 501
Were substantially all (90 or more) dues received nondeductible by members 1----+---1---shy
2 Did the organization make only inmiddothouse lobbying expenditures of $2000 or less f----j----j--- shy
3 Did the organization agree to carryover lobbying and political from the prior year
Complete if the organization is exempt under section 501 (c)(4) section 501 (c)(5) or section 501 (c) (6) and if either (a) BOTH Part III-A lines 1 and 2 are answered No OR (b) Part III-A line 3 is answered Yes
Dues assessments and similar amounts from members
2 Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid)
a Current year
b Carryover from last year
c Total
3 Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues
4 If notices were sent and the amount on line 2c exceeds the amount on line 3 what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year
I---~--------------5 Taxable amount of lobbying and political expenditures (see instructions)
Complete this part to provide the descriptions required for Part ImiddotA line 1 Part ImiddotB line 4 Part Imiddote line 5 Part IImiddotA (affiliated group list) Part IImiddotA line 2 and Part IImiddotB line 1 Also complete this part for any additional information
TEEA32031 OliO
Scheciu1e
-----------------
OMB I~o 1545-0047 SCHEDULE D (Form 990) Supplemental Financial Statements 2012
~ Complete if the organization answered Yes to Form 990 Part IV lines 6 7 8 9 10 l1a 11 b 1lc l1d l1e l1f 12a or 12b
~ Attach to Form 990 ~ See instructions
(a) Donor advised funds
1 Total number at end of year
2 Aggregate contributions to (during year
3 Aggregate grants from (during year) 4 Aggregate value at end of year
S Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organizations property subject to the organizations exclusive legal control DYes
6 Did the organization inform all grantees donors and donor advisors in writing that grant funds can be used only
impermissible private benefit for charitable purposes and not for the benefit of the donor or donor advisor or for any other purpose conferring
No
(b) Funds and other accounts
Purpose(s) of conservation easements held by the organization (check all that apply)
Preservation of land for public use (eg recreation or education) D Preservation of an historically important land area
Protection of natural habitat D Preservation of a certified historic structure
Preservation of open space ~
2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the iast day of the tax year
a Total number of conservation easements
b Total acreage restricted by conservation easements
c Number of conservation easements on a certified historic structure included in (a)
d Number of conservation easements included in (c) acquired after 81706 and not on a historic structure listed in the National Register 2 dL-__L-_________________________
3 Number of conservation easements modified transferred released extinguished or terminated by the organization during the tax year Igt
4 Number of states where property subject to conservation easement is located Igt
S Does the organization have a written policy regarding the periodic monitoring inspection handling of violations and enforcement of the conservation easements it holds DYes
6 Staff and volunteer hours devoted to monitoring inspecting and enforcing conservation easements during the year Igt
7 Amount of expenses incurred in monitoring inspecting and enforcing conservation easements during the year 1gt$
8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(8)(i) and section 170(h)(4)(8)(ii) DYes
9 In Part XIII describe how the organization reports conservation easements in its revenue and expense statement and balance sheet and include if applicable the text of the footnote to the organizations financial statements that describes the organizations accounting for conservation easements
tf~rtiml Organizations Maintaining Collections of Art Historical Treasures or Other Similar Assets Complete if the organization answered Yes to Form 990 Part IV line 8
1 a If the organization elected as permitted under SFAS 116 (ASC 958) 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 XIII the text of the footnote to its financial statements that describes these items
b If the organization elected as permitted under SFAS 116 (ASe 958) 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 VI I line 1 ~$
(ii) Assets included in Form 990 Part X 11gt-$
2 If the organization received or held works of art histOrical treasures or other similar assets for financial gaill provide the following amounts required to be reported under SFAS 116 (ASe 958) relating to these items
11gt-$ -~~-------
$ BAA For Paperwork Reduction Act Notice the Instructions for Form 990 991l) CJ12
~--~-------------------------
-----------------------------------------------
-------
e2
3 Using the organizations acquisition accession and other records check any of the following that are a significant use of its collection items (check all that apply)
a sectPublic exhibition d BLoan or exchange programs b Scholarly research e Other
c Preservation for future generations
4 Provide a description of the organizations collections and explain how they further the organizations exempt purpose in Part XIII
5 During the year did the organization solicit or receive donations of art historical treasures or other similar assets D to be sold to raise funds rather than to be maintained as part of the organizations collection Yes
IRal~IYRI Escrow and Custodial Arrangemel1ts Complete if the organization answered Yes to Form 990 Part IV line 9 or reported an amount on Form 990 Part X line 21
1 a ~nt~~r~g~~~~~r~ ~~ ~~~~t~ trus~e~ ~u~t~~i~~ or ot~er int~~~~~~~~~ ~o~contnbu~i~~~ ~r ~~e~ ass~ts n~i~cI~~~d DYes
b If Yes explain the arrangement in Part XIII and complete the following table
Amount
c Beginning balance 1 c d Additions during the year d
e Distributions during the year 1 e f Ending balance 1f
2a Did the organization include an amount on Form 990 Part X line 21 UYes NOb If Yes explain the arrangement in Part XIII Check here if the explantion has been provided in Part Xlll D
fBaIM~1 Endowment Funds Complete if the or~anization answered Yes to Form 990 Part IV line 10 (a) Current (b) Prior year (e) Two years (d) Three years (e) Four years
1 a Beginning of year balance
b Contributions
c Net investment earnings gains and losses
d Grants or scholarships
e Other expenditures for facilities and programs
f Administrative expenses
9 End of year balance
2 PrOVide the estimated percentage of the current year end balance (line 1 g column (araquo held as
a Board designated or quasi-endowment b Permanent endowment c Temporarily restricted endowment
The percentages in lines 2a 2b and 2c should equal 10000
3 a Are there endowment funds not in the possession of the organization that are held and administered for the organization by Yes No (i) unrelated organizations 3a(i)
(ii) related organiZations 3a(ii)
b If Yes to 3a(ii) are the related organizations listed as required on Schedule R 3b I 4 Describe in Part XIII the intended uses of the organizations endowment funds
1 a Land
b Buildings
c Leasehold improvements
d Equipment
e Other
Total Add lines 1 a
BAA
(d) Book value
TEEt3302L 06e71 i 2
-------------------------
of security or rfpnlrl
name of secu (1) Financial derivatives
94-2460211
uation Cost or rket value
Page 3
~------------~--------------------------------------(2) Closely-held equity interests
~------------~--------------------------------------(3) Other ______________________ +----------f--------------------shyi~ __________________________1---_______-+____________________ (8)
iq __________________________~-----~---------------------------iD1_ - - - - - - - - - - - - - - - - - - - - - - -- -f------------+-------------------------------shy(E)- - - - - - - - - - - - - - - - - - - - - - - - - - - - ~-------------I---------------------------------------~~--------------------------f__----------+_-------------------------------iGl ______ -- _________ - _ - - - __ - - -f__----------l-----------------------------shy(H)- - - - - - - - - - - - - - - - - - - - - - - - - - - -- ~-------------+---------------------------------------J~ _____________________ _
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10) ----shy
(11)
Total (Column (b) must equal Form 990 Part X column (8) line 25) 2 FIN 48 CASe 740) Footnote In Part XIII provide the text of the footnote to the organizations financial statements that reports the organizations liability for uncertain tax positions under FIN 48 (ASe 740) Cherv here If the text of the footnote has been provided 11 Part XIII LJ BAA ____~_~__O~_ ~-~-~~~~--~~~-- --~T~-~middotA3303L- 122312 -- gt--~~-- Schedule 0 (Form 990) 2012
Page 4
2 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 XIII)
e Add lines 2a through 2d
3 Subtract line 2e from line 1 4 Amounts included on Form 990 Part VIII line 12 but not on line 1
a Investment expenses not included on Form 990 Part VIII line 7b
b Other (Describe in Part XII I)
c Add lines 4a and 4b
5 Total revenue Add lines 3 and 4c (This must equal Form 990 Part I line 72)
Total expenses and losses per audited financial statements
2 Amounts included on line 1 but not on Form 990 Part IX line 25
a Donated services and use of facilities 13 244 b Prior year adjustments c Other losses
d Other (Describe in Part XIII)
e Add lines 2a through 2d 3 Subtract line 2e from line 1
4 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 XIII) c Add lines 4a and 4b
must equal Form 990 Part I line 78)
Complete this part to provide the descriptions required for Part II lines 3 5 and 9 Part III lines 1a and 4 Part IV lines 1b and 2b Part V line 4 Part X line 2 Part XI lines 2d and 4b and Part XII lines 2d and 4b Also complete this part to provide any additional information
BAA Schedule 0 (Form 990) 2012
fEEA3304L 1
OMS No 1545middot0047
SCHEDULE G Supplemental Information Regarding (Form 990 or 990-EZ) Fundraising or Gaming Activities 2012
Complete if the organization answered Yes to Form 990 Part IV lines 17 18 or 19 or if the organization entered more than $15000 on Form 990-EZ line 6aDepartment of the Treasury
Internal Revenue Service ~ Attach to Form 990 or Form 990-EZ ~ See separate instructions
Name of Employer
94-2460211 InnInn ACtlVlllles Complete if the organization
___-c---cFo_r_m--- ~ filers are not required to complete this part
Indicate whether the organization raised funds through any of the following activities Check all that apply
a DMail solicitations e DSolicitation of non-government grants
b D Internet and email solicitations f DSolicitation of government grants
c D Phone solicitations g D Special fundraising events
d D Inmiddotperson solicitations
2 a 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 DYes ~No
b If Yes list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fund raiser is to be compensated at least $5000 by the organization
(i) Name and address of individual or entity (fund raiser)
(ii) Activity (iii) Did fund raiser have custod6or control
of contri utions
(iv) Gross receipts from activity
(v) Amount paid to (or retained by)
fundraiser listed in
(vi) Amount paid to (or retained by)
organization column (i)
Yes No
1
-- shy2
3 I
4 -----~--------
5
6
7 -__----shy
8
9
10
Total O bull -
3 List all states In which the organization IS reglslered or licensed to SOliCit contributions or has been notified It IS exempt from registration or licensing
- --~---~---~-- ~-~--~-~--~-~~-- ---
BAA for Paperwork Reduction Act Notice see the Instructions Form 990 or 990-EL Schedule G (runn 990 or 990-EZ) 2012 TEEA3701L 01107113
--
------
Schedule G (Form 990 or 990-EZ) 2012 Commun Br 94-2460211 Page 2
Fun ng Events Complete if the organization answered Yes to Form 990 Part IV ine 18 or reported more than $15000 of fundraising event contributions and gross income on Form 990-EZ lines 1 and 6b List events with gross receipts greater than $5000
(a) Event 1 (b) Event 2 (c) Other events (d) Total events (add column (a)
Italian Affair None through column (craquoR (event type) (event type) (total number) E V E N 1 Gross receipts 20186 20186 U E
2 Less Charitable contributions
3 Gross income (line 1 minus line 2) 20186 20186
4 Cash prizes
5 Noncash prizes D
R I
6 Rentfacility costs E C T 7 Food and beverages 5391 539l E x p 8 Entertainment E
N s 9 Other direct expenses 5822 5822E S
10 Direct expense summary Add lines 4 through 9 in column (d) 11213 11 Net income summary Combine line 3 column (d) and line 1 Q 8973
[Pifllll Gaming Complete if the o~ganization answered Yes to Form 990 Part IV line 19 or reported more than
(a) Bingo (b) Pull tabsllnstant (c) Other gaming (d) Total gaming R E bingoprogressive (add column (a) V bingo through column (eraquo E N U E Gross revenue
2 Cash prizes ~------------4---------------+--------------~--------------E
D X I P 3 Non-cash prizes R E E N C S T E
S 4 Rentfacility costs
5 Other direct expenses
Yes Yes Yes 6 Volunteer labor No No No
7 Direct expense summary Add lines 2 through 5 in column (d)
8 Net gaming income summary Combine lines 1 column (d) and line 7
9 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 0 Yes
b If No explain
lOa Were any of the organizations gaming licenses revoked suspended or terminated during the tax year 0 Yes b If Yes explain
BAA TFJ3]02L 010713 ScheclJle G (F (JIm 990 or 990 2012
------------
-----------
Schedule G (Form 990 or 990-EZ) 2012 Community Bridges 94-2460211 Page 3 11 Does the organization operate gaming activities with nonmembers DYes 12 Is the organization a grantor beneficiary or trustee of a trust or a member of a partnership or other entity formed to
administer charitable gaming DYes 13 Indicate the percentage of gaming activity operated in
a The organizations facility 13a ~13-b~------------~~b An outside facility
14 Enter the name and address of the person who prepares the organizations gamingspecial events books and records
Name
Address
15a Does the organization have a contact with a third party from whom the organization receives gaming revenue DYes b If Yes enter the amount of gaming revenue received by the organization $ and the amount
of gaming revenue retained by the third party $ c If Yes enter name and address of the third party
Name ---------------------------------------------~-----l
I Address I
16 Gaming manager information
Name
Gaming manager compensation $
Description of services provided
D Directorofficer DEmployee D independent contractor
17 Mandatory distributions
a Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the ~~egaminglicense ___________________________________________________________________ D~s ~No
b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the
organizations own exempt activities during the tax year $ lean~IlUI Supplemental Information Complete this part to provide the explanations required by Igtart I line 2b
columns (iii) and (v) and Part III lines 9 9b 1 ~b 15b 15c 16 and 17b as applicable Also complete this part to provide any additional information (see instructions)
----------------------- -------------------- ------ ----------------------------- __--shy
_ ---_ --------------- ---------------- ----- shy
BAA TEEA3703L 010113 Schedule G (Form 990 or 990middotEZ) 2012
--------------------------------------------------------- ---------
OMB No 1545-0047SCHEDULE 0 Supplemental Information to Form 990 or 990middotEZ (Form 990 or 990-EZ)
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information
Department of the Treasury ~ Attach to Form 990 or 990-EZInternal Revenue Service
Name of the
94-2460211
health care 4112-63012
BAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990-EZ TFEIA)IJIL 12812 Schedule 0 (Forrn 990 or 2012
Schedule 0 (Form 990 or 990-EZ) 2012 Page 2 Name of the organization Employer Identification number
Community Bridges 94-2460211
~ ~~Oy~~sjg1~~ge~~~e~~~~~ ~~~ ~ ~ ~~ ~~ ~_ ~~ ~ ~ ~~~~~~~ ~ ~ ~ ~ ~ ~~~~ ~ ~ ~~ ~ ~~~~~ ~ ~ ~ ~ _
Schedule (Form 990 or
TEEA4902L
2012
2012 Schedule 0 bull Supplemental Information Page 1
Community Bridges 94-2460211
Form 990 Part XI Line 9 Other Changes In Net Assets Or Fund Balances
Depreciation Grant Funded Assets $ -140124 Familia Net Assets 82104
Total $ -58020========
-------------------
OMS No 1545-0047
SCHEDULE R (Form 990) Related Organizations and Unrelated Partnerships 2012
Complete if the organization answered Yes to Fonn 990 Part IV line 33343536 or 37DqJ21rTrrent of the Treasury Internal Revenue Service Attach to Form 990 ~ See separate instructions Name of the organization
s 94-2460211Commu
rp~ Identification of Disregarded Entities (Complete if the organization answered Yes to Form 990 Part
(a) (b) (c) (e) (f) iiame address and EIN (if applicable) of disregarded entity Primary activity Legal domicile (state End-of-year assets Direct controlling
or foreiqn country) entity
=== === =_===== =_ ===== == ===__1 1-- -- -=-=1 TI ~~
FPafIIldentification 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)
(a) Name address and EIN of related organization
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Exempt Code
section
(e) Public charity status (if section 501 (c) (3raquo)
(f) Direct controlling
entity
(g)Sec 512(b)(13)
controlled entity
Yes No (1) FAMILIA CENTER
236SANTA-rnUZAVE----------- shy------------------------- shyAPTOS CA 95003770071589 - - shy - - - -- shy - - - -- shy - - shy BILINGUAL FAMILY
SERVICES CA I
501(C)3 PUBLIC
CHARITY COMMUNITY
BRIDGES X
---------------------- shy_shy --shy --------------------- shy - shy - -- -- shy - - shy - - shy - - - - - - - - - - - - - - -
- --
----------~--------------
-shy - shy --------------------- shy
-shy - shy - shy - shy shy -shy - - ---------------- shy- c--- shy
- - -- --- -- - - - - --- - - - - - - - - - - - - shy
- - -- - shy
- -- - --------------------- shy -=r_ I _ __ I
~-- I ------- - -- ----- --- --
BAt For Paperwork Reduction Act Notice see the Instructions for Form 990 TEEA5001 L 122812 Schedule R (Form 990) 2012
- -- ------
----- -
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 2
re~rtUI Iidentific~tion of Related Organizations T~xable 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)
me oddltl od EIN of I PIm~~cttyrelated organization
-+shy----shy
-_--shy -- -shy ~
(c) Legal
domicile (state or foreign country)
(d) Direct
controlling entity
(e) Predominant income (related unrelated excluded from tax
under sections 512-514)
(f) Share of total
income
(g) Share of
end-of-year assets
(h) Disproporshy
tionate allocations
Yes No
(i) Code V-UBI
amount in box 20 of Schedule
K-1 (Form 1065)
(j) General or managing partner
Yes No
(k) Percentage ownership
shy -shy --shy --shy -shy
-shy -__shy ---shy -shy
_ _ _____ ___ J~
-- -- -- - - - -- - -- shy
-
--T~ --=~ -- ~~==~=-
I
IPaHJVl Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered Yes to Form 990 Part IV L----_-l line 34 because it had one or more related organizations treated as a corporation or trust during the tax year)
(a) (b) I (c) (d) (e) I (f) (g) (h) I (i)iiame address and EIN of related organization Primary activity Legal domicile Direct Type of entity Share of Share of end-of- Percentage Sec S12(b)(13)
(state or foreign controlling (C corp S corp total income year assets ownership controlled entitycountry) entity or trust)
Yes I No
- - - - - - - - - -- - - - - - -- --I --------------------4
--==========1------~--------------~------------~------------~------------~--------------~--------------~--------~I----~------TEEA5002L 1228112 Schedule R (Form 990) 2012
---------
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 3
i])~ Transactions With Related Organizations (Complete if the organization answered Yes to Form 990 Part IV line 34 35b or 36)
Note Complete line 1 if any entity is listed in Parts II III or IV of this schedule During the lax year did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity b Gift grant or capital contribution to related organization(s)
Gift grant or capital contribution from related organization(s)
d Loans or loan guarantees to or for related organization(s)
e Loans or loan guarantees by related organization(s)
Dividends from related organization(s) 9 Sale of assets to related organization(s)
h Purchase of assets from related organization(s)
Exchange of assets with related organization(s)
Lease c[racilities equipment or other assets to related organization(s)
Lease of facilities equipment or other assets from related organization(s)
Performance of services or membership or fundraising solicitations for related organization(s)
Ferformance of services or membership or fundraising solicitations by related organization(s)
Sharing of facilities equipment mailing lists or other assets with related organization(s)
o Sharing of paid employees with related organization(s)
Reimbursement paid to related organization(s) for expenses
q Reimbursement paid by related organization(s) for expenses
r Other transfer of cash or property to related organization(s
5 Other transfer of cash or property from related organization(s)
If the answer to any of the above is Yes see the instructions for information on who must complete this line including covered relationships and transaction thresholds
(b) (c)N f h(a) d (2 lame 0 ot er organization Transaction Amount involved Metho of etermlnlng --~
type (a-s) amount involved
(1)
(2)
ltd ~ ~J
I I I
(5) ------------shy
(6) ~---------------------------------------------------------------------------~--------------~--------~~~~--~--~~~
TEEIS003L 1228112 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 4
e~~I1 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) I (b) (c) (d) (e) (f) (g) (h) (i) (j) I (k)Jame address and EIN of entity Primary activity Legal domicile Predominant Are all partners Share of Share of Dispropor- Code V-UBI General or Percentage
(state or foreign income section total income end-of-year tionate amount in box managing ownership country) (related unre- 501 (c)(3) assets allocations 20 of Schedule partner
lated excluded organizations i K- 1 from tax under ~---c--- Form (1065)
section 512-514) Yes I No Yes No Yes No----+----1
- --==~ ~ ~ ====== ~ I ~ --I------+--+----t--shy
(3)
--------------1
(6)
-____ __~__ - I I I SAl TEEAS004L 122812 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Page 5 _ Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions)
-r- I - lt-j005L middot22312 Schedule R (Forni
--------------------------
Form 990 (2012) Community Bridges 94-2460211 Page 6
tallGovernance Management and Disclosure For each Yes response to lines 2 through 7b below and for a No response to line 8a 8b or 70b below describe the circumstances processes or changes in Schedule O See instructions Check if Schedule 0 contains a response to any question in this Part VI
1 a Enter the number of voting members of the governing body at the end of the tax year 1 a If there are material differences in voting rights among members f---I-------- shyof the governing body or if the governing body delegated broad authority to an executive committee or similar committee explain in Schedule O
b Enter the number of voting members included in line 1 a above who are independent 1 b L-~____________~
2 Did any officer director trustee or key employee have a family relationship or a business relationship with any other officer director trustee or key employee
3 Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers directors or trustees or key employees to a management company or other person
4 Did the organization make any significant changes to its governing documents
since the prior Form 990 was filed
5 Did the organization become aware during the year of a significant diversion of the organizations assets 6 Did the organization have members or stockholders
7 a Did the organization have members stockholders or other persons who had the power to elect or appoint one or more members of the governing body
b Are any governance decisions of the organization reserved to (or subject to approval by) members stockholders or other persons other than the governing body
8 Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following
a Tile governing body
b Each committee with authority to act on behalf of the governing body
9 Is there any officer director or trustee or key employee listed in Part VII Section A who cannot be reached at the organizations mailing address If Yes provide the names and addresses in Schedule 0
10 a Did the organization have local chapters branches or affiliates
b If Yes did the organization have written policies and procedures governing the activities of such chapters affiliates and branches to ensure their operations are consistent witll the organizations exempt purposes
11 a Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form
b Describe in Schedule 0 the process if any used by the organization to review this Form 990 See Schedule 0 12a Did the organization have a written conflict of interest policy If No go to line 73
b Were officers directors or trustees and key employees required to disclose annually interests that could give rise to conflicts
c Did the organization regularly and consistently monitor and enforce compliance with the policy If Yes describe in Schedule deghow this is done
13 Did the organization have a written whistleblower policy
14 Did 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 organizations CEO Executive Director or top management official
b Other officers of key employees of the organization See Schedule 0 If Yes to line 15a or 15b describe the process in Schedule O (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 did the organization follow a written policy or procedure requiring the organization to evaluate its partici I in joint venture arrangements under applicable federal tax law and taken steps to safeguard the nrrnl7tl status with ct to such ements
Section C Disclosure
x
17 List the states with which a copy of this Form 990 is required to be filed CA 18 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
[)1 Own website DAnothers website [XI Upon request Other (explain in Schedule 0)
19 Describe in Schedule 0 whether (and if so how) the organization makes Its governing documents conflict of Intel est rllcy and fillallcial statements available to Ute publiC durinl] the tax year See Schedule 0
20 State name phYSical address and telepholle nurnbu of the person who possesses the books iecolds of the organizatron
__B_en~0r1_CIO]~~_Siinta Cruz Apto_s_~~_~~O_03_(831) 688884CJ ____ BAA TEt6JJ i OGl 0808112 Forr 990 (20 12)
----- ----
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---------------------
---------------------
---------------------
---------------------
------------------------- ----
-----
---
---
Check if Schedule 0 contains a response to any question in this Part VII D Section A Officers Directors Trustees Key Employees and Highest Compensated Employees 1 a Complete this table for all persons required to be listed Report compensation for the calendar year ending with or within the organizations tax year
bull List all of the organizations current officers directors trustees (whether individuals or organizations) regardless of amount of compensation Enter -D- in columns (D) (E) and (F) if no compensation was paid
bull List all of the organizations current key employees if any See instructions for definition of key employee
bull List the organizations five current highest compensated employees (other than an officer director trustee or key employee) who received reportable compensation (Box 5 of Form W-2 andor Box 7 of Form 1 099-MISC) of more than $100000 from the organization and any related organizations
bull List all of the organizations former officers key employees and highest compensated employees who received more than $100000 of reportable compensation from the organization and any related organizations
bull List all of the organizations former directors or trustees that received in the capacity as a former director or trustee of the organization more than $10000 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
DCheck this box if neither the organization nor any related organization compensated any current officer director or trustee
(C)
(A) (8) Position (do not check more than (D) (E) (F) Name and Title Average Reportable Reportable Estimatedone box unless Rerson is both an
officer and a irectortrustee)hours per compensation from compensation from amount of other week (list the organization related organizations compensation any hours =gt J (Wmiddot21099-MISC) (Wmiddot21099-MISC) from the 0 lt I - Of
uo ltD 0 lt ~ organization
organizamiddot ~~ e- (1) 0lt1gt 3 and related for related = Dromiddot
(1) a lt Ugt tions oc =0
~ 3 (D~ ~ organizationsQ~ =gt D roltgtbelow 0 0
~ ltdotted 2 lt1gt 3 Dline) $Ii- 2 (I)
(I) OJ (gt $- raquo (1 ltt a
_Ql~~~1Y~E~a~_________ 5 Community Rep_ 0 X O O O
~~~c~_~aS2~s~~ _____ 5 Community Rep
--
0 X O O O _ l ~th~1_L~~is____ 5
Vice President 0 X X O O O (4) Barbara Frank 5
President 0 X X o O O (5) John Tuck 5
Community Rep 0 X 0_ O O (6) Mark Hartunian 5
Community Rep 0 X O O O _0_~~ry_~u~ll~_______ 40
Staff Sup_ Rep -
0 X 34197 O 7729 (8) Rick Roberts 5
Secretary 0 X X O O O (9) Linda Fawcett 5
Community Rep 0 X O O O 11~)_ ~~rj~ _B~1ia_ ~1r~~y -- ---
40 CB Staff Re12
-
0 X 33302 0_ 7689 11~)_ ~JJs_Eall1~r_______ 5
Community Rep --
0 X o O 0_ (12) Karl Rice 5
Treasurer 0 X X O O O 11~t ~(~ril~n jlip~JJ~____ 5
Community Rep 0 X O O o 11~)_ 8~b~f~a_ ft2w]~~ ___ T
Community Rep _~_-=-1- --t X I __~__~__ _~__ o_________middotlaquo__~_r_
O O - _-shy
1071_ 117l2 ro(rn (2012)
----- ---------------------
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----------- -
Form 990 (2012) Community Bridges 94-2460211 Page 8
_Section A Officers ~ctors TrLctooc Key Employees and Highest Compensated Employees (cant) (8) (C)
(A) Name and title
Position Average (do not check more than one
hours box unless person is both an per oj-ficer and a directortrustee)
(I~f~y IQ~ I~ I~ ~I fS hoursfor g ltIi - (() Iyen
related ~ ~ I~ lt
O~fo~~a Ii=- ~ Iiamp~below ltto
(0) Reportable
compensation from the organization (Nmiddot2I099-MISC)
(E) Reportable
compensation from related organizations
(N-2I099middotMISC)
(F) Estimated
amount of other compensation
from the organization and related
organizations
dotted ~ line) ~
o o o (16) Martin Bernal 5
rnmmllnity Rep 0 X o o o
X 86662 o 8237
i2~__________________
(22)
i2~_______________________ _ - -- shy
i2~)__ _____________________ _ ----_
i~)______________ -- -- shy
1 b Sub-total It- 220 041 o 31709 c Total from continuation sheets to Part VII Section A ogt- o o o d Total (add lines 1 band 1c 220 041 o 31 709
2 Total number of Individuals (inclucllng but not IlrTllted to those listed above) who received more than $100000 of reportable compensation
from the organization 0
3 Did the organization list any former officer director or trustee key employee or highest compensated employee on line 1 a If Yes complete Schedule J for such individual
4 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 $150000 If Yes complete Schedule J for such individual
5 Did any person listed on line 1 a receive or accrue compensation from any unrelated organization or individual for services rendered to the 0 ization If Yes Schedule J for such on
~om-pmiddotl-etmiddotet~h~is~tmiddotable--fo-r-y-o-u-rfiv-e-hmiddotigh-e-stc-o-m-pe-n-s-ate-d~in-de-p-e-nde-nt-c-o-ntr-a-cto-rs-Cth-at-r-e-cei-ve-d-m-o-r-etha-n~$~l~OOn~O~O~O-of---------compensation from the organization Report compensation for the calendar ending with or within the izations tax r
(A) (8) (C) Name and bUSiness address Description of services Compensation
2 Total number of independent contractors (including but not limited to those listed above) who received more than
$100000 in compensation frcm the organization 10gtshy
BAA TLJNl 1 08L 0112411 3
s 94-2460211 Page 9
Check if Schedule 0 contains a response to any question in this Part VIII D
a Federated campaigns
b Membership dues
c Fundraising events
d Related organizations
e Government grants (contributions)
f All other contributions gifts grants and similar amounts not included above
9 Noncash contributions included in Ins 1a-1 f h Total Add lines 1a-1 f
(A) (8) (C) Total revenue Related or Unrelated
exempt business function revenue
(0) Revenue
excluded from tax under sections
512513 or 514
2 a sect~yipound~ fe~~ gt~in_____ -I-=-==-=-=---_t-----L=-=L~_+----=~~-=-=__t------_t------shyb sect~yis~ fe~~ 1~ls12 shy __ _
-r-~~~-----t
c sect~yis~ fe~~ gtreglt_G9_pounde__ -r-=-=-=-----t__--=-=~--et__--=-=~----t__------t__-----shyd sect~yis~ fe~s_ =- Iil1i1Y jQu __ -I---=----------=--L--------=--L------------------shy
e sect~yis~ fe~~ ~1U_ld_G9_pounde__ -r-=--=-----t__--=-=-=L=~t__--=-=-=L=-------I------shyf All other program service revenue
L-~~~__~+-__~~~~ 9 Total Add lines 2a-2f
--+----shy3 Investment income (including dividends interest and
4
5
other similar amounts)
6 a Gross rents
b Less rental expenses
c Rental income or (loss)
d Net rental income or (I -~~~~---~~--~
7 a Gross amount from sales of assets otller than inventory
b Less cost or other basis and sales expenses
c Gain or (loss) d Net gain or (loss)
LIJ 8 a Gross income from fundraising events ~ (not including $--~--cc--c~shy~ of contributions reported on line 1 c)
---------t
~ See Part IV line 18 a LIJ j---~~~-shy
~ b Less direct expenses o c Net income or (loss) from fundraising
9 a Gross income from gaming activities See Part IV line 19
b Less direct expenses
c Net income or (loss) from gaming acti i -----------
10a Gross sales of inventory less returns and allowances a
b Less cost of goods sold j------ shy
c d 11 other revenue
e Total Add lines 11 a-11 d
lotal revenue See instruction
------------------
94-2460211 Page 10
Do not include amounts reported on lines 6b lb 8b 9b and lOb of Part VIII
1 Grants and other assistance to governments
p~~t ~ryalr~~a1if~~ ~~ t~~ ~ni~d state~ ~~~ 2 Grants and other assistance to individuals in
the United States See Part IV line 22
3 Grants and other assistance to governments organizations and individuals outside the United States See Part IV lines 15 and 16
4 Benefits paid to or for members 5 Compensation of current officers directors
trustees and key employees 251 751 6 Compensation not included above to
disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c) (3) (8)
7 Other salaries and wages
8 Pension plan accruals and contributions (include section 401 (k) and section 403(b) employer contributions)
9 Other employee benefits
10 Payroll taxes
11 Fees for services (non-employees)
a Management
b Legal
c Accounting
d Lobbying
e Professional fundraising services See Part IV line 17 f Investment management fees 9 Other (If line 11 g amt exceeds 10 of line 25 colshy
umn (A) amt list line 11 g expenses on Sch 0) 12 Advertising and promotion
13 Office expenses
14 Information technology
15 Royalties
16 Occupancy
17 Travel
18 Payments of travel or entertainment expenses for any federal state or local public officials
19 Conferences conventions and meetings 20 Interest
21 Payments to affiliates
22 Depreciation depletion and amortization
23 Insurance 24 Other expenses Itemize expenses not
covered above (List miscellaneous expenses in line 24e If line 24e amount exceeds 10 of line 25 column (A) amount list line 24e expenses on Schedule 0)
a ])~ ~sectlr_e_ Io_m~ _F99g lEYlIelts_ +__~~---=--=+-_----L~~~-+-______-+-________ b Administrative services cM~~~_~xp~~s~_______ _ d Y~~iltb~ ~~el1~~ ________ _ e All other expenses
25 Total functional expenses Add lines 1 through 24e
26 Joint costs Complete this line only if the organization reported in column (8) joint costs from a combined educational campaign and fundraising solicitation Check here 0 if following SOP 98-2 (ASe 958720)
TEEAOll OLI2n Ri Form 990 (2012)
Loans and other receivables from current and former officers directors
~~~i1Ff ~eJ~~o[ees ~~~ ~ig~es ~~~~~~~~~~ ~~~I~~~~s ~o~plete Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1raquo persons described in section 4958(c)(3) (B) and contributing employers and sponsoring organizations of section Sal (c)(9) voluntary employees beneficiary organizations (see instructions) Complete Part II of Schedule L
Notes and loans receivable net
Inventories for sale or use
Prepaid expenses and deferred charges
I lOa c~~r-----~--~~~-
other securities See Part IV line 11
program-related See Part IV line 11
Other assets See Part IV line 11
15 Ie an accrue expenses
Grants payable Deferred revenue
Tax-exempt bond liabilities
or custodial account liability Complete Part IV of Schedule D
Loans and other payables to current and former officers directors trustees key employees highest compensated employees and disqualified persons Complete Part II of Schedule L
Secured mortgages and notes payable to unrelated third parties
Unsecured notes and loans payable to unrelated third parties
Other liabilities (including federal income tax payables to related third parties and other liabilities not included on lines 17-24) Complete Part X of Schedule D
Organizations that follow SFAS 117 (ASe 958) check here and complete
Unrestricted net assets
Temporarily restricted net assets
Permanently restricted net assets
Organizations that do not follow SFAS 117 (ASe 958) check here D 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
Total net assets or fund balances
Total liabilities and net assetsfund balances
94-2460211 Page 11
Cash - non-interest-bearing
2 Savings and temporary cash investments 3 Pledges and grants receivable net
4 Accounts receivable net
5
6
A S 7 S E 8 T S 9
lOa Land buildings and equipment cost or other basis Complete Part VI of Schedule D
b Less accumulated depreciation
11 Investments - publicly traded securities
12 Investments shy
13 Investments shy
14 Intangible assets
15 16 17 18 19
L 20 I A 21 Escrow B I 22 L I T I 23E s 24
25
26 Total liabilities Add lines 17 through 25
N E T lines 27 through 29 and lines 33 and 34 A 27s s E 28 T 5 29 0 R
and complete lines 30 through 34J N 30
B 31 D
A L 32A N c 33 E s 34
BAA
(A) (B) Beginning of year End of year
IL 01103113
94-2460211 Page 12
Check if Schedule 0 contains a response to any question in this Part XI
Total revenue (must equal Part VIII column (A) line 12) 2 Total expenses (must equal Part IX column (A) line 25)
3 Revenue less expenses Subtract line 2 from line 1
4 Net assets or fund balances at beginning of year (must equal Part X line 33 column (A))
5 Net unrealized gains (losses) on investments 6 Donated services and use of facilities 7 I nvestment expenses 8 Prior period adjustments
9 Other changes in net assets or fund balances (explain in Schedule 0) Se~ SGb~ciul~ Q 10 Net assets or fund balances at end of year Combine lines 3 through 9 (must equal Part X line 33
column (B)) 10
Financial Statements and Reporting
Check if Schedule 0 contains a response to any question in this Part XII
1 Accounting method used to prepare the Form 990 D Cash [29 Accrual DOther
If the organization changed its method of accounting from a prior year or checked Other explain in Schedule O
2 a Were the organizations financial statements compiled or reviewed by an independent accountant If Yes check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis consolidated basis or both
D Separate basis D Consolidated basis D Both consolidated and separate basis
b Were the organizations financial statements audited by an independent accountant
If Yes check a box below to indicate whether the financial statements for the year were audited on a separate basis consolidated basis or both
~ Separate basis DConsolidated basis 0Both consolidated and separate basis
c 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 O
3 a As a result of a federal award was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133
b If Yes did the organization undergo the required audit or audits If the organization did not undergo the required audit or audits explain why in Schedule 0 and describe any steps taken to undergo such audits
BAA
1 384 061_
3a x
3b X Form (2012)
OMB No 1545-0047
SCHEDULE A Public Charity Status and Public Support (Form 990 or 990-EZ) 2012
Complete if the organization is a section 501 (c)(3) organization or a section 4947(a)(1) nonexempt charitable trust
Department of the Treasury Internal Revenue Service ~ Attach to Form 990 or Form 990-EZ ~ See separate instructions
2
3 4
~ A church convention of churches or association of churches described in section 170(bX1XAXi)
A school described in section 170(bX1)(AXii) (Attach Schedule E)
A hospital or a cooperative hospital service organization described in section 170(bX1XA)(iii)
A medical research organization operated in conjunction with a hospital described in section 170(bXl)(AXiii)- Enter the hospitals
name city and state
5 An organization operatedfOr thebenefit Of acollege oruniversh-Y owned or operated bya-governmentalunltdescribed in sectiOn - - - - - - shyD 170(bX1XAXiv) (Complete Part II)
6 A federal state or local government or governmental unit described in section 170(b)(1)(AXv) R7 X 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)(1XAXvi) (Complete Part II)
8 D A community trust described in section 170(bX1XAXvi) (Complete Part II)
9 D An organization that normally receives (1) more than 33-13 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 33-13 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)
10 An organization organized and operated exclusively to test for public safety See section 509(aX4) R11 An organization organized and operated exclusively for the benefit of to perform the functions of or carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2) See section 509(aX3) Check the box that describes the type of supporting organization and complete lines 11 e through 11 h
a DType I b DType II c D Type III - Functionally integrated d D Type III - Non-functionally integrated
e D 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 is a Type I Type II or Type III supporting organization check this box D
9 Since August 172006 has the organization accepted any gift or contribution from any of the following persons
I Yes No (i) A person who directly or indirectly controls either alone or together with persons described in (ii) and (iii)
below the governing body of the supported organization 11 g (i) ~-----r---+---shy
(ii) A family member of a person described in (i) above 11 9 (ii)
(iii) A 35 controlled entity of a person described in (i) or (ii) above 11 g (iii) h Provide the following information about the supported organization(s)
(i) Name of supported organization
(ii) EIN (iii) Type of organization (described on lines 1-9
(iv) Is the organization in
(v) Di d you notify the organization in
(vi) Is the organization in
(vii) Amount of monetary support
above or IRe section column (i) listed in column (i) of your column (i) (see instructionsraquo your governing
document support organized in the
US
(A)
(8)
(C)
(D)
(E)
Total
For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990-EZ
I EEA040 Il_
Schedule A (Form 990 or 990-EZ) 2012 Community Bridges 94-2460211 Page 2
_Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5 7 or 8 of Part I or if the organization failed to qualify under Part III If the organization fails to qualify under the tests listed below please complete Part III)
Section A Public Su rt Calendar year (or fiscal year beginning in) ~ (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts grants contributions and membership fees received ltpo not include any unusual grants ) 11700497 12531538 11914396 13085089 12897266 62 128 786
2 Tax revenues levied for the organizations benefit and either paid to or expended on its behalf o
3 The value of services or facilities furnished by a governmental unit to the organization without charge
4 Total Add lines 1 through 3 5 The portion of total
contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2 of the amount shown on line 11 column (f) o
6 786
Calendar year (or fiscal year beginning in) ~
7 Amounts from line 4
8 Gross income from interest dividends payments received on securities loans rents royalties and income from similar sources 7 754 3 403 5 421 244 51 392 68 214
9 Net income from unrelated business activities whether or not the business is regularly carried on o
10 Other income Do not include gain or loss from the sale of capital aS~~Se(Ep~fie irrV
13 First five years If the Form 990 is for the organizations first second third fourth or fifth tax year as a section 501 (c) (3) organization check this box and stop here ~ D
Section C Computation of Public Support Percentage 14 Public support percentage for 2012 (line 6 column (f) divided by line 11 column (f)) 9892 15 Public support percentage from 2011 Schedule A Part II line 14 9886
16a 33-13 support test - 2012 If the organization did not check the box on line 13 and the line 14 is 33-13 or more check this box and stop here The organization qualifies as a publicly supported organization ~ ~
b 33-13 support test - 2011 If the organization did not check a box on line 13 or 16a and line 15 is 33-13 or more check this box and stop here The organization qualifies as a publicly supported organization ~ D
17 a 1 O-facts-and-circumstances test - 2012 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-andmiddot circumstances test check this box and stop here Explain in Part IV how the organization meets the factsmiddotand-circumstances test The organization qualifies as a publicly supported organization ~ lJ
Part IV)
11 rh~~aJ9shu~8~~ ~dd Iin~s
612 273
12 Gross receipts from related activities etc (see instructions) L-__~~~~~~~
b 1 O-facts-and-circumstances test - 2011 If the organization did not check a box on line 13 16a 16b or 17a and line 15 is 10 or more and if the organization meets the facts-and-circumstances test check this box and stop here Explain in Part IV how the 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 o( l7b check this box and see instructions
Schedule A (rorm 990 or 990middot[2) 202
~EEA0402L 080912
Section A Public rt Calendar year (or fiscal yr beginning in)
1 Gifts grants contributions
Schedule A (Form 990 or 990middotEZ) 2012 Communi Br s 94-2460211 3 Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II If the organization fails to qualify under the tests listed below please complete Part II)
and membership fees received (Do not include any unusual grants)
2 Gross receipts from admisshysions merchandise sold or services performed or facilities furnished in any activity that is related to the organizations taxmiddotexempt purpose
3 Gross receipts from activities that are not an unrelated trade or business under section 513
4 Tax revenues levied for the organizations benefit and either paid to or expended on its behalf
5 The value of services or facilities furnished by a governmental unit to the organization without charge
6 Total Add lines 1 through 5 7 a Amounts included on lines 1
2 and 3 received from disqualified persons
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5000 or 1 of the amount on line 13 for the year
c Add lines 7a and 7b
8
Calendar year (or fiscal yr beginning in) (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (I) Total
9 Amounts from line 6 10 a Gross income from interest
dividends payments received on securities loans rents royalties and income from similar sources
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30 1975
c Add lines lOa and 1 Db Net income from unrelated business
activities not included in line lOb whether or not the business is regularly carried on
12 Other income Do not include gain or loss from the sale of capital assets (Explain in Part IV)
13 Total support (Add Ins9 10c 11 and 12) ~~~____~~~~____~~__~__-L__________ __~~~~~__~
14 First five years If the Form 990 is for the organizations first second third fourth or fifth tax year as a section 501 (c)(3)organization check this box and stop here
Section C Computation of Public Support Percentage shy15 Public support percentage for 2012 (line 8 column (I) divided by line 13 column (I)) 16 Public support percentage from 2011 Schedule A Part III line 15
Section D Computation of Investment Income Percentage 17 Investment income percentage for 2012 (line 10c column (I) divided by line 13 column (I)) 17
18 Investment income percentage from 2011 Schedule A Part III line 17 18 19a 33-13 support tests - 2012 If the organization did not check the box on IIn8 14 and line 15 is more than 33-13 and line 17
is not more than 33-13 check this box and stop here The organization qualifies as a publicly supported organization
b 33-13 support tests - 2011 If the organization did not check a box on line 14 or line 19a and line 16 is more than 33-13 and line 18 is not mOIe than 33-13 check this box and stop here The organization qualifies as a publicly supported organization
20 Private foundation If the organization did not check hox Orl line 14 19a or 19b check box and see instructions ~H -----o------~--- ------
BAA NJ403L 080912 Schedule A (Form 990 or 99QZ) 2012
4 Schedule A (Form 990 or 990-EZ) 2012 Communi s 94-2460211 Supplemental Information Complete this part to provide the explanations required by Part II line 10 Part II line 17a or 17b and Part III line 12 Also complete this part for any additional information (See instructions)
___~P~~t1~cJ~Cule_~dJltli9~lt ~~~lelTI_e~U~f9l1aiQf _______________________________ _
_ _cLeID1tu_g1_lzgti_ol)-PSlYlJ1~nL _ _ _ _ _ _ _ _ _ _ _ _ ________________________________ _
BAA
081012
2012 Schedule A Part IV - Supplemental Information PageS
Community Bridges 94-2460211
Part II Line 10 - Other Income
Nature and Source 2012 2011 2010 2009 2008
Other Income Total
$ 108645 $ 108645
$ 36333 $ 36333
$ 130009 $ 130009
$ 169710 $ 169710
$ $
167576 167576
------
---------------
OMB No 1545middot0047SCHEDULE C Political Campaign and Lobbying Activities (Form 990 or 990-EZ)
For Organizations Exempt From Income Tax Under section 501 (c) and section 527 2012 Complete if the organization is described below Attach to Form 990 or Form 990-EZ
Department of the Treasury Internal Revenue Service See separate instructions
If the organization answered Yes to Form 990 Part IV line 3 or Form 990-EZ Part V line 46 (Political Campaign Activities) then bull Section 501 (c)(3) organizations Complete Parts I-A and B Do not complete Part I-C bull Section 501 (c) (other than section 501 (c)(3raquo) organizations Complete Parts I-A and C below Do not complete Part I-B bull Section 527 organizations Complete Part I-A only
If the organization answered Yes to Form 990 Part IV line 4 or Form 990-EZ Part VI line 47 (Lobbying Activities) then bull Section 501 (c) (3) organizations that have filed Form 5768 (election under section 501 (h)) Complete Part II-A Do not complete Part II-B
bull Section 501 (c) (3) organizations that have NOT filed Form 5768 (election under section 501 (h)) Complete Part II-B Do not complete Part II-A
If the organization answered Yes to Form 990 Part IV line 5 (Proxy Tax) or Form 990-EZ Part V line 35a (Proxy Tax) then bull Section 501 (c)(4) (5) or (6) organizations Complete Part III
See Part IV 2 3 Volunteer hours bull w Complete if the organization is exempt under section 501 (c)(3) 1 Enter the amount of any excise tax incurred by the organization under section 4955
2 Enter the amount of any excise tax incurred by organization managers under section 4955
3 If the organization incurred a section 4955 tax did it file Form 4720 for this year DYes
4a Was a correction made middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotDYes b If Yes describe in Part IV
II~~~~~~~~~~~~--~~~~~~~--~~---------2 Enter the amount of the filing organizations funds contributed to other organizations for section 527 exempt
function activities $
3 Total exempt function expenditures Add lines 1 and 2 Enter here and on Form 1120-POL line 17b ~ $
4 Did the filing organization file Form 1120-POL for this year DYes
5 Enter the names addresses and employer identification number (EIN) of all section 527 political organizations to which the filing organization made payments For each organization listed enter the amount paid from the filing organizations funds Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization such as a separate segregated fund or a political action committee (PAC) If additional space is needed provide information in Part IV
(a) Name (b) Address (e) EIN (d) Amount paid from filing (e) Amount of political organizations funds If contributions received and
none enter-Omiddot promptly and directly delivered to a separate political organization If
none enter -0middot
(1) ~---------------~---
(2) ~------
(3) ~-
(4)
~~)~~~~~--~~~~--~-~---~~-~---~~~~~~~-~_-_~~~~-----~~~~~~-~~~~~~~~~~-~~~~~-~---------_-_--f------c_~~~_-middot_J_L~~--------+---~ -~ -shyBAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990middotEZ Schedule C (Form 990 or 990middotEZ) 2012
TEEA320 I L 217112
----
Schedule C(Form 990 or 990-EZ) 2012 Communi Bri s 4-2460211 Page 2
Complete if the organization is exempt under section 501 (c)(3) and filed Form 5768 (election under section 501 (hraquo
A Check ~ 0 if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group members name
address EIN expenses and share of excess lobbying expenditures)
B Check ~ 0 if the filing organization checked box A and limited control provisions apply
Limits on Lobbying Expenditures (a) Filing (b) Affiliated organizations totals group totals (The term expenditures means amounts paid or incurred)
1 a Total lobbying expenditures to influence public opinion (grass roots lobbying)
b Total lobbying expenditures to influen_ce a legislative body (direct lobbying)
c Total lobbying expenditures (add lines 1a and 1b)
d Other exempt purpose expenditures
e Total exempt purpose expenditures (add lines 1c and 1d)
f Lobbying nontaxable amount Enter the amount from the following table in both columns
g Grassroots nontaxable amount (enter 25 of line 1f)
h Subtract line 1g from line 1a If zero or less enter -0-
Subtract line 1f from line 1c If zero or less enter -0-
If there is an amount other than zero on either line 1h or line 1i did the organization file Form 4720 reporting section 4911 tax for this year DYes 0No
4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501 (h) election do not have to complete all of the five
columns below See the instructions for lines 2a through 2f)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total year beginning in)
13l7 524
2a Lobbying non-taxable amount 3 513 393
b Lobbying ceiling amount (150 of line 2a column (eraquo 5 270 090
c Total lobbying enditures 18 425
d Grassroots nontaxable amount 878 349
e Grassroots ceiling amount (150 of line 2d column
f Grassroots lobbying expenditures o
BAA Schedule C (Form 990 or 990-EZ) 2012
-EEA3202L 010713
3 Schedule C(Form 990 or 2012 Bri 94-2460211 Complete if the organization is exempt under se as NOT filed Form 5768 (election under section 501 (hraquo
For each Yesresponse to lines 7a through Ii below provide in Part IVa detailed description of the lobbying activity
During the year did the filing organization attempt to influence foreign national state or local legislation including any attempt to influence public opinion on a legislative matter or referendum through the use of
a Volunteers
b Paid staff or management (include compensation in expenses reported on lines 1 c through 1 i)
c Media advertisements
d Mailings to members legislators or the pUblic ~~---+--------------
e Publications or published or broadcast statements
f Grants to other organizations for lobbying purposes
9 Direct contact with legislators their staffs government ofFicials or a legislative body
h Rallies demonstrations seminars conventions speeches lectures or any similar means
i Other activities ~~~~--------
j Total Add lines 1c through 1 i ~lli~J~i01 ~2iJn
I----t---- shy
2 a Did the activities in line 1 cause the organization to be not described in section 501 (c)(3)
b If Yes enter the amount of any tax incurred under section 4912
c If Yes enter the amount of any tax incurred by organization managers under section 4912
d If the filing organization incurred a section 4912 tax did it file Form 4720 for this year
Complete if ization is exempt under section 501 (c)(4) section 501 (c)(5) or section 501
Were substantially all (90 or more) dues received nondeductible by members 1----+---1---shy
2 Did the organization make only inmiddothouse lobbying expenditures of $2000 or less f----j----j--- shy
3 Did the organization agree to carryover lobbying and political from the prior year
Complete if the organization is exempt under section 501 (c)(4) section 501 (c)(5) or section 501 (c) (6) and if either (a) BOTH Part III-A lines 1 and 2 are answered No OR (b) Part III-A line 3 is answered Yes
Dues assessments and similar amounts from members
2 Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid)
a Current year
b Carryover from last year
c Total
3 Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues
4 If notices were sent and the amount on line 2c exceeds the amount on line 3 what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year
I---~--------------5 Taxable amount of lobbying and political expenditures (see instructions)
Complete this part to provide the descriptions required for Part ImiddotA line 1 Part ImiddotB line 4 Part Imiddote line 5 Part IImiddotA (affiliated group list) Part IImiddotA line 2 and Part IImiddotB line 1 Also complete this part for any additional information
TEEA32031 OliO
Scheciu1e
-----------------
OMB I~o 1545-0047 SCHEDULE D (Form 990) Supplemental Financial Statements 2012
~ Complete if the organization answered Yes to Form 990 Part IV lines 6 7 8 9 10 l1a 11 b 1lc l1d l1e l1f 12a or 12b
~ Attach to Form 990 ~ See instructions
(a) Donor advised funds
1 Total number at end of year
2 Aggregate contributions to (during year
3 Aggregate grants from (during year) 4 Aggregate value at end of year
S Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organizations property subject to the organizations exclusive legal control DYes
6 Did the organization inform all grantees donors and donor advisors in writing that grant funds can be used only
impermissible private benefit for charitable purposes and not for the benefit of the donor or donor advisor or for any other purpose conferring
No
(b) Funds and other accounts
Purpose(s) of conservation easements held by the organization (check all that apply)
Preservation of land for public use (eg recreation or education) D Preservation of an historically important land area
Protection of natural habitat D Preservation of a certified historic structure
Preservation of open space ~
2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the iast day of the tax year
a Total number of conservation easements
b Total acreage restricted by conservation easements
c Number of conservation easements on a certified historic structure included in (a)
d Number of conservation easements included in (c) acquired after 81706 and not on a historic structure listed in the National Register 2 dL-__L-_________________________
3 Number of conservation easements modified transferred released extinguished or terminated by the organization during the tax year Igt
4 Number of states where property subject to conservation easement is located Igt
S Does the organization have a written policy regarding the periodic monitoring inspection handling of violations and enforcement of the conservation easements it holds DYes
6 Staff and volunteer hours devoted to monitoring inspecting and enforcing conservation easements during the year Igt
7 Amount of expenses incurred in monitoring inspecting and enforcing conservation easements during the year 1gt$
8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(8)(i) and section 170(h)(4)(8)(ii) DYes
9 In Part XIII describe how the organization reports conservation easements in its revenue and expense statement and balance sheet and include if applicable the text of the footnote to the organizations financial statements that describes the organizations accounting for conservation easements
tf~rtiml Organizations Maintaining Collections of Art Historical Treasures or Other Similar Assets Complete if the organization answered Yes to Form 990 Part IV line 8
1 a If the organization elected as permitted under SFAS 116 (ASC 958) 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 XIII the text of the footnote to its financial statements that describes these items
b If the organization elected as permitted under SFAS 116 (ASe 958) 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 VI I line 1 ~$
(ii) Assets included in Form 990 Part X 11gt-$
2 If the organization received or held works of art histOrical treasures or other similar assets for financial gaill provide the following amounts required to be reported under SFAS 116 (ASe 958) relating to these items
11gt-$ -~~-------
$ BAA For Paperwork Reduction Act Notice the Instructions for Form 990 991l) CJ12
~--~-------------------------
-----------------------------------------------
-------
e2
3 Using the organizations acquisition accession and other records check any of the following that are a significant use of its collection items (check all that apply)
a sectPublic exhibition d BLoan or exchange programs b Scholarly research e Other
c Preservation for future generations
4 Provide a description of the organizations collections and explain how they further the organizations exempt purpose in Part XIII
5 During the year did the organization solicit or receive donations of art historical treasures or other similar assets D to be sold to raise funds rather than to be maintained as part of the organizations collection Yes
IRal~IYRI Escrow and Custodial Arrangemel1ts Complete if the organization answered Yes to Form 990 Part IV line 9 or reported an amount on Form 990 Part X line 21
1 a ~nt~~r~g~~~~~r~ ~~ ~~~~t~ trus~e~ ~u~t~~i~~ or ot~er int~~~~~~~~~ ~o~contnbu~i~~~ ~r ~~e~ ass~ts n~i~cI~~~d DYes
b If Yes explain the arrangement in Part XIII and complete the following table
Amount
c Beginning balance 1 c d Additions during the year d
e Distributions during the year 1 e f Ending balance 1f
2a Did the organization include an amount on Form 990 Part X line 21 UYes NOb If Yes explain the arrangement in Part XIII Check here if the explantion has been provided in Part Xlll D
fBaIM~1 Endowment Funds Complete if the or~anization answered Yes to Form 990 Part IV line 10 (a) Current (b) Prior year (e) Two years (d) Three years (e) Four years
1 a Beginning of year balance
b Contributions
c Net investment earnings gains and losses
d Grants or scholarships
e Other expenditures for facilities and programs
f Administrative expenses
9 End of year balance
2 PrOVide the estimated percentage of the current year end balance (line 1 g column (araquo held as
a Board designated or quasi-endowment b Permanent endowment c Temporarily restricted endowment
The percentages in lines 2a 2b and 2c should equal 10000
3 a Are there endowment funds not in the possession of the organization that are held and administered for the organization by Yes No (i) unrelated organizations 3a(i)
(ii) related organiZations 3a(ii)
b If Yes to 3a(ii) are the related organizations listed as required on Schedule R 3b I 4 Describe in Part XIII the intended uses of the organizations endowment funds
1 a Land
b Buildings
c Leasehold improvements
d Equipment
e Other
Total Add lines 1 a
BAA
(d) Book value
TEEt3302L 06e71 i 2
-------------------------
of security or rfpnlrl
name of secu (1) Financial derivatives
94-2460211
uation Cost or rket value
Page 3
~------------~--------------------------------------(2) Closely-held equity interests
~------------~--------------------------------------(3) Other ______________________ +----------f--------------------shyi~ __________________________1---_______-+____________________ (8)
iq __________________________~-----~---------------------------iD1_ - - - - - - - - - - - - - - - - - - - - - - -- -f------------+-------------------------------shy(E)- - - - - - - - - - - - - - - - - - - - - - - - - - - - ~-------------I---------------------------------------~~--------------------------f__----------+_-------------------------------iGl ______ -- _________ - _ - - - __ - - -f__----------l-----------------------------shy(H)- - - - - - - - - - - - - - - - - - - - - - - - - - - -- ~-------------+---------------------------------------J~ _____________________ _
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10) ----shy
(11)
Total (Column (b) must equal Form 990 Part X column (8) line 25) 2 FIN 48 CASe 740) Footnote In Part XIII provide the text of the footnote to the organizations financial statements that reports the organizations liability for uncertain tax positions under FIN 48 (ASe 740) Cherv here If the text of the footnote has been provided 11 Part XIII LJ BAA ____~_~__O~_ ~-~-~~~~--~~~-- --~T~-~middotA3303L- 122312 -- gt--~~-- Schedule 0 (Form 990) 2012
Page 4
2 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 XIII)
e Add lines 2a through 2d
3 Subtract line 2e from line 1 4 Amounts included on Form 990 Part VIII line 12 but not on line 1
a Investment expenses not included on Form 990 Part VIII line 7b
b Other (Describe in Part XII I)
c Add lines 4a and 4b
5 Total revenue Add lines 3 and 4c (This must equal Form 990 Part I line 72)
Total expenses and losses per audited financial statements
2 Amounts included on line 1 but not on Form 990 Part IX line 25
a Donated services and use of facilities 13 244 b Prior year adjustments c Other losses
d Other (Describe in Part XIII)
e Add lines 2a through 2d 3 Subtract line 2e from line 1
4 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 XIII) c Add lines 4a and 4b
must equal Form 990 Part I line 78)
Complete this part to provide the descriptions required for Part II lines 3 5 and 9 Part III lines 1a and 4 Part IV lines 1b and 2b Part V line 4 Part X line 2 Part XI lines 2d and 4b and Part XII lines 2d and 4b Also complete this part to provide any additional information
BAA Schedule 0 (Form 990) 2012
fEEA3304L 1
OMS No 1545middot0047
SCHEDULE G Supplemental Information Regarding (Form 990 or 990-EZ) Fundraising or Gaming Activities 2012
Complete if the organization answered Yes to Form 990 Part IV lines 17 18 or 19 or if the organization entered more than $15000 on Form 990-EZ line 6aDepartment of the Treasury
Internal Revenue Service ~ Attach to Form 990 or Form 990-EZ ~ See separate instructions
Name of Employer
94-2460211 InnInn ACtlVlllles Complete if the organization
___-c---cFo_r_m--- ~ filers are not required to complete this part
Indicate whether the organization raised funds through any of the following activities Check all that apply
a DMail solicitations e DSolicitation of non-government grants
b D Internet and email solicitations f DSolicitation of government grants
c D Phone solicitations g D Special fundraising events
d D Inmiddotperson solicitations
2 a 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 DYes ~No
b If Yes list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fund raiser is to be compensated at least $5000 by the organization
(i) Name and address of individual or entity (fund raiser)
(ii) Activity (iii) Did fund raiser have custod6or control
of contri utions
(iv) Gross receipts from activity
(v) Amount paid to (or retained by)
fundraiser listed in
(vi) Amount paid to (or retained by)
organization column (i)
Yes No
1
-- shy2
3 I
4 -----~--------
5
6
7 -__----shy
8
9
10
Total O bull -
3 List all states In which the organization IS reglslered or licensed to SOliCit contributions or has been notified It IS exempt from registration or licensing
- --~---~---~-- ~-~--~-~--~-~~-- ---
BAA for Paperwork Reduction Act Notice see the Instructions Form 990 or 990-EL Schedule G (runn 990 or 990-EZ) 2012 TEEA3701L 01107113
--
------
Schedule G (Form 990 or 990-EZ) 2012 Commun Br 94-2460211 Page 2
Fun ng Events Complete if the organization answered Yes to Form 990 Part IV ine 18 or reported more than $15000 of fundraising event contributions and gross income on Form 990-EZ lines 1 and 6b List events with gross receipts greater than $5000
(a) Event 1 (b) Event 2 (c) Other events (d) Total events (add column (a)
Italian Affair None through column (craquoR (event type) (event type) (total number) E V E N 1 Gross receipts 20186 20186 U E
2 Less Charitable contributions
3 Gross income (line 1 minus line 2) 20186 20186
4 Cash prizes
5 Noncash prizes D
R I
6 Rentfacility costs E C T 7 Food and beverages 5391 539l E x p 8 Entertainment E
N s 9 Other direct expenses 5822 5822E S
10 Direct expense summary Add lines 4 through 9 in column (d) 11213 11 Net income summary Combine line 3 column (d) and line 1 Q 8973
[Pifllll Gaming Complete if the o~ganization answered Yes to Form 990 Part IV line 19 or reported more than
(a) Bingo (b) Pull tabsllnstant (c) Other gaming (d) Total gaming R E bingoprogressive (add column (a) V bingo through column (eraquo E N U E Gross revenue
2 Cash prizes ~------------4---------------+--------------~--------------E
D X I P 3 Non-cash prizes R E E N C S T E
S 4 Rentfacility costs
5 Other direct expenses
Yes Yes Yes 6 Volunteer labor No No No
7 Direct expense summary Add lines 2 through 5 in column (d)
8 Net gaming income summary Combine lines 1 column (d) and line 7
9 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 0 Yes
b If No explain
lOa Were any of the organizations gaming licenses revoked suspended or terminated during the tax year 0 Yes b If Yes explain
BAA TFJ3]02L 010713 ScheclJle G (F (JIm 990 or 990 2012
------------
-----------
Schedule G (Form 990 or 990-EZ) 2012 Community Bridges 94-2460211 Page 3 11 Does the organization operate gaming activities with nonmembers DYes 12 Is the organization a grantor beneficiary or trustee of a trust or a member of a partnership or other entity formed to
administer charitable gaming DYes 13 Indicate the percentage of gaming activity operated in
a The organizations facility 13a ~13-b~------------~~b An outside facility
14 Enter the name and address of the person who prepares the organizations gamingspecial events books and records
Name
Address
15a Does the organization have a contact with a third party from whom the organization receives gaming revenue DYes b If Yes enter the amount of gaming revenue received by the organization $ and the amount
of gaming revenue retained by the third party $ c If Yes enter name and address of the third party
Name ---------------------------------------------~-----l
I Address I
16 Gaming manager information
Name
Gaming manager compensation $
Description of services provided
D Directorofficer DEmployee D independent contractor
17 Mandatory distributions
a Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the ~~egaminglicense ___________________________________________________________________ D~s ~No
b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the
organizations own exempt activities during the tax year $ lean~IlUI Supplemental Information Complete this part to provide the explanations required by Igtart I line 2b
columns (iii) and (v) and Part III lines 9 9b 1 ~b 15b 15c 16 and 17b as applicable Also complete this part to provide any additional information (see instructions)
----------------------- -------------------- ------ ----------------------------- __--shy
_ ---_ --------------- ---------------- ----- shy
BAA TEEA3703L 010113 Schedule G (Form 990 or 990middotEZ) 2012
--------------------------------------------------------- ---------
OMB No 1545-0047SCHEDULE 0 Supplemental Information to Form 990 or 990middotEZ (Form 990 or 990-EZ)
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information
Department of the Treasury ~ Attach to Form 990 or 990-EZInternal Revenue Service
Name of the
94-2460211
health care 4112-63012
BAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990-EZ TFEIA)IJIL 12812 Schedule 0 (Forrn 990 or 2012
Schedule 0 (Form 990 or 990-EZ) 2012 Page 2 Name of the organization Employer Identification number
Community Bridges 94-2460211
~ ~~Oy~~sjg1~~ge~~~e~~~~~ ~~~ ~ ~ ~~ ~~ ~_ ~~ ~ ~ ~~~~~~~ ~ ~ ~ ~ ~ ~~~~ ~ ~ ~~ ~ ~~~~~ ~ ~ ~ ~ _
Schedule (Form 990 or
TEEA4902L
2012
2012 Schedule 0 bull Supplemental Information Page 1
Community Bridges 94-2460211
Form 990 Part XI Line 9 Other Changes In Net Assets Or Fund Balances
Depreciation Grant Funded Assets $ -140124 Familia Net Assets 82104
Total $ -58020========
-------------------
OMS No 1545-0047
SCHEDULE R (Form 990) Related Organizations and Unrelated Partnerships 2012
Complete if the organization answered Yes to Fonn 990 Part IV line 33343536 or 37DqJ21rTrrent of the Treasury Internal Revenue Service Attach to Form 990 ~ See separate instructions Name of the organization
s 94-2460211Commu
rp~ Identification of Disregarded Entities (Complete if the organization answered Yes to Form 990 Part
(a) (b) (c) (e) (f) iiame address and EIN (if applicable) of disregarded entity Primary activity Legal domicile (state End-of-year assets Direct controlling
or foreiqn country) entity
=== === =_===== =_ ===== == ===__1 1-- -- -=-=1 TI ~~
FPafIIldentification 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)
(a) Name address and EIN of related organization
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Exempt Code
section
(e) Public charity status (if section 501 (c) (3raquo)
(f) Direct controlling
entity
(g)Sec 512(b)(13)
controlled entity
Yes No (1) FAMILIA CENTER
236SANTA-rnUZAVE----------- shy------------------------- shyAPTOS CA 95003770071589 - - shy - - - -- shy - - - -- shy - - shy BILINGUAL FAMILY
SERVICES CA I
501(C)3 PUBLIC
CHARITY COMMUNITY
BRIDGES X
---------------------- shy_shy --shy --------------------- shy - shy - -- -- shy - - shy - - shy - - - - - - - - - - - - - - -
- --
----------~--------------
-shy - shy --------------------- shy
-shy - shy - shy - shy shy -shy - - ---------------- shy- c--- shy
- - -- --- -- - - - - --- - - - - - - - - - - - - shy
- - -- - shy
- -- - --------------------- shy -=r_ I _ __ I
~-- I ------- - -- ----- --- --
BAt For Paperwork Reduction Act Notice see the Instructions for Form 990 TEEA5001 L 122812 Schedule R (Form 990) 2012
- -- ------
----- -
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 2
re~rtUI Iidentific~tion of Related Organizations T~xable 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)
me oddltl od EIN of I PIm~~cttyrelated organization
-+shy----shy
-_--shy -- -shy ~
(c) Legal
domicile (state or foreign country)
(d) Direct
controlling entity
(e) Predominant income (related unrelated excluded from tax
under sections 512-514)
(f) Share of total
income
(g) Share of
end-of-year assets
(h) Disproporshy
tionate allocations
Yes No
(i) Code V-UBI
amount in box 20 of Schedule
K-1 (Form 1065)
(j) General or managing partner
Yes No
(k) Percentage ownership
shy -shy --shy --shy -shy
-shy -__shy ---shy -shy
_ _ _____ ___ J~
-- -- -- - - - -- - -- shy
-
--T~ --=~ -- ~~==~=-
I
IPaHJVl Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered Yes to Form 990 Part IV L----_-l line 34 because it had one or more related organizations treated as a corporation or trust during the tax year)
(a) (b) I (c) (d) (e) I (f) (g) (h) I (i)iiame address and EIN of related organization Primary activity Legal domicile Direct Type of entity Share of Share of end-of- Percentage Sec S12(b)(13)
(state or foreign controlling (C corp S corp total income year assets ownership controlled entitycountry) entity or trust)
Yes I No
- - - - - - - - - -- - - - - - -- --I --------------------4
--==========1------~--------------~------------~------------~------------~--------------~--------------~--------~I----~------TEEA5002L 1228112 Schedule R (Form 990) 2012
---------
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 3
i])~ Transactions With Related Organizations (Complete if the organization answered Yes to Form 990 Part IV line 34 35b or 36)
Note Complete line 1 if any entity is listed in Parts II III or IV of this schedule During the lax year did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity b Gift grant or capital contribution to related organization(s)
Gift grant or capital contribution from related organization(s)
d Loans or loan guarantees to or for related organization(s)
e Loans or loan guarantees by related organization(s)
Dividends from related organization(s) 9 Sale of assets to related organization(s)
h Purchase of assets from related organization(s)
Exchange of assets with related organization(s)
Lease c[racilities equipment or other assets to related organization(s)
Lease of facilities equipment or other assets from related organization(s)
Performance of services or membership or fundraising solicitations for related organization(s)
Ferformance of services or membership or fundraising solicitations by related organization(s)
Sharing of facilities equipment mailing lists or other assets with related organization(s)
o Sharing of paid employees with related organization(s)
Reimbursement paid to related organization(s) for expenses
q Reimbursement paid by related organization(s) for expenses
r Other transfer of cash or property to related organization(s
5 Other transfer of cash or property from related organization(s)
If the answer to any of the above is Yes see the instructions for information on who must complete this line including covered relationships and transaction thresholds
(b) (c)N f h(a) d (2 lame 0 ot er organization Transaction Amount involved Metho of etermlnlng --~
type (a-s) amount involved
(1)
(2)
ltd ~ ~J
I I I
(5) ------------shy
(6) ~---------------------------------------------------------------------------~--------------~--------~~~~--~--~~~
TEEIS003L 1228112 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 4
e~~I1 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) I (b) (c) (d) (e) (f) (g) (h) (i) (j) I (k)Jame address and EIN of entity Primary activity Legal domicile Predominant Are all partners Share of Share of Dispropor- Code V-UBI General or Percentage
(state or foreign income section total income end-of-year tionate amount in box managing ownership country) (related unre- 501 (c)(3) assets allocations 20 of Schedule partner
lated excluded organizations i K- 1 from tax under ~---c--- Form (1065)
section 512-514) Yes I No Yes No Yes No----+----1
- --==~ ~ ~ ====== ~ I ~ --I------+--+----t--shy
(3)
--------------1
(6)
-____ __~__ - I I I SAl TEEAS004L 122812 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Page 5 _ Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions)
-r- I - lt-j005L middot22312 Schedule R (Forni
----- ----
---------------------
---------------------
---------------------
---------------------
---------------------
------------------------- ----
-----
---
---
Check if Schedule 0 contains a response to any question in this Part VII D Section A Officers Directors Trustees Key Employees and Highest Compensated Employees 1 a Complete this table for all persons required to be listed Report compensation for the calendar year ending with or within the organizations tax year
bull List all of the organizations current officers directors trustees (whether individuals or organizations) regardless of amount of compensation Enter -D- in columns (D) (E) and (F) if no compensation was paid
bull List all of the organizations current key employees if any See instructions for definition of key employee
bull List the organizations five current highest compensated employees (other than an officer director trustee or key employee) who received reportable compensation (Box 5 of Form W-2 andor Box 7 of Form 1 099-MISC) of more than $100000 from the organization and any related organizations
bull List all of the organizations former officers key employees and highest compensated employees who received more than $100000 of reportable compensation from the organization and any related organizations
bull List all of the organizations former directors or trustees that received in the capacity as a former director or trustee of the organization more than $10000 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
DCheck this box if neither the organization nor any related organization compensated any current officer director or trustee
(C)
(A) (8) Position (do not check more than (D) (E) (F) Name and Title Average Reportable Reportable Estimatedone box unless Rerson is both an
officer and a irectortrustee)hours per compensation from compensation from amount of other week (list the organization related organizations compensation any hours =gt J (Wmiddot21099-MISC) (Wmiddot21099-MISC) from the 0 lt I - Of
uo ltD 0 lt ~ organization
organizamiddot ~~ e- (1) 0lt1gt 3 and related for related = Dromiddot
(1) a lt Ugt tions oc =0
~ 3 (D~ ~ organizationsQ~ =gt D roltgtbelow 0 0
~ ltdotted 2 lt1gt 3 Dline) $Ii- 2 (I)
(I) OJ (gt $- raquo (1 ltt a
_Ql~~~1Y~E~a~_________ 5 Community Rep_ 0 X O O O
~~~c~_~aS2~s~~ _____ 5 Community Rep
--
0 X O O O _ l ~th~1_L~~is____ 5
Vice President 0 X X O O O (4) Barbara Frank 5
President 0 X X o O O (5) John Tuck 5
Community Rep 0 X 0_ O O (6) Mark Hartunian 5
Community Rep 0 X O O O _0_~~ry_~u~ll~_______ 40
Staff Sup_ Rep -
0 X 34197 O 7729 (8) Rick Roberts 5
Secretary 0 X X O O O (9) Linda Fawcett 5
Community Rep 0 X O O O 11~)_ ~~rj~ _B~1ia_ ~1r~~y -- ---
40 CB Staff Re12
-
0 X 33302 0_ 7689 11~)_ ~JJs_Eall1~r_______ 5
Community Rep --
0 X o O 0_ (12) Karl Rice 5
Treasurer 0 X X O O O 11~t ~(~ril~n jlip~JJ~____ 5
Community Rep 0 X O O o 11~)_ 8~b~f~a_ ft2w]~~ ___ T
Community Rep _~_-=-1- --t X I __~__~__ _~__ o_________middotlaquo__~_r_
O O - _-shy
1071_ 117l2 ro(rn (2012)
----- ---------------------
------ ---
------------------------------
----------- -
Form 990 (2012) Community Bridges 94-2460211 Page 8
_Section A Officers ~ctors TrLctooc Key Employees and Highest Compensated Employees (cant) (8) (C)
(A) Name and title
Position Average (do not check more than one
hours box unless person is both an per oj-ficer and a directortrustee)
(I~f~y IQ~ I~ I~ ~I fS hoursfor g ltIi - (() Iyen
related ~ ~ I~ lt
O~fo~~a Ii=- ~ Iiamp~below ltto
(0) Reportable
compensation from the organization (Nmiddot2I099-MISC)
(E) Reportable
compensation from related organizations
(N-2I099middotMISC)
(F) Estimated
amount of other compensation
from the organization and related
organizations
dotted ~ line) ~
o o o (16) Martin Bernal 5
rnmmllnity Rep 0 X o o o
X 86662 o 8237
i2~__________________
(22)
i2~_______________________ _ - -- shy
i2~)__ _____________________ _ ----_
i~)______________ -- -- shy
1 b Sub-total It- 220 041 o 31709 c Total from continuation sheets to Part VII Section A ogt- o o o d Total (add lines 1 band 1c 220 041 o 31 709
2 Total number of Individuals (inclucllng but not IlrTllted to those listed above) who received more than $100000 of reportable compensation
from the organization 0
3 Did the organization list any former officer director or trustee key employee or highest compensated employee on line 1 a If Yes complete Schedule J for such individual
4 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 $150000 If Yes complete Schedule J for such individual
5 Did any person listed on line 1 a receive or accrue compensation from any unrelated organization or individual for services rendered to the 0 ization If Yes Schedule J for such on
~om-pmiddotl-etmiddotet~h~is~tmiddotable--fo-r-y-o-u-rfiv-e-hmiddotigh-e-stc-o-m-pe-n-s-ate-d~in-de-p-e-nde-nt-c-o-ntr-a-cto-rs-Cth-at-r-e-cei-ve-d-m-o-r-etha-n~$~l~OOn~O~O~O-of---------compensation from the organization Report compensation for the calendar ending with or within the izations tax r
(A) (8) (C) Name and bUSiness address Description of services Compensation
2 Total number of independent contractors (including but not limited to those listed above) who received more than
$100000 in compensation frcm the organization 10gtshy
BAA TLJNl 1 08L 0112411 3
s 94-2460211 Page 9
Check if Schedule 0 contains a response to any question in this Part VIII D
a Federated campaigns
b Membership dues
c Fundraising events
d Related organizations
e Government grants (contributions)
f All other contributions gifts grants and similar amounts not included above
9 Noncash contributions included in Ins 1a-1 f h Total Add lines 1a-1 f
(A) (8) (C) Total revenue Related or Unrelated
exempt business function revenue
(0) Revenue
excluded from tax under sections
512513 or 514
2 a sect~yipound~ fe~~ gt~in_____ -I-=-==-=-=---_t-----L=-=L~_+----=~~-=-=__t------_t------shyb sect~yis~ fe~~ 1~ls12 shy __ _
-r-~~~-----t
c sect~yis~ fe~~ gtreglt_G9_pounde__ -r-=-=-=-----t__--=-=~--et__--=-=~----t__------t__-----shyd sect~yis~ fe~s_ =- Iil1i1Y jQu __ -I---=----------=--L--------=--L------------------shy
e sect~yis~ fe~~ ~1U_ld_G9_pounde__ -r-=--=-----t__--=-=-=L=~t__--=-=-=L=-------I------shyf All other program service revenue
L-~~~__~+-__~~~~ 9 Total Add lines 2a-2f
--+----shy3 Investment income (including dividends interest and
4
5
other similar amounts)
6 a Gross rents
b Less rental expenses
c Rental income or (loss)
d Net rental income or (I -~~~~---~~--~
7 a Gross amount from sales of assets otller than inventory
b Less cost or other basis and sales expenses
c Gain or (loss) d Net gain or (loss)
LIJ 8 a Gross income from fundraising events ~ (not including $--~--cc--c~shy~ of contributions reported on line 1 c)
---------t
~ See Part IV line 18 a LIJ j---~~~-shy
~ b Less direct expenses o c Net income or (loss) from fundraising
9 a Gross income from gaming activities See Part IV line 19
b Less direct expenses
c Net income or (loss) from gaming acti i -----------
10a Gross sales of inventory less returns and allowances a
b Less cost of goods sold j------ shy
c d 11 other revenue
e Total Add lines 11 a-11 d
lotal revenue See instruction
------------------
94-2460211 Page 10
Do not include amounts reported on lines 6b lb 8b 9b and lOb of Part VIII
1 Grants and other assistance to governments
p~~t ~ryalr~~a1if~~ ~~ t~~ ~ni~d state~ ~~~ 2 Grants and other assistance to individuals in
the United States See Part IV line 22
3 Grants and other assistance to governments organizations and individuals outside the United States See Part IV lines 15 and 16
4 Benefits paid to or for members 5 Compensation of current officers directors
trustees and key employees 251 751 6 Compensation not included above to
disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c) (3) (8)
7 Other salaries and wages
8 Pension plan accruals and contributions (include section 401 (k) and section 403(b) employer contributions)
9 Other employee benefits
10 Payroll taxes
11 Fees for services (non-employees)
a Management
b Legal
c Accounting
d Lobbying
e Professional fundraising services See Part IV line 17 f Investment management fees 9 Other (If line 11 g amt exceeds 10 of line 25 colshy
umn (A) amt list line 11 g expenses on Sch 0) 12 Advertising and promotion
13 Office expenses
14 Information technology
15 Royalties
16 Occupancy
17 Travel
18 Payments of travel or entertainment expenses for any federal state or local public officials
19 Conferences conventions and meetings 20 Interest
21 Payments to affiliates
22 Depreciation depletion and amortization
23 Insurance 24 Other expenses Itemize expenses not
covered above (List miscellaneous expenses in line 24e If line 24e amount exceeds 10 of line 25 column (A) amount list line 24e expenses on Schedule 0)
a ])~ ~sectlr_e_ Io_m~ _F99g lEYlIelts_ +__~~---=--=+-_----L~~~-+-______-+-________ b Administrative services cM~~~_~xp~~s~_______ _ d Y~~iltb~ ~~el1~~ ________ _ e All other expenses
25 Total functional expenses Add lines 1 through 24e
26 Joint costs Complete this line only if the organization reported in column (8) joint costs from a combined educational campaign and fundraising solicitation Check here 0 if following SOP 98-2 (ASe 958720)
TEEAOll OLI2n Ri Form 990 (2012)
Loans and other receivables from current and former officers directors
~~~i1Ff ~eJ~~o[ees ~~~ ~ig~es ~~~~~~~~~~ ~~~I~~~~s ~o~plete Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1raquo persons described in section 4958(c)(3) (B) and contributing employers and sponsoring organizations of section Sal (c)(9) voluntary employees beneficiary organizations (see instructions) Complete Part II of Schedule L
Notes and loans receivable net
Inventories for sale or use
Prepaid expenses and deferred charges
I lOa c~~r-----~--~~~-
other securities See Part IV line 11
program-related See Part IV line 11
Other assets See Part IV line 11
15 Ie an accrue expenses
Grants payable Deferred revenue
Tax-exempt bond liabilities
or custodial account liability Complete Part IV of Schedule D
Loans and other payables to current and former officers directors trustees key employees highest compensated employees and disqualified persons Complete Part II of Schedule L
Secured mortgages and notes payable to unrelated third parties
Unsecured notes and loans payable to unrelated third parties
Other liabilities (including federal income tax payables to related third parties and other liabilities not included on lines 17-24) Complete Part X of Schedule D
Organizations that follow SFAS 117 (ASe 958) check here and complete
Unrestricted net assets
Temporarily restricted net assets
Permanently restricted net assets
Organizations that do not follow SFAS 117 (ASe 958) check here D 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
Total net assets or fund balances
Total liabilities and net assetsfund balances
94-2460211 Page 11
Cash - non-interest-bearing
2 Savings and temporary cash investments 3 Pledges and grants receivable net
4 Accounts receivable net
5
6
A S 7 S E 8 T S 9
lOa Land buildings and equipment cost or other basis Complete Part VI of Schedule D
b Less accumulated depreciation
11 Investments - publicly traded securities
12 Investments shy
13 Investments shy
14 Intangible assets
15 16 17 18 19
L 20 I A 21 Escrow B I 22 L I T I 23E s 24
25
26 Total liabilities Add lines 17 through 25
N E T lines 27 through 29 and lines 33 and 34 A 27s s E 28 T 5 29 0 R
and complete lines 30 through 34J N 30
B 31 D
A L 32A N c 33 E s 34
BAA
(A) (B) Beginning of year End of year
IL 01103113
94-2460211 Page 12
Check if Schedule 0 contains a response to any question in this Part XI
Total revenue (must equal Part VIII column (A) line 12) 2 Total expenses (must equal Part IX column (A) line 25)
3 Revenue less expenses Subtract line 2 from line 1
4 Net assets or fund balances at beginning of year (must equal Part X line 33 column (A))
5 Net unrealized gains (losses) on investments 6 Donated services and use of facilities 7 I nvestment expenses 8 Prior period adjustments
9 Other changes in net assets or fund balances (explain in Schedule 0) Se~ SGb~ciul~ Q 10 Net assets or fund balances at end of year Combine lines 3 through 9 (must equal Part X line 33
column (B)) 10
Financial Statements and Reporting
Check if Schedule 0 contains a response to any question in this Part XII
1 Accounting method used to prepare the Form 990 D Cash [29 Accrual DOther
If the organization changed its method of accounting from a prior year or checked Other explain in Schedule O
2 a Were the organizations financial statements compiled or reviewed by an independent accountant If Yes check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis consolidated basis or both
D Separate basis D Consolidated basis D Both consolidated and separate basis
b Were the organizations financial statements audited by an independent accountant
If Yes check a box below to indicate whether the financial statements for the year were audited on a separate basis consolidated basis or both
~ Separate basis DConsolidated basis 0Both consolidated and separate basis
c 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 O
3 a As a result of a federal award was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133
b If Yes did the organization undergo the required audit or audits If the organization did not undergo the required audit or audits explain why in Schedule 0 and describe any steps taken to undergo such audits
BAA
1 384 061_
3a x
3b X Form (2012)
OMB No 1545-0047
SCHEDULE A Public Charity Status and Public Support (Form 990 or 990-EZ) 2012
Complete if the organization is a section 501 (c)(3) organization or a section 4947(a)(1) nonexempt charitable trust
Department of the Treasury Internal Revenue Service ~ Attach to Form 990 or Form 990-EZ ~ See separate instructions
2
3 4
~ A church convention of churches or association of churches described in section 170(bX1XAXi)
A school described in section 170(bX1)(AXii) (Attach Schedule E)
A hospital or a cooperative hospital service organization described in section 170(bX1XA)(iii)
A medical research organization operated in conjunction with a hospital described in section 170(bXl)(AXiii)- Enter the hospitals
name city and state
5 An organization operatedfOr thebenefit Of acollege oruniversh-Y owned or operated bya-governmentalunltdescribed in sectiOn - - - - - - shyD 170(bX1XAXiv) (Complete Part II)
6 A federal state or local government or governmental unit described in section 170(b)(1)(AXv) R7 X 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)(1XAXvi) (Complete Part II)
8 D A community trust described in section 170(bX1XAXvi) (Complete Part II)
9 D An organization that normally receives (1) more than 33-13 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 33-13 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)
10 An organization organized and operated exclusively to test for public safety See section 509(aX4) R11 An organization organized and operated exclusively for the benefit of to perform the functions of or carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2) See section 509(aX3) Check the box that describes the type of supporting organization and complete lines 11 e through 11 h
a DType I b DType II c D Type III - Functionally integrated d D Type III - Non-functionally integrated
e D 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 is a Type I Type II or Type III supporting organization check this box D
9 Since August 172006 has the organization accepted any gift or contribution from any of the following persons
I Yes No (i) A person who directly or indirectly controls either alone or together with persons described in (ii) and (iii)
below the governing body of the supported organization 11 g (i) ~-----r---+---shy
(ii) A family member of a person described in (i) above 11 9 (ii)
(iii) A 35 controlled entity of a person described in (i) or (ii) above 11 g (iii) h Provide the following information about the supported organization(s)
(i) Name of supported organization
(ii) EIN (iii) Type of organization (described on lines 1-9
(iv) Is the organization in
(v) Di d you notify the organization in
(vi) Is the organization in
(vii) Amount of monetary support
above or IRe section column (i) listed in column (i) of your column (i) (see instructionsraquo your governing
document support organized in the
US
(A)
(8)
(C)
(D)
(E)
Total
For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990-EZ
I EEA040 Il_
Schedule A (Form 990 or 990-EZ) 2012 Community Bridges 94-2460211 Page 2
_Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5 7 or 8 of Part I or if the organization failed to qualify under Part III If the organization fails to qualify under the tests listed below please complete Part III)
Section A Public Su rt Calendar year (or fiscal year beginning in) ~ (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts grants contributions and membership fees received ltpo not include any unusual grants ) 11700497 12531538 11914396 13085089 12897266 62 128 786
2 Tax revenues levied for the organizations benefit and either paid to or expended on its behalf o
3 The value of services or facilities furnished by a governmental unit to the organization without charge
4 Total Add lines 1 through 3 5 The portion of total
contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2 of the amount shown on line 11 column (f) o
6 786
Calendar year (or fiscal year beginning in) ~
7 Amounts from line 4
8 Gross income from interest dividends payments received on securities loans rents royalties and income from similar sources 7 754 3 403 5 421 244 51 392 68 214
9 Net income from unrelated business activities whether or not the business is regularly carried on o
10 Other income Do not include gain or loss from the sale of capital aS~~Se(Ep~fie irrV
13 First five years If the Form 990 is for the organizations first second third fourth or fifth tax year as a section 501 (c) (3) organization check this box and stop here ~ D
Section C Computation of Public Support Percentage 14 Public support percentage for 2012 (line 6 column (f) divided by line 11 column (f)) 9892 15 Public support percentage from 2011 Schedule A Part II line 14 9886
16a 33-13 support test - 2012 If the organization did not check the box on line 13 and the line 14 is 33-13 or more check this box and stop here The organization qualifies as a publicly supported organization ~ ~
b 33-13 support test - 2011 If the organization did not check a box on line 13 or 16a and line 15 is 33-13 or more check this box and stop here The organization qualifies as a publicly supported organization ~ D
17 a 1 O-facts-and-circumstances test - 2012 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-andmiddot circumstances test check this box and stop here Explain in Part IV how the organization meets the factsmiddotand-circumstances test The organization qualifies as a publicly supported organization ~ lJ
Part IV)
11 rh~~aJ9shu~8~~ ~dd Iin~s
612 273
12 Gross receipts from related activities etc (see instructions) L-__~~~~~~~
b 1 O-facts-and-circumstances test - 2011 If the organization did not check a box on line 13 16a 16b or 17a and line 15 is 10 or more and if the organization meets the facts-and-circumstances test check this box and stop here Explain in Part IV how the 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 o( l7b check this box and see instructions
Schedule A (rorm 990 or 990middot[2) 202
~EEA0402L 080912
Section A Public rt Calendar year (or fiscal yr beginning in)
1 Gifts grants contributions
Schedule A (Form 990 or 990middotEZ) 2012 Communi Br s 94-2460211 3 Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II If the organization fails to qualify under the tests listed below please complete Part II)
and membership fees received (Do not include any unusual grants)
2 Gross receipts from admisshysions merchandise sold or services performed or facilities furnished in any activity that is related to the organizations taxmiddotexempt purpose
3 Gross receipts from activities that are not an unrelated trade or business under section 513
4 Tax revenues levied for the organizations benefit and either paid to or expended on its behalf
5 The value of services or facilities furnished by a governmental unit to the organization without charge
6 Total Add lines 1 through 5 7 a Amounts included on lines 1
2 and 3 received from disqualified persons
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5000 or 1 of the amount on line 13 for the year
c Add lines 7a and 7b
8
Calendar year (or fiscal yr beginning in) (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (I) Total
9 Amounts from line 6 10 a Gross income from interest
dividends payments received on securities loans rents royalties and income from similar sources
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30 1975
c Add lines lOa and 1 Db Net income from unrelated business
activities not included in line lOb whether or not the business is regularly carried on
12 Other income Do not include gain or loss from the sale of capital assets (Explain in Part IV)
13 Total support (Add Ins9 10c 11 and 12) ~~~____~~~~____~~__~__-L__________ __~~~~~__~
14 First five years If the Form 990 is for the organizations first second third fourth or fifth tax year as a section 501 (c)(3)organization check this box and stop here
Section C Computation of Public Support Percentage shy15 Public support percentage for 2012 (line 8 column (I) divided by line 13 column (I)) 16 Public support percentage from 2011 Schedule A Part III line 15
Section D Computation of Investment Income Percentage 17 Investment income percentage for 2012 (line 10c column (I) divided by line 13 column (I)) 17
18 Investment income percentage from 2011 Schedule A Part III line 17 18 19a 33-13 support tests - 2012 If the organization did not check the box on IIn8 14 and line 15 is more than 33-13 and line 17
is not more than 33-13 check this box and stop here The organization qualifies as a publicly supported organization
b 33-13 support tests - 2011 If the organization did not check a box on line 14 or line 19a and line 16 is more than 33-13 and line 18 is not mOIe than 33-13 check this box and stop here The organization qualifies as a publicly supported organization
20 Private foundation If the organization did not check hox Orl line 14 19a or 19b check box and see instructions ~H -----o------~--- ------
BAA NJ403L 080912 Schedule A (Form 990 or 99QZ) 2012
4 Schedule A (Form 990 or 990-EZ) 2012 Communi s 94-2460211 Supplemental Information Complete this part to provide the explanations required by Part II line 10 Part II line 17a or 17b and Part III line 12 Also complete this part for any additional information (See instructions)
___~P~~t1~cJ~Cule_~dJltli9~lt ~~~lelTI_e~U~f9l1aiQf _______________________________ _
_ _cLeID1tu_g1_lzgti_ol)-PSlYlJ1~nL _ _ _ _ _ _ _ _ _ _ _ _ ________________________________ _
BAA
081012
2012 Schedule A Part IV - Supplemental Information PageS
Community Bridges 94-2460211
Part II Line 10 - Other Income
Nature and Source 2012 2011 2010 2009 2008
Other Income Total
$ 108645 $ 108645
$ 36333 $ 36333
$ 130009 $ 130009
$ 169710 $ 169710
$ $
167576 167576
------
---------------
OMB No 1545middot0047SCHEDULE C Political Campaign and Lobbying Activities (Form 990 or 990-EZ)
For Organizations Exempt From Income Tax Under section 501 (c) and section 527 2012 Complete if the organization is described below Attach to Form 990 or Form 990-EZ
Department of the Treasury Internal Revenue Service See separate instructions
If the organization answered Yes to Form 990 Part IV line 3 or Form 990-EZ Part V line 46 (Political Campaign Activities) then bull Section 501 (c)(3) organizations Complete Parts I-A and B Do not complete Part I-C bull Section 501 (c) (other than section 501 (c)(3raquo) organizations Complete Parts I-A and C below Do not complete Part I-B bull Section 527 organizations Complete Part I-A only
If the organization answered Yes to Form 990 Part IV line 4 or Form 990-EZ Part VI line 47 (Lobbying Activities) then bull Section 501 (c) (3) organizations that have filed Form 5768 (election under section 501 (h)) Complete Part II-A Do not complete Part II-B
bull Section 501 (c) (3) organizations that have NOT filed Form 5768 (election under section 501 (h)) Complete Part II-B Do not complete Part II-A
If the organization answered Yes to Form 990 Part IV line 5 (Proxy Tax) or Form 990-EZ Part V line 35a (Proxy Tax) then bull Section 501 (c)(4) (5) or (6) organizations Complete Part III
See Part IV 2 3 Volunteer hours bull w Complete if the organization is exempt under section 501 (c)(3) 1 Enter the amount of any excise tax incurred by the organization under section 4955
2 Enter the amount of any excise tax incurred by organization managers under section 4955
3 If the organization incurred a section 4955 tax did it file Form 4720 for this year DYes
4a Was a correction made middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotDYes b If Yes describe in Part IV
II~~~~~~~~~~~~--~~~~~~~--~~---------2 Enter the amount of the filing organizations funds contributed to other organizations for section 527 exempt
function activities $
3 Total exempt function expenditures Add lines 1 and 2 Enter here and on Form 1120-POL line 17b ~ $
4 Did the filing organization file Form 1120-POL for this year DYes
5 Enter the names addresses and employer identification number (EIN) of all section 527 political organizations to which the filing organization made payments For each organization listed enter the amount paid from the filing organizations funds Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization such as a separate segregated fund or a political action committee (PAC) If additional space is needed provide information in Part IV
(a) Name (b) Address (e) EIN (d) Amount paid from filing (e) Amount of political organizations funds If contributions received and
none enter-Omiddot promptly and directly delivered to a separate political organization If
none enter -0middot
(1) ~---------------~---
(2) ~------
(3) ~-
(4)
~~)~~~~~--~~~~--~-~---~~-~---~~~~~~~-~_-_~~~~-----~~~~~~-~~~~~~~~~~-~~~~~-~---------_-_--f------c_~~~_-middot_J_L~~--------+---~ -~ -shyBAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990middotEZ Schedule C (Form 990 or 990middotEZ) 2012
TEEA320 I L 217112
----
Schedule C(Form 990 or 990-EZ) 2012 Communi Bri s 4-2460211 Page 2
Complete if the organization is exempt under section 501 (c)(3) and filed Form 5768 (election under section 501 (hraquo
A Check ~ 0 if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group members name
address EIN expenses and share of excess lobbying expenditures)
B Check ~ 0 if the filing organization checked box A and limited control provisions apply
Limits on Lobbying Expenditures (a) Filing (b) Affiliated organizations totals group totals (The term expenditures means amounts paid or incurred)
1 a Total lobbying expenditures to influence public opinion (grass roots lobbying)
b Total lobbying expenditures to influen_ce a legislative body (direct lobbying)
c Total lobbying expenditures (add lines 1a and 1b)
d Other exempt purpose expenditures
e Total exempt purpose expenditures (add lines 1c and 1d)
f Lobbying nontaxable amount Enter the amount from the following table in both columns
g Grassroots nontaxable amount (enter 25 of line 1f)
h Subtract line 1g from line 1a If zero or less enter -0-
Subtract line 1f from line 1c If zero or less enter -0-
If there is an amount other than zero on either line 1h or line 1i did the organization file Form 4720 reporting section 4911 tax for this year DYes 0No
4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501 (h) election do not have to complete all of the five
columns below See the instructions for lines 2a through 2f)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total year beginning in)
13l7 524
2a Lobbying non-taxable amount 3 513 393
b Lobbying ceiling amount (150 of line 2a column (eraquo 5 270 090
c Total lobbying enditures 18 425
d Grassroots nontaxable amount 878 349
e Grassroots ceiling amount (150 of line 2d column
f Grassroots lobbying expenditures o
BAA Schedule C (Form 990 or 990-EZ) 2012
-EEA3202L 010713
3 Schedule C(Form 990 or 2012 Bri 94-2460211 Complete if the organization is exempt under se as NOT filed Form 5768 (election under section 501 (hraquo
For each Yesresponse to lines 7a through Ii below provide in Part IVa detailed description of the lobbying activity
During the year did the filing organization attempt to influence foreign national state or local legislation including any attempt to influence public opinion on a legislative matter or referendum through the use of
a Volunteers
b Paid staff or management (include compensation in expenses reported on lines 1 c through 1 i)
c Media advertisements
d Mailings to members legislators or the pUblic ~~---+--------------
e Publications or published or broadcast statements
f Grants to other organizations for lobbying purposes
9 Direct contact with legislators their staffs government ofFicials or a legislative body
h Rallies demonstrations seminars conventions speeches lectures or any similar means
i Other activities ~~~~--------
j Total Add lines 1c through 1 i ~lli~J~i01 ~2iJn
I----t---- shy
2 a Did the activities in line 1 cause the organization to be not described in section 501 (c)(3)
b If Yes enter the amount of any tax incurred under section 4912
c If Yes enter the amount of any tax incurred by organization managers under section 4912
d If the filing organization incurred a section 4912 tax did it file Form 4720 for this year
Complete if ization is exempt under section 501 (c)(4) section 501 (c)(5) or section 501
Were substantially all (90 or more) dues received nondeductible by members 1----+---1---shy
2 Did the organization make only inmiddothouse lobbying expenditures of $2000 or less f----j----j--- shy
3 Did the organization agree to carryover lobbying and political from the prior year
Complete if the organization is exempt under section 501 (c)(4) section 501 (c)(5) or section 501 (c) (6) and if either (a) BOTH Part III-A lines 1 and 2 are answered No OR (b) Part III-A line 3 is answered Yes
Dues assessments and similar amounts from members
2 Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid)
a Current year
b Carryover from last year
c Total
3 Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues
4 If notices were sent and the amount on line 2c exceeds the amount on line 3 what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year
I---~--------------5 Taxable amount of lobbying and political expenditures (see instructions)
Complete this part to provide the descriptions required for Part ImiddotA line 1 Part ImiddotB line 4 Part Imiddote line 5 Part IImiddotA (affiliated group list) Part IImiddotA line 2 and Part IImiddotB line 1 Also complete this part for any additional information
TEEA32031 OliO
Scheciu1e
-----------------
OMB I~o 1545-0047 SCHEDULE D (Form 990) Supplemental Financial Statements 2012
~ Complete if the organization answered Yes to Form 990 Part IV lines 6 7 8 9 10 l1a 11 b 1lc l1d l1e l1f 12a or 12b
~ Attach to Form 990 ~ See instructions
(a) Donor advised funds
1 Total number at end of year
2 Aggregate contributions to (during year
3 Aggregate grants from (during year) 4 Aggregate value at end of year
S Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organizations property subject to the organizations exclusive legal control DYes
6 Did the organization inform all grantees donors and donor advisors in writing that grant funds can be used only
impermissible private benefit for charitable purposes and not for the benefit of the donor or donor advisor or for any other purpose conferring
No
(b) Funds and other accounts
Purpose(s) of conservation easements held by the organization (check all that apply)
Preservation of land for public use (eg recreation or education) D Preservation of an historically important land area
Protection of natural habitat D Preservation of a certified historic structure
Preservation of open space ~
2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the iast day of the tax year
a Total number of conservation easements
b Total acreage restricted by conservation easements
c Number of conservation easements on a certified historic structure included in (a)
d Number of conservation easements included in (c) acquired after 81706 and not on a historic structure listed in the National Register 2 dL-__L-_________________________
3 Number of conservation easements modified transferred released extinguished or terminated by the organization during the tax year Igt
4 Number of states where property subject to conservation easement is located Igt
S Does the organization have a written policy regarding the periodic monitoring inspection handling of violations and enforcement of the conservation easements it holds DYes
6 Staff and volunteer hours devoted to monitoring inspecting and enforcing conservation easements during the year Igt
7 Amount of expenses incurred in monitoring inspecting and enforcing conservation easements during the year 1gt$
8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(8)(i) and section 170(h)(4)(8)(ii) DYes
9 In Part XIII describe how the organization reports conservation easements in its revenue and expense statement and balance sheet and include if applicable the text of the footnote to the organizations financial statements that describes the organizations accounting for conservation easements
tf~rtiml Organizations Maintaining Collections of Art Historical Treasures or Other Similar Assets Complete if the organization answered Yes to Form 990 Part IV line 8
1 a If the organization elected as permitted under SFAS 116 (ASC 958) 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 XIII the text of the footnote to its financial statements that describes these items
b If the organization elected as permitted under SFAS 116 (ASe 958) 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 VI I line 1 ~$
(ii) Assets included in Form 990 Part X 11gt-$
2 If the organization received or held works of art histOrical treasures or other similar assets for financial gaill provide the following amounts required to be reported under SFAS 116 (ASe 958) relating to these items
11gt-$ -~~-------
$ BAA For Paperwork Reduction Act Notice the Instructions for Form 990 991l) CJ12
~--~-------------------------
-----------------------------------------------
-------
e2
3 Using the organizations acquisition accession and other records check any of the following that are a significant use of its collection items (check all that apply)
a sectPublic exhibition d BLoan or exchange programs b Scholarly research e Other
c Preservation for future generations
4 Provide a description of the organizations collections and explain how they further the organizations exempt purpose in Part XIII
5 During the year did the organization solicit or receive donations of art historical treasures or other similar assets D to be sold to raise funds rather than to be maintained as part of the organizations collection Yes
IRal~IYRI Escrow and Custodial Arrangemel1ts Complete if the organization answered Yes to Form 990 Part IV line 9 or reported an amount on Form 990 Part X line 21
1 a ~nt~~r~g~~~~~r~ ~~ ~~~~t~ trus~e~ ~u~t~~i~~ or ot~er int~~~~~~~~~ ~o~contnbu~i~~~ ~r ~~e~ ass~ts n~i~cI~~~d DYes
b If Yes explain the arrangement in Part XIII and complete the following table
Amount
c Beginning balance 1 c d Additions during the year d
e Distributions during the year 1 e f Ending balance 1f
2a Did the organization include an amount on Form 990 Part X line 21 UYes NOb If Yes explain the arrangement in Part XIII Check here if the explantion has been provided in Part Xlll D
fBaIM~1 Endowment Funds Complete if the or~anization answered Yes to Form 990 Part IV line 10 (a) Current (b) Prior year (e) Two years (d) Three years (e) Four years
1 a Beginning of year balance
b Contributions
c Net investment earnings gains and losses
d Grants or scholarships
e Other expenditures for facilities and programs
f Administrative expenses
9 End of year balance
2 PrOVide the estimated percentage of the current year end balance (line 1 g column (araquo held as
a Board designated or quasi-endowment b Permanent endowment c Temporarily restricted endowment
The percentages in lines 2a 2b and 2c should equal 10000
3 a Are there endowment funds not in the possession of the organization that are held and administered for the organization by Yes No (i) unrelated organizations 3a(i)
(ii) related organiZations 3a(ii)
b If Yes to 3a(ii) are the related organizations listed as required on Schedule R 3b I 4 Describe in Part XIII the intended uses of the organizations endowment funds
1 a Land
b Buildings
c Leasehold improvements
d Equipment
e Other
Total Add lines 1 a
BAA
(d) Book value
TEEt3302L 06e71 i 2
-------------------------
of security or rfpnlrl
name of secu (1) Financial derivatives
94-2460211
uation Cost or rket value
Page 3
~------------~--------------------------------------(2) Closely-held equity interests
~------------~--------------------------------------(3) Other ______________________ +----------f--------------------shyi~ __________________________1---_______-+____________________ (8)
iq __________________________~-----~---------------------------iD1_ - - - - - - - - - - - - - - - - - - - - - - -- -f------------+-------------------------------shy(E)- - - - - - - - - - - - - - - - - - - - - - - - - - - - ~-------------I---------------------------------------~~--------------------------f__----------+_-------------------------------iGl ______ -- _________ - _ - - - __ - - -f__----------l-----------------------------shy(H)- - - - - - - - - - - - - - - - - - - - - - - - - - - -- ~-------------+---------------------------------------J~ _____________________ _
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10) ----shy
(11)
Total (Column (b) must equal Form 990 Part X column (8) line 25) 2 FIN 48 CASe 740) Footnote In Part XIII provide the text of the footnote to the organizations financial statements that reports the organizations liability for uncertain tax positions under FIN 48 (ASe 740) Cherv here If the text of the footnote has been provided 11 Part XIII LJ BAA ____~_~__O~_ ~-~-~~~~--~~~-- --~T~-~middotA3303L- 122312 -- gt--~~-- Schedule 0 (Form 990) 2012
Page 4
2 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 XIII)
e Add lines 2a through 2d
3 Subtract line 2e from line 1 4 Amounts included on Form 990 Part VIII line 12 but not on line 1
a Investment expenses not included on Form 990 Part VIII line 7b
b Other (Describe in Part XII I)
c Add lines 4a and 4b
5 Total revenue Add lines 3 and 4c (This must equal Form 990 Part I line 72)
Total expenses and losses per audited financial statements
2 Amounts included on line 1 but not on Form 990 Part IX line 25
a Donated services and use of facilities 13 244 b Prior year adjustments c Other losses
d Other (Describe in Part XIII)
e Add lines 2a through 2d 3 Subtract line 2e from line 1
4 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 XIII) c Add lines 4a and 4b
must equal Form 990 Part I line 78)
Complete this part to provide the descriptions required for Part II lines 3 5 and 9 Part III lines 1a and 4 Part IV lines 1b and 2b Part V line 4 Part X line 2 Part XI lines 2d and 4b and Part XII lines 2d and 4b Also complete this part to provide any additional information
BAA Schedule 0 (Form 990) 2012
fEEA3304L 1
OMS No 1545middot0047
SCHEDULE G Supplemental Information Regarding (Form 990 or 990-EZ) Fundraising or Gaming Activities 2012
Complete if the organization answered Yes to Form 990 Part IV lines 17 18 or 19 or if the organization entered more than $15000 on Form 990-EZ line 6aDepartment of the Treasury
Internal Revenue Service ~ Attach to Form 990 or Form 990-EZ ~ See separate instructions
Name of Employer
94-2460211 InnInn ACtlVlllles Complete if the organization
___-c---cFo_r_m--- ~ filers are not required to complete this part
Indicate whether the organization raised funds through any of the following activities Check all that apply
a DMail solicitations e DSolicitation of non-government grants
b D Internet and email solicitations f DSolicitation of government grants
c D Phone solicitations g D Special fundraising events
d D Inmiddotperson solicitations
2 a 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 DYes ~No
b If Yes list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fund raiser is to be compensated at least $5000 by the organization
(i) Name and address of individual or entity (fund raiser)
(ii) Activity (iii) Did fund raiser have custod6or control
of contri utions
(iv) Gross receipts from activity
(v) Amount paid to (or retained by)
fundraiser listed in
(vi) Amount paid to (or retained by)
organization column (i)
Yes No
1
-- shy2
3 I
4 -----~--------
5
6
7 -__----shy
8
9
10
Total O bull -
3 List all states In which the organization IS reglslered or licensed to SOliCit contributions or has been notified It IS exempt from registration or licensing
- --~---~---~-- ~-~--~-~--~-~~-- ---
BAA for Paperwork Reduction Act Notice see the Instructions Form 990 or 990-EL Schedule G (runn 990 or 990-EZ) 2012 TEEA3701L 01107113
--
------
Schedule G (Form 990 or 990-EZ) 2012 Commun Br 94-2460211 Page 2
Fun ng Events Complete if the organization answered Yes to Form 990 Part IV ine 18 or reported more than $15000 of fundraising event contributions and gross income on Form 990-EZ lines 1 and 6b List events with gross receipts greater than $5000
(a) Event 1 (b) Event 2 (c) Other events (d) Total events (add column (a)
Italian Affair None through column (craquoR (event type) (event type) (total number) E V E N 1 Gross receipts 20186 20186 U E
2 Less Charitable contributions
3 Gross income (line 1 minus line 2) 20186 20186
4 Cash prizes
5 Noncash prizes D
R I
6 Rentfacility costs E C T 7 Food and beverages 5391 539l E x p 8 Entertainment E
N s 9 Other direct expenses 5822 5822E S
10 Direct expense summary Add lines 4 through 9 in column (d) 11213 11 Net income summary Combine line 3 column (d) and line 1 Q 8973
[Pifllll Gaming Complete if the o~ganization answered Yes to Form 990 Part IV line 19 or reported more than
(a) Bingo (b) Pull tabsllnstant (c) Other gaming (d) Total gaming R E bingoprogressive (add column (a) V bingo through column (eraquo E N U E Gross revenue
2 Cash prizes ~------------4---------------+--------------~--------------E
D X I P 3 Non-cash prizes R E E N C S T E
S 4 Rentfacility costs
5 Other direct expenses
Yes Yes Yes 6 Volunteer labor No No No
7 Direct expense summary Add lines 2 through 5 in column (d)
8 Net gaming income summary Combine lines 1 column (d) and line 7
9 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 0 Yes
b If No explain
lOa Were any of the organizations gaming licenses revoked suspended or terminated during the tax year 0 Yes b If Yes explain
BAA TFJ3]02L 010713 ScheclJle G (F (JIm 990 or 990 2012
------------
-----------
Schedule G (Form 990 or 990-EZ) 2012 Community Bridges 94-2460211 Page 3 11 Does the organization operate gaming activities with nonmembers DYes 12 Is the organization a grantor beneficiary or trustee of a trust or a member of a partnership or other entity formed to
administer charitable gaming DYes 13 Indicate the percentage of gaming activity operated in
a The organizations facility 13a ~13-b~------------~~b An outside facility
14 Enter the name and address of the person who prepares the organizations gamingspecial events books and records
Name
Address
15a Does the organization have a contact with a third party from whom the organization receives gaming revenue DYes b If Yes enter the amount of gaming revenue received by the organization $ and the amount
of gaming revenue retained by the third party $ c If Yes enter name and address of the third party
Name ---------------------------------------------~-----l
I Address I
16 Gaming manager information
Name
Gaming manager compensation $
Description of services provided
D Directorofficer DEmployee D independent contractor
17 Mandatory distributions
a Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the ~~egaminglicense ___________________________________________________________________ D~s ~No
b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the
organizations own exempt activities during the tax year $ lean~IlUI Supplemental Information Complete this part to provide the explanations required by Igtart I line 2b
columns (iii) and (v) and Part III lines 9 9b 1 ~b 15b 15c 16 and 17b as applicable Also complete this part to provide any additional information (see instructions)
----------------------- -------------------- ------ ----------------------------- __--shy
_ ---_ --------------- ---------------- ----- shy
BAA TEEA3703L 010113 Schedule G (Form 990 or 990middotEZ) 2012
--------------------------------------------------------- ---------
OMB No 1545-0047SCHEDULE 0 Supplemental Information to Form 990 or 990middotEZ (Form 990 or 990-EZ)
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information
Department of the Treasury ~ Attach to Form 990 or 990-EZInternal Revenue Service
Name of the
94-2460211
health care 4112-63012
BAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990-EZ TFEIA)IJIL 12812 Schedule 0 (Forrn 990 or 2012
Schedule 0 (Form 990 or 990-EZ) 2012 Page 2 Name of the organization Employer Identification number
Community Bridges 94-2460211
~ ~~Oy~~sjg1~~ge~~~e~~~~~ ~~~ ~ ~ ~~ ~~ ~_ ~~ ~ ~ ~~~~~~~ ~ ~ ~ ~ ~ ~~~~ ~ ~ ~~ ~ ~~~~~ ~ ~ ~ ~ _
Schedule (Form 990 or
TEEA4902L
2012
2012 Schedule 0 bull Supplemental Information Page 1
Community Bridges 94-2460211
Form 990 Part XI Line 9 Other Changes In Net Assets Or Fund Balances
Depreciation Grant Funded Assets $ -140124 Familia Net Assets 82104
Total $ -58020========
-------------------
OMS No 1545-0047
SCHEDULE R (Form 990) Related Organizations and Unrelated Partnerships 2012
Complete if the organization answered Yes to Fonn 990 Part IV line 33343536 or 37DqJ21rTrrent of the Treasury Internal Revenue Service Attach to Form 990 ~ See separate instructions Name of the organization
s 94-2460211Commu
rp~ Identification of Disregarded Entities (Complete if the organization answered Yes to Form 990 Part
(a) (b) (c) (e) (f) iiame address and EIN (if applicable) of disregarded entity Primary activity Legal domicile (state End-of-year assets Direct controlling
or foreiqn country) entity
=== === =_===== =_ ===== == ===__1 1-- -- -=-=1 TI ~~
FPafIIldentification 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)
(a) Name address and EIN of related organization
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Exempt Code
section
(e) Public charity status (if section 501 (c) (3raquo)
(f) Direct controlling
entity
(g)Sec 512(b)(13)
controlled entity
Yes No (1) FAMILIA CENTER
236SANTA-rnUZAVE----------- shy------------------------- shyAPTOS CA 95003770071589 - - shy - - - -- shy - - - -- shy - - shy BILINGUAL FAMILY
SERVICES CA I
501(C)3 PUBLIC
CHARITY COMMUNITY
BRIDGES X
---------------------- shy_shy --shy --------------------- shy - shy - -- -- shy - - shy - - shy - - - - - - - - - - - - - - -
- --
----------~--------------
-shy - shy --------------------- shy
-shy - shy - shy - shy shy -shy - - ---------------- shy- c--- shy
- - -- --- -- - - - - --- - - - - - - - - - - - - shy
- - -- - shy
- -- - --------------------- shy -=r_ I _ __ I
~-- I ------- - -- ----- --- --
BAt For Paperwork Reduction Act Notice see the Instructions for Form 990 TEEA5001 L 122812 Schedule R (Form 990) 2012
- -- ------
----- -
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 2
re~rtUI Iidentific~tion of Related Organizations T~xable 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)
me oddltl od EIN of I PIm~~cttyrelated organization
-+shy----shy
-_--shy -- -shy ~
(c) Legal
domicile (state or foreign country)
(d) Direct
controlling entity
(e) Predominant income (related unrelated excluded from tax
under sections 512-514)
(f) Share of total
income
(g) Share of
end-of-year assets
(h) Disproporshy
tionate allocations
Yes No
(i) Code V-UBI
amount in box 20 of Schedule
K-1 (Form 1065)
(j) General or managing partner
Yes No
(k) Percentage ownership
shy -shy --shy --shy -shy
-shy -__shy ---shy -shy
_ _ _____ ___ J~
-- -- -- - - - -- - -- shy
-
--T~ --=~ -- ~~==~=-
I
IPaHJVl Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered Yes to Form 990 Part IV L----_-l line 34 because it had one or more related organizations treated as a corporation or trust during the tax year)
(a) (b) I (c) (d) (e) I (f) (g) (h) I (i)iiame address and EIN of related organization Primary activity Legal domicile Direct Type of entity Share of Share of end-of- Percentage Sec S12(b)(13)
(state or foreign controlling (C corp S corp total income year assets ownership controlled entitycountry) entity or trust)
Yes I No
- - - - - - - - - -- - - - - - -- --I --------------------4
--==========1------~--------------~------------~------------~------------~--------------~--------------~--------~I----~------TEEA5002L 1228112 Schedule R (Form 990) 2012
---------
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 3
i])~ Transactions With Related Organizations (Complete if the organization answered Yes to Form 990 Part IV line 34 35b or 36)
Note Complete line 1 if any entity is listed in Parts II III or IV of this schedule During the lax year did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity b Gift grant or capital contribution to related organization(s)
Gift grant or capital contribution from related organization(s)
d Loans or loan guarantees to or for related organization(s)
e Loans or loan guarantees by related organization(s)
Dividends from related organization(s) 9 Sale of assets to related organization(s)
h Purchase of assets from related organization(s)
Exchange of assets with related organization(s)
Lease c[racilities equipment or other assets to related organization(s)
Lease of facilities equipment or other assets from related organization(s)
Performance of services or membership or fundraising solicitations for related organization(s)
Ferformance of services or membership or fundraising solicitations by related organization(s)
Sharing of facilities equipment mailing lists or other assets with related organization(s)
o Sharing of paid employees with related organization(s)
Reimbursement paid to related organization(s) for expenses
q Reimbursement paid by related organization(s) for expenses
r Other transfer of cash or property to related organization(s
5 Other transfer of cash or property from related organization(s)
If the answer to any of the above is Yes see the instructions for information on who must complete this line including covered relationships and transaction thresholds
(b) (c)N f h(a) d (2 lame 0 ot er organization Transaction Amount involved Metho of etermlnlng --~
type (a-s) amount involved
(1)
(2)
ltd ~ ~J
I I I
(5) ------------shy
(6) ~---------------------------------------------------------------------------~--------------~--------~~~~--~--~~~
TEEIS003L 1228112 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 4
e~~I1 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) I (b) (c) (d) (e) (f) (g) (h) (i) (j) I (k)Jame address and EIN of entity Primary activity Legal domicile Predominant Are all partners Share of Share of Dispropor- Code V-UBI General or Percentage
(state or foreign income section total income end-of-year tionate amount in box managing ownership country) (related unre- 501 (c)(3) assets allocations 20 of Schedule partner
lated excluded organizations i K- 1 from tax under ~---c--- Form (1065)
section 512-514) Yes I No Yes No Yes No----+----1
- --==~ ~ ~ ====== ~ I ~ --I------+--+----t--shy
(3)
--------------1
(6)
-____ __~__ - I I I SAl TEEAS004L 122812 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Page 5 _ Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions)
-r- I - lt-j005L middot22312 Schedule R (Forni
----- ---------------------
------ ---
------------------------------
----------- -
Form 990 (2012) Community Bridges 94-2460211 Page 8
_Section A Officers ~ctors TrLctooc Key Employees and Highest Compensated Employees (cant) (8) (C)
(A) Name and title
Position Average (do not check more than one
hours box unless person is both an per oj-ficer and a directortrustee)
(I~f~y IQ~ I~ I~ ~I fS hoursfor g ltIi - (() Iyen
related ~ ~ I~ lt
O~fo~~a Ii=- ~ Iiamp~below ltto
(0) Reportable
compensation from the organization (Nmiddot2I099-MISC)
(E) Reportable
compensation from related organizations
(N-2I099middotMISC)
(F) Estimated
amount of other compensation
from the organization and related
organizations
dotted ~ line) ~
o o o (16) Martin Bernal 5
rnmmllnity Rep 0 X o o o
X 86662 o 8237
i2~__________________
(22)
i2~_______________________ _ - -- shy
i2~)__ _____________________ _ ----_
i~)______________ -- -- shy
1 b Sub-total It- 220 041 o 31709 c Total from continuation sheets to Part VII Section A ogt- o o o d Total (add lines 1 band 1c 220 041 o 31 709
2 Total number of Individuals (inclucllng but not IlrTllted to those listed above) who received more than $100000 of reportable compensation
from the organization 0
3 Did the organization list any former officer director or trustee key employee or highest compensated employee on line 1 a If Yes complete Schedule J for such individual
4 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 $150000 If Yes complete Schedule J for such individual
5 Did any person listed on line 1 a receive or accrue compensation from any unrelated organization or individual for services rendered to the 0 ization If Yes Schedule J for such on
~om-pmiddotl-etmiddotet~h~is~tmiddotable--fo-r-y-o-u-rfiv-e-hmiddotigh-e-stc-o-m-pe-n-s-ate-d~in-de-p-e-nde-nt-c-o-ntr-a-cto-rs-Cth-at-r-e-cei-ve-d-m-o-r-etha-n~$~l~OOn~O~O~O-of---------compensation from the organization Report compensation for the calendar ending with or within the izations tax r
(A) (8) (C) Name and bUSiness address Description of services Compensation
2 Total number of independent contractors (including but not limited to those listed above) who received more than
$100000 in compensation frcm the organization 10gtshy
BAA TLJNl 1 08L 0112411 3
s 94-2460211 Page 9
Check if Schedule 0 contains a response to any question in this Part VIII D
a Federated campaigns
b Membership dues
c Fundraising events
d Related organizations
e Government grants (contributions)
f All other contributions gifts grants and similar amounts not included above
9 Noncash contributions included in Ins 1a-1 f h Total Add lines 1a-1 f
(A) (8) (C) Total revenue Related or Unrelated
exempt business function revenue
(0) Revenue
excluded from tax under sections
512513 or 514
2 a sect~yipound~ fe~~ gt~in_____ -I-=-==-=-=---_t-----L=-=L~_+----=~~-=-=__t------_t------shyb sect~yis~ fe~~ 1~ls12 shy __ _
-r-~~~-----t
c sect~yis~ fe~~ gtreglt_G9_pounde__ -r-=-=-=-----t__--=-=~--et__--=-=~----t__------t__-----shyd sect~yis~ fe~s_ =- Iil1i1Y jQu __ -I---=----------=--L--------=--L------------------shy
e sect~yis~ fe~~ ~1U_ld_G9_pounde__ -r-=--=-----t__--=-=-=L=~t__--=-=-=L=-------I------shyf All other program service revenue
L-~~~__~+-__~~~~ 9 Total Add lines 2a-2f
--+----shy3 Investment income (including dividends interest and
4
5
other similar amounts)
6 a Gross rents
b Less rental expenses
c Rental income or (loss)
d Net rental income or (I -~~~~---~~--~
7 a Gross amount from sales of assets otller than inventory
b Less cost or other basis and sales expenses
c Gain or (loss) d Net gain or (loss)
LIJ 8 a Gross income from fundraising events ~ (not including $--~--cc--c~shy~ of contributions reported on line 1 c)
---------t
~ See Part IV line 18 a LIJ j---~~~-shy
~ b Less direct expenses o c Net income or (loss) from fundraising
9 a Gross income from gaming activities See Part IV line 19
b Less direct expenses
c Net income or (loss) from gaming acti i -----------
10a Gross sales of inventory less returns and allowances a
b Less cost of goods sold j------ shy
c d 11 other revenue
e Total Add lines 11 a-11 d
lotal revenue See instruction
------------------
94-2460211 Page 10
Do not include amounts reported on lines 6b lb 8b 9b and lOb of Part VIII
1 Grants and other assistance to governments
p~~t ~ryalr~~a1if~~ ~~ t~~ ~ni~d state~ ~~~ 2 Grants and other assistance to individuals in
the United States See Part IV line 22
3 Grants and other assistance to governments organizations and individuals outside the United States See Part IV lines 15 and 16
4 Benefits paid to or for members 5 Compensation of current officers directors
trustees and key employees 251 751 6 Compensation not included above to
disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c) (3) (8)
7 Other salaries and wages
8 Pension plan accruals and contributions (include section 401 (k) and section 403(b) employer contributions)
9 Other employee benefits
10 Payroll taxes
11 Fees for services (non-employees)
a Management
b Legal
c Accounting
d Lobbying
e Professional fundraising services See Part IV line 17 f Investment management fees 9 Other (If line 11 g amt exceeds 10 of line 25 colshy
umn (A) amt list line 11 g expenses on Sch 0) 12 Advertising and promotion
13 Office expenses
14 Information technology
15 Royalties
16 Occupancy
17 Travel
18 Payments of travel or entertainment expenses for any federal state or local public officials
19 Conferences conventions and meetings 20 Interest
21 Payments to affiliates
22 Depreciation depletion and amortization
23 Insurance 24 Other expenses Itemize expenses not
covered above (List miscellaneous expenses in line 24e If line 24e amount exceeds 10 of line 25 column (A) amount list line 24e expenses on Schedule 0)
a ])~ ~sectlr_e_ Io_m~ _F99g lEYlIelts_ +__~~---=--=+-_----L~~~-+-______-+-________ b Administrative services cM~~~_~xp~~s~_______ _ d Y~~iltb~ ~~el1~~ ________ _ e All other expenses
25 Total functional expenses Add lines 1 through 24e
26 Joint costs Complete this line only if the organization reported in column (8) joint costs from a combined educational campaign and fundraising solicitation Check here 0 if following SOP 98-2 (ASe 958720)
TEEAOll OLI2n Ri Form 990 (2012)
Loans and other receivables from current and former officers directors
~~~i1Ff ~eJ~~o[ees ~~~ ~ig~es ~~~~~~~~~~ ~~~I~~~~s ~o~plete Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1raquo persons described in section 4958(c)(3) (B) and contributing employers and sponsoring organizations of section Sal (c)(9) voluntary employees beneficiary organizations (see instructions) Complete Part II of Schedule L
Notes and loans receivable net
Inventories for sale or use
Prepaid expenses and deferred charges
I lOa c~~r-----~--~~~-
other securities See Part IV line 11
program-related See Part IV line 11
Other assets See Part IV line 11
15 Ie an accrue expenses
Grants payable Deferred revenue
Tax-exempt bond liabilities
or custodial account liability Complete Part IV of Schedule D
Loans and other payables to current and former officers directors trustees key employees highest compensated employees and disqualified persons Complete Part II of Schedule L
Secured mortgages and notes payable to unrelated third parties
Unsecured notes and loans payable to unrelated third parties
Other liabilities (including federal income tax payables to related third parties and other liabilities not included on lines 17-24) Complete Part X of Schedule D
Organizations that follow SFAS 117 (ASe 958) check here and complete
Unrestricted net assets
Temporarily restricted net assets
Permanently restricted net assets
Organizations that do not follow SFAS 117 (ASe 958) check here D 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
Total net assets or fund balances
Total liabilities and net assetsfund balances
94-2460211 Page 11
Cash - non-interest-bearing
2 Savings and temporary cash investments 3 Pledges and grants receivable net
4 Accounts receivable net
5
6
A S 7 S E 8 T S 9
lOa Land buildings and equipment cost or other basis Complete Part VI of Schedule D
b Less accumulated depreciation
11 Investments - publicly traded securities
12 Investments shy
13 Investments shy
14 Intangible assets
15 16 17 18 19
L 20 I A 21 Escrow B I 22 L I T I 23E s 24
25
26 Total liabilities Add lines 17 through 25
N E T lines 27 through 29 and lines 33 and 34 A 27s s E 28 T 5 29 0 R
and complete lines 30 through 34J N 30
B 31 D
A L 32A N c 33 E s 34
BAA
(A) (B) Beginning of year End of year
IL 01103113
94-2460211 Page 12
Check if Schedule 0 contains a response to any question in this Part XI
Total revenue (must equal Part VIII column (A) line 12) 2 Total expenses (must equal Part IX column (A) line 25)
3 Revenue less expenses Subtract line 2 from line 1
4 Net assets or fund balances at beginning of year (must equal Part X line 33 column (A))
5 Net unrealized gains (losses) on investments 6 Donated services and use of facilities 7 I nvestment expenses 8 Prior period adjustments
9 Other changes in net assets or fund balances (explain in Schedule 0) Se~ SGb~ciul~ Q 10 Net assets or fund balances at end of year Combine lines 3 through 9 (must equal Part X line 33
column (B)) 10
Financial Statements and Reporting
Check if Schedule 0 contains a response to any question in this Part XII
1 Accounting method used to prepare the Form 990 D Cash [29 Accrual DOther
If the organization changed its method of accounting from a prior year or checked Other explain in Schedule O
2 a Were the organizations financial statements compiled or reviewed by an independent accountant If Yes check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis consolidated basis or both
D Separate basis D Consolidated basis D Both consolidated and separate basis
b Were the organizations financial statements audited by an independent accountant
If Yes check a box below to indicate whether the financial statements for the year were audited on a separate basis consolidated basis or both
~ Separate basis DConsolidated basis 0Both consolidated and separate basis
c 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 O
3 a As a result of a federal award was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133
b If Yes did the organization undergo the required audit or audits If the organization did not undergo the required audit or audits explain why in Schedule 0 and describe any steps taken to undergo such audits
BAA
1 384 061_
3a x
3b X Form (2012)
OMB No 1545-0047
SCHEDULE A Public Charity Status and Public Support (Form 990 or 990-EZ) 2012
Complete if the organization is a section 501 (c)(3) organization or a section 4947(a)(1) nonexempt charitable trust
Department of the Treasury Internal Revenue Service ~ Attach to Form 990 or Form 990-EZ ~ See separate instructions
2
3 4
~ A church convention of churches or association of churches described in section 170(bX1XAXi)
A school described in section 170(bX1)(AXii) (Attach Schedule E)
A hospital or a cooperative hospital service organization described in section 170(bX1XA)(iii)
A medical research organization operated in conjunction with a hospital described in section 170(bXl)(AXiii)- Enter the hospitals
name city and state
5 An organization operatedfOr thebenefit Of acollege oruniversh-Y owned or operated bya-governmentalunltdescribed in sectiOn - - - - - - shyD 170(bX1XAXiv) (Complete Part II)
6 A federal state or local government or governmental unit described in section 170(b)(1)(AXv) R7 X 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)(1XAXvi) (Complete Part II)
8 D A community trust described in section 170(bX1XAXvi) (Complete Part II)
9 D An organization that normally receives (1) more than 33-13 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 33-13 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)
10 An organization organized and operated exclusively to test for public safety See section 509(aX4) R11 An organization organized and operated exclusively for the benefit of to perform the functions of or carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2) See section 509(aX3) Check the box that describes the type of supporting organization and complete lines 11 e through 11 h
a DType I b DType II c D Type III - Functionally integrated d D Type III - Non-functionally integrated
e D 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 is a Type I Type II or Type III supporting organization check this box D
9 Since August 172006 has the organization accepted any gift or contribution from any of the following persons
I Yes No (i) A person who directly or indirectly controls either alone or together with persons described in (ii) and (iii)
below the governing body of the supported organization 11 g (i) ~-----r---+---shy
(ii) A family member of a person described in (i) above 11 9 (ii)
(iii) A 35 controlled entity of a person described in (i) or (ii) above 11 g (iii) h Provide the following information about the supported organization(s)
(i) Name of supported organization
(ii) EIN (iii) Type of organization (described on lines 1-9
(iv) Is the organization in
(v) Di d you notify the organization in
(vi) Is the organization in
(vii) Amount of monetary support
above or IRe section column (i) listed in column (i) of your column (i) (see instructionsraquo your governing
document support organized in the
US
(A)
(8)
(C)
(D)
(E)
Total
For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990-EZ
I EEA040 Il_
Schedule A (Form 990 or 990-EZ) 2012 Community Bridges 94-2460211 Page 2
_Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5 7 or 8 of Part I or if the organization failed to qualify under Part III If the organization fails to qualify under the tests listed below please complete Part III)
Section A Public Su rt Calendar year (or fiscal year beginning in) ~ (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts grants contributions and membership fees received ltpo not include any unusual grants ) 11700497 12531538 11914396 13085089 12897266 62 128 786
2 Tax revenues levied for the organizations benefit and either paid to or expended on its behalf o
3 The value of services or facilities furnished by a governmental unit to the organization without charge
4 Total Add lines 1 through 3 5 The portion of total
contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2 of the amount shown on line 11 column (f) o
6 786
Calendar year (or fiscal year beginning in) ~
7 Amounts from line 4
8 Gross income from interest dividends payments received on securities loans rents royalties and income from similar sources 7 754 3 403 5 421 244 51 392 68 214
9 Net income from unrelated business activities whether or not the business is regularly carried on o
10 Other income Do not include gain or loss from the sale of capital aS~~Se(Ep~fie irrV
13 First five years If the Form 990 is for the organizations first second third fourth or fifth tax year as a section 501 (c) (3) organization check this box and stop here ~ D
Section C Computation of Public Support Percentage 14 Public support percentage for 2012 (line 6 column (f) divided by line 11 column (f)) 9892 15 Public support percentage from 2011 Schedule A Part II line 14 9886
16a 33-13 support test - 2012 If the organization did not check the box on line 13 and the line 14 is 33-13 or more check this box and stop here The organization qualifies as a publicly supported organization ~ ~
b 33-13 support test - 2011 If the organization did not check a box on line 13 or 16a and line 15 is 33-13 or more check this box and stop here The organization qualifies as a publicly supported organization ~ D
17 a 1 O-facts-and-circumstances test - 2012 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-andmiddot circumstances test check this box and stop here Explain in Part IV how the organization meets the factsmiddotand-circumstances test The organization qualifies as a publicly supported organization ~ lJ
Part IV)
11 rh~~aJ9shu~8~~ ~dd Iin~s
612 273
12 Gross receipts from related activities etc (see instructions) L-__~~~~~~~
b 1 O-facts-and-circumstances test - 2011 If the organization did not check a box on line 13 16a 16b or 17a and line 15 is 10 or more and if the organization meets the facts-and-circumstances test check this box and stop here Explain in Part IV how the 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 o( l7b check this box and see instructions
Schedule A (rorm 990 or 990middot[2) 202
~EEA0402L 080912
Section A Public rt Calendar year (or fiscal yr beginning in)
1 Gifts grants contributions
Schedule A (Form 990 or 990middotEZ) 2012 Communi Br s 94-2460211 3 Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II If the organization fails to qualify under the tests listed below please complete Part II)
and membership fees received (Do not include any unusual grants)
2 Gross receipts from admisshysions merchandise sold or services performed or facilities furnished in any activity that is related to the organizations taxmiddotexempt purpose
3 Gross receipts from activities that are not an unrelated trade or business under section 513
4 Tax revenues levied for the organizations benefit and either paid to or expended on its behalf
5 The value of services or facilities furnished by a governmental unit to the organization without charge
6 Total Add lines 1 through 5 7 a Amounts included on lines 1
2 and 3 received from disqualified persons
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5000 or 1 of the amount on line 13 for the year
c Add lines 7a and 7b
8
Calendar year (or fiscal yr beginning in) (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (I) Total
9 Amounts from line 6 10 a Gross income from interest
dividends payments received on securities loans rents royalties and income from similar sources
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30 1975
c Add lines lOa and 1 Db Net income from unrelated business
activities not included in line lOb whether or not the business is regularly carried on
12 Other income Do not include gain or loss from the sale of capital assets (Explain in Part IV)
13 Total support (Add Ins9 10c 11 and 12) ~~~____~~~~____~~__~__-L__________ __~~~~~__~
14 First five years If the Form 990 is for the organizations first second third fourth or fifth tax year as a section 501 (c)(3)organization check this box and stop here
Section C Computation of Public Support Percentage shy15 Public support percentage for 2012 (line 8 column (I) divided by line 13 column (I)) 16 Public support percentage from 2011 Schedule A Part III line 15
Section D Computation of Investment Income Percentage 17 Investment income percentage for 2012 (line 10c column (I) divided by line 13 column (I)) 17
18 Investment income percentage from 2011 Schedule A Part III line 17 18 19a 33-13 support tests - 2012 If the organization did not check the box on IIn8 14 and line 15 is more than 33-13 and line 17
is not more than 33-13 check this box and stop here The organization qualifies as a publicly supported organization
b 33-13 support tests - 2011 If the organization did not check a box on line 14 or line 19a and line 16 is more than 33-13 and line 18 is not mOIe than 33-13 check this box and stop here The organization qualifies as a publicly supported organization
20 Private foundation If the organization did not check hox Orl line 14 19a or 19b check box and see instructions ~H -----o------~--- ------
BAA NJ403L 080912 Schedule A (Form 990 or 99QZ) 2012
4 Schedule A (Form 990 or 990-EZ) 2012 Communi s 94-2460211 Supplemental Information Complete this part to provide the explanations required by Part II line 10 Part II line 17a or 17b and Part III line 12 Also complete this part for any additional information (See instructions)
___~P~~t1~cJ~Cule_~dJltli9~lt ~~~lelTI_e~U~f9l1aiQf _______________________________ _
_ _cLeID1tu_g1_lzgti_ol)-PSlYlJ1~nL _ _ _ _ _ _ _ _ _ _ _ _ ________________________________ _
BAA
081012
2012 Schedule A Part IV - Supplemental Information PageS
Community Bridges 94-2460211
Part II Line 10 - Other Income
Nature and Source 2012 2011 2010 2009 2008
Other Income Total
$ 108645 $ 108645
$ 36333 $ 36333
$ 130009 $ 130009
$ 169710 $ 169710
$ $
167576 167576
------
---------------
OMB No 1545middot0047SCHEDULE C Political Campaign and Lobbying Activities (Form 990 or 990-EZ)
For Organizations Exempt From Income Tax Under section 501 (c) and section 527 2012 Complete if the organization is described below Attach to Form 990 or Form 990-EZ
Department of the Treasury Internal Revenue Service See separate instructions
If the organization answered Yes to Form 990 Part IV line 3 or Form 990-EZ Part V line 46 (Political Campaign Activities) then bull Section 501 (c)(3) organizations Complete Parts I-A and B Do not complete Part I-C bull Section 501 (c) (other than section 501 (c)(3raquo) organizations Complete Parts I-A and C below Do not complete Part I-B bull Section 527 organizations Complete Part I-A only
If the organization answered Yes to Form 990 Part IV line 4 or Form 990-EZ Part VI line 47 (Lobbying Activities) then bull Section 501 (c) (3) organizations that have filed Form 5768 (election under section 501 (h)) Complete Part II-A Do not complete Part II-B
bull Section 501 (c) (3) organizations that have NOT filed Form 5768 (election under section 501 (h)) Complete Part II-B Do not complete Part II-A
If the organization answered Yes to Form 990 Part IV line 5 (Proxy Tax) or Form 990-EZ Part V line 35a (Proxy Tax) then bull Section 501 (c)(4) (5) or (6) organizations Complete Part III
See Part IV 2 3 Volunteer hours bull w Complete if the organization is exempt under section 501 (c)(3) 1 Enter the amount of any excise tax incurred by the organization under section 4955
2 Enter the amount of any excise tax incurred by organization managers under section 4955
3 If the organization incurred a section 4955 tax did it file Form 4720 for this year DYes
4a Was a correction made middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotDYes b If Yes describe in Part IV
II~~~~~~~~~~~~--~~~~~~~--~~---------2 Enter the amount of the filing organizations funds contributed to other organizations for section 527 exempt
function activities $
3 Total exempt function expenditures Add lines 1 and 2 Enter here and on Form 1120-POL line 17b ~ $
4 Did the filing organization file Form 1120-POL for this year DYes
5 Enter the names addresses and employer identification number (EIN) of all section 527 political organizations to which the filing organization made payments For each organization listed enter the amount paid from the filing organizations funds Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization such as a separate segregated fund or a political action committee (PAC) If additional space is needed provide information in Part IV
(a) Name (b) Address (e) EIN (d) Amount paid from filing (e) Amount of political organizations funds If contributions received and
none enter-Omiddot promptly and directly delivered to a separate political organization If
none enter -0middot
(1) ~---------------~---
(2) ~------
(3) ~-
(4)
~~)~~~~~--~~~~--~-~---~~-~---~~~~~~~-~_-_~~~~-----~~~~~~-~~~~~~~~~~-~~~~~-~---------_-_--f------c_~~~_-middot_J_L~~--------+---~ -~ -shyBAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990middotEZ Schedule C (Form 990 or 990middotEZ) 2012
TEEA320 I L 217112
----
Schedule C(Form 990 or 990-EZ) 2012 Communi Bri s 4-2460211 Page 2
Complete if the organization is exempt under section 501 (c)(3) and filed Form 5768 (election under section 501 (hraquo
A Check ~ 0 if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group members name
address EIN expenses and share of excess lobbying expenditures)
B Check ~ 0 if the filing organization checked box A and limited control provisions apply
Limits on Lobbying Expenditures (a) Filing (b) Affiliated organizations totals group totals (The term expenditures means amounts paid or incurred)
1 a Total lobbying expenditures to influence public opinion (grass roots lobbying)
b Total lobbying expenditures to influen_ce a legislative body (direct lobbying)
c Total lobbying expenditures (add lines 1a and 1b)
d Other exempt purpose expenditures
e Total exempt purpose expenditures (add lines 1c and 1d)
f Lobbying nontaxable amount Enter the amount from the following table in both columns
g Grassroots nontaxable amount (enter 25 of line 1f)
h Subtract line 1g from line 1a If zero or less enter -0-
Subtract line 1f from line 1c If zero or less enter -0-
If there is an amount other than zero on either line 1h or line 1i did the organization file Form 4720 reporting section 4911 tax for this year DYes 0No
4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501 (h) election do not have to complete all of the five
columns below See the instructions for lines 2a through 2f)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total year beginning in)
13l7 524
2a Lobbying non-taxable amount 3 513 393
b Lobbying ceiling amount (150 of line 2a column (eraquo 5 270 090
c Total lobbying enditures 18 425
d Grassroots nontaxable amount 878 349
e Grassroots ceiling amount (150 of line 2d column
f Grassroots lobbying expenditures o
BAA Schedule C (Form 990 or 990-EZ) 2012
-EEA3202L 010713
3 Schedule C(Form 990 or 2012 Bri 94-2460211 Complete if the organization is exempt under se as NOT filed Form 5768 (election under section 501 (hraquo
For each Yesresponse to lines 7a through Ii below provide in Part IVa detailed description of the lobbying activity
During the year did the filing organization attempt to influence foreign national state or local legislation including any attempt to influence public opinion on a legislative matter or referendum through the use of
a Volunteers
b Paid staff or management (include compensation in expenses reported on lines 1 c through 1 i)
c Media advertisements
d Mailings to members legislators or the pUblic ~~---+--------------
e Publications or published or broadcast statements
f Grants to other organizations for lobbying purposes
9 Direct contact with legislators their staffs government ofFicials or a legislative body
h Rallies demonstrations seminars conventions speeches lectures or any similar means
i Other activities ~~~~--------
j Total Add lines 1c through 1 i ~lli~J~i01 ~2iJn
I----t---- shy
2 a Did the activities in line 1 cause the organization to be not described in section 501 (c)(3)
b If Yes enter the amount of any tax incurred under section 4912
c If Yes enter the amount of any tax incurred by organization managers under section 4912
d If the filing organization incurred a section 4912 tax did it file Form 4720 for this year
Complete if ization is exempt under section 501 (c)(4) section 501 (c)(5) or section 501
Were substantially all (90 or more) dues received nondeductible by members 1----+---1---shy
2 Did the organization make only inmiddothouse lobbying expenditures of $2000 or less f----j----j--- shy
3 Did the organization agree to carryover lobbying and political from the prior year
Complete if the organization is exempt under section 501 (c)(4) section 501 (c)(5) or section 501 (c) (6) and if either (a) BOTH Part III-A lines 1 and 2 are answered No OR (b) Part III-A line 3 is answered Yes
Dues assessments and similar amounts from members
2 Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid)
a Current year
b Carryover from last year
c Total
3 Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues
4 If notices were sent and the amount on line 2c exceeds the amount on line 3 what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year
I---~--------------5 Taxable amount of lobbying and political expenditures (see instructions)
Complete this part to provide the descriptions required for Part ImiddotA line 1 Part ImiddotB line 4 Part Imiddote line 5 Part IImiddotA (affiliated group list) Part IImiddotA line 2 and Part IImiddotB line 1 Also complete this part for any additional information
TEEA32031 OliO
Scheciu1e
-----------------
OMB I~o 1545-0047 SCHEDULE D (Form 990) Supplemental Financial Statements 2012
~ Complete if the organization answered Yes to Form 990 Part IV lines 6 7 8 9 10 l1a 11 b 1lc l1d l1e l1f 12a or 12b
~ Attach to Form 990 ~ See instructions
(a) Donor advised funds
1 Total number at end of year
2 Aggregate contributions to (during year
3 Aggregate grants from (during year) 4 Aggregate value at end of year
S Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organizations property subject to the organizations exclusive legal control DYes
6 Did the organization inform all grantees donors and donor advisors in writing that grant funds can be used only
impermissible private benefit for charitable purposes and not for the benefit of the donor or donor advisor or for any other purpose conferring
No
(b) Funds and other accounts
Purpose(s) of conservation easements held by the organization (check all that apply)
Preservation of land for public use (eg recreation or education) D Preservation of an historically important land area
Protection of natural habitat D Preservation of a certified historic structure
Preservation of open space ~
2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the iast day of the tax year
a Total number of conservation easements
b Total acreage restricted by conservation easements
c Number of conservation easements on a certified historic structure included in (a)
d Number of conservation easements included in (c) acquired after 81706 and not on a historic structure listed in the National Register 2 dL-__L-_________________________
3 Number of conservation easements modified transferred released extinguished or terminated by the organization during the tax year Igt
4 Number of states where property subject to conservation easement is located Igt
S Does the organization have a written policy regarding the periodic monitoring inspection handling of violations and enforcement of the conservation easements it holds DYes
6 Staff and volunteer hours devoted to monitoring inspecting and enforcing conservation easements during the year Igt
7 Amount of expenses incurred in monitoring inspecting and enforcing conservation easements during the year 1gt$
8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(8)(i) and section 170(h)(4)(8)(ii) DYes
9 In Part XIII describe how the organization reports conservation easements in its revenue and expense statement and balance sheet and include if applicable the text of the footnote to the organizations financial statements that describes the organizations accounting for conservation easements
tf~rtiml Organizations Maintaining Collections of Art Historical Treasures or Other Similar Assets Complete if the organization answered Yes to Form 990 Part IV line 8
1 a If the organization elected as permitted under SFAS 116 (ASC 958) 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 XIII the text of the footnote to its financial statements that describes these items
b If the organization elected as permitted under SFAS 116 (ASe 958) 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 VI I line 1 ~$
(ii) Assets included in Form 990 Part X 11gt-$
2 If the organization received or held works of art histOrical treasures or other similar assets for financial gaill provide the following amounts required to be reported under SFAS 116 (ASe 958) relating to these items
11gt-$ -~~-------
$ BAA For Paperwork Reduction Act Notice the Instructions for Form 990 991l) CJ12
~--~-------------------------
-----------------------------------------------
-------
e2
3 Using the organizations acquisition accession and other records check any of the following that are a significant use of its collection items (check all that apply)
a sectPublic exhibition d BLoan or exchange programs b Scholarly research e Other
c Preservation for future generations
4 Provide a description of the organizations collections and explain how they further the organizations exempt purpose in Part XIII
5 During the year did the organization solicit or receive donations of art historical treasures or other similar assets D to be sold to raise funds rather than to be maintained as part of the organizations collection Yes
IRal~IYRI Escrow and Custodial Arrangemel1ts Complete if the organization answered Yes to Form 990 Part IV line 9 or reported an amount on Form 990 Part X line 21
1 a ~nt~~r~g~~~~~r~ ~~ ~~~~t~ trus~e~ ~u~t~~i~~ or ot~er int~~~~~~~~~ ~o~contnbu~i~~~ ~r ~~e~ ass~ts n~i~cI~~~d DYes
b If Yes explain the arrangement in Part XIII and complete the following table
Amount
c Beginning balance 1 c d Additions during the year d
e Distributions during the year 1 e f Ending balance 1f
2a Did the organization include an amount on Form 990 Part X line 21 UYes NOb If Yes explain the arrangement in Part XIII Check here if the explantion has been provided in Part Xlll D
fBaIM~1 Endowment Funds Complete if the or~anization answered Yes to Form 990 Part IV line 10 (a) Current (b) Prior year (e) Two years (d) Three years (e) Four years
1 a Beginning of year balance
b Contributions
c Net investment earnings gains and losses
d Grants or scholarships
e Other expenditures for facilities and programs
f Administrative expenses
9 End of year balance
2 PrOVide the estimated percentage of the current year end balance (line 1 g column (araquo held as
a Board designated or quasi-endowment b Permanent endowment c Temporarily restricted endowment
The percentages in lines 2a 2b and 2c should equal 10000
3 a Are there endowment funds not in the possession of the organization that are held and administered for the organization by Yes No (i) unrelated organizations 3a(i)
(ii) related organiZations 3a(ii)
b If Yes to 3a(ii) are the related organizations listed as required on Schedule R 3b I 4 Describe in Part XIII the intended uses of the organizations endowment funds
1 a Land
b Buildings
c Leasehold improvements
d Equipment
e Other
Total Add lines 1 a
BAA
(d) Book value
TEEt3302L 06e71 i 2
-------------------------
of security or rfpnlrl
name of secu (1) Financial derivatives
94-2460211
uation Cost or rket value
Page 3
~------------~--------------------------------------(2) Closely-held equity interests
~------------~--------------------------------------(3) Other ______________________ +----------f--------------------shyi~ __________________________1---_______-+____________________ (8)
iq __________________________~-----~---------------------------iD1_ - - - - - - - - - - - - - - - - - - - - - - -- -f------------+-------------------------------shy(E)- - - - - - - - - - - - - - - - - - - - - - - - - - - - ~-------------I---------------------------------------~~--------------------------f__----------+_-------------------------------iGl ______ -- _________ - _ - - - __ - - -f__----------l-----------------------------shy(H)- - - - - - - - - - - - - - - - - - - - - - - - - - - -- ~-------------+---------------------------------------J~ _____________________ _
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10) ----shy
(11)
Total (Column (b) must equal Form 990 Part X column (8) line 25) 2 FIN 48 CASe 740) Footnote In Part XIII provide the text of the footnote to the organizations financial statements that reports the organizations liability for uncertain tax positions under FIN 48 (ASe 740) Cherv here If the text of the footnote has been provided 11 Part XIII LJ BAA ____~_~__O~_ ~-~-~~~~--~~~-- --~T~-~middotA3303L- 122312 -- gt--~~-- Schedule 0 (Form 990) 2012
Page 4
2 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 XIII)
e Add lines 2a through 2d
3 Subtract line 2e from line 1 4 Amounts included on Form 990 Part VIII line 12 but not on line 1
a Investment expenses not included on Form 990 Part VIII line 7b
b Other (Describe in Part XII I)
c Add lines 4a and 4b
5 Total revenue Add lines 3 and 4c (This must equal Form 990 Part I line 72)
Total expenses and losses per audited financial statements
2 Amounts included on line 1 but not on Form 990 Part IX line 25
a Donated services and use of facilities 13 244 b Prior year adjustments c Other losses
d Other (Describe in Part XIII)
e Add lines 2a through 2d 3 Subtract line 2e from line 1
4 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 XIII) c Add lines 4a and 4b
must equal Form 990 Part I line 78)
Complete this part to provide the descriptions required for Part II lines 3 5 and 9 Part III lines 1a and 4 Part IV lines 1b and 2b Part V line 4 Part X line 2 Part XI lines 2d and 4b and Part XII lines 2d and 4b Also complete this part to provide any additional information
BAA Schedule 0 (Form 990) 2012
fEEA3304L 1
OMS No 1545middot0047
SCHEDULE G Supplemental Information Regarding (Form 990 or 990-EZ) Fundraising or Gaming Activities 2012
Complete if the organization answered Yes to Form 990 Part IV lines 17 18 or 19 or if the organization entered more than $15000 on Form 990-EZ line 6aDepartment of the Treasury
Internal Revenue Service ~ Attach to Form 990 or Form 990-EZ ~ See separate instructions
Name of Employer
94-2460211 InnInn ACtlVlllles Complete if the organization
___-c---cFo_r_m--- ~ filers are not required to complete this part
Indicate whether the organization raised funds through any of the following activities Check all that apply
a DMail solicitations e DSolicitation of non-government grants
b D Internet and email solicitations f DSolicitation of government grants
c D Phone solicitations g D Special fundraising events
d D Inmiddotperson solicitations
2 a 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 DYes ~No
b If Yes list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fund raiser is to be compensated at least $5000 by the organization
(i) Name and address of individual or entity (fund raiser)
(ii) Activity (iii) Did fund raiser have custod6or control
of contri utions
(iv) Gross receipts from activity
(v) Amount paid to (or retained by)
fundraiser listed in
(vi) Amount paid to (or retained by)
organization column (i)
Yes No
1
-- shy2
3 I
4 -----~--------
5
6
7 -__----shy
8
9
10
Total O bull -
3 List all states In which the organization IS reglslered or licensed to SOliCit contributions or has been notified It IS exempt from registration or licensing
- --~---~---~-- ~-~--~-~--~-~~-- ---
BAA for Paperwork Reduction Act Notice see the Instructions Form 990 or 990-EL Schedule G (runn 990 or 990-EZ) 2012 TEEA3701L 01107113
--
------
Schedule G (Form 990 or 990-EZ) 2012 Commun Br 94-2460211 Page 2
Fun ng Events Complete if the organization answered Yes to Form 990 Part IV ine 18 or reported more than $15000 of fundraising event contributions and gross income on Form 990-EZ lines 1 and 6b List events with gross receipts greater than $5000
(a) Event 1 (b) Event 2 (c) Other events (d) Total events (add column (a)
Italian Affair None through column (craquoR (event type) (event type) (total number) E V E N 1 Gross receipts 20186 20186 U E
2 Less Charitable contributions
3 Gross income (line 1 minus line 2) 20186 20186
4 Cash prizes
5 Noncash prizes D
R I
6 Rentfacility costs E C T 7 Food and beverages 5391 539l E x p 8 Entertainment E
N s 9 Other direct expenses 5822 5822E S
10 Direct expense summary Add lines 4 through 9 in column (d) 11213 11 Net income summary Combine line 3 column (d) and line 1 Q 8973
[Pifllll Gaming Complete if the o~ganization answered Yes to Form 990 Part IV line 19 or reported more than
(a) Bingo (b) Pull tabsllnstant (c) Other gaming (d) Total gaming R E bingoprogressive (add column (a) V bingo through column (eraquo E N U E Gross revenue
2 Cash prizes ~------------4---------------+--------------~--------------E
D X I P 3 Non-cash prizes R E E N C S T E
S 4 Rentfacility costs
5 Other direct expenses
Yes Yes Yes 6 Volunteer labor No No No
7 Direct expense summary Add lines 2 through 5 in column (d)
8 Net gaming income summary Combine lines 1 column (d) and line 7
9 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 0 Yes
b If No explain
lOa Were any of the organizations gaming licenses revoked suspended or terminated during the tax year 0 Yes b If Yes explain
BAA TFJ3]02L 010713 ScheclJle G (F (JIm 990 or 990 2012
------------
-----------
Schedule G (Form 990 or 990-EZ) 2012 Community Bridges 94-2460211 Page 3 11 Does the organization operate gaming activities with nonmembers DYes 12 Is the organization a grantor beneficiary or trustee of a trust or a member of a partnership or other entity formed to
administer charitable gaming DYes 13 Indicate the percentage of gaming activity operated in
a The organizations facility 13a ~13-b~------------~~b An outside facility
14 Enter the name and address of the person who prepares the organizations gamingspecial events books and records
Name
Address
15a Does the organization have a contact with a third party from whom the organization receives gaming revenue DYes b If Yes enter the amount of gaming revenue received by the organization $ and the amount
of gaming revenue retained by the third party $ c If Yes enter name and address of the third party
Name ---------------------------------------------~-----l
I Address I
16 Gaming manager information
Name
Gaming manager compensation $
Description of services provided
D Directorofficer DEmployee D independent contractor
17 Mandatory distributions
a Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the ~~egaminglicense ___________________________________________________________________ D~s ~No
b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the
organizations own exempt activities during the tax year $ lean~IlUI Supplemental Information Complete this part to provide the explanations required by Igtart I line 2b
columns (iii) and (v) and Part III lines 9 9b 1 ~b 15b 15c 16 and 17b as applicable Also complete this part to provide any additional information (see instructions)
----------------------- -------------------- ------ ----------------------------- __--shy
_ ---_ --------------- ---------------- ----- shy
BAA TEEA3703L 010113 Schedule G (Form 990 or 990middotEZ) 2012
--------------------------------------------------------- ---------
OMB No 1545-0047SCHEDULE 0 Supplemental Information to Form 990 or 990middotEZ (Form 990 or 990-EZ)
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information
Department of the Treasury ~ Attach to Form 990 or 990-EZInternal Revenue Service
Name of the
94-2460211
health care 4112-63012
BAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990-EZ TFEIA)IJIL 12812 Schedule 0 (Forrn 990 or 2012
Schedule 0 (Form 990 or 990-EZ) 2012 Page 2 Name of the organization Employer Identification number
Community Bridges 94-2460211
~ ~~Oy~~sjg1~~ge~~~e~~~~~ ~~~ ~ ~ ~~ ~~ ~_ ~~ ~ ~ ~~~~~~~ ~ ~ ~ ~ ~ ~~~~ ~ ~ ~~ ~ ~~~~~ ~ ~ ~ ~ _
Schedule (Form 990 or
TEEA4902L
2012
2012 Schedule 0 bull Supplemental Information Page 1
Community Bridges 94-2460211
Form 990 Part XI Line 9 Other Changes In Net Assets Or Fund Balances
Depreciation Grant Funded Assets $ -140124 Familia Net Assets 82104
Total $ -58020========
-------------------
OMS No 1545-0047
SCHEDULE R (Form 990) Related Organizations and Unrelated Partnerships 2012
Complete if the organization answered Yes to Fonn 990 Part IV line 33343536 or 37DqJ21rTrrent of the Treasury Internal Revenue Service Attach to Form 990 ~ See separate instructions Name of the organization
s 94-2460211Commu
rp~ Identification of Disregarded Entities (Complete if the organization answered Yes to Form 990 Part
(a) (b) (c) (e) (f) iiame address and EIN (if applicable) of disregarded entity Primary activity Legal domicile (state End-of-year assets Direct controlling
or foreiqn country) entity
=== === =_===== =_ ===== == ===__1 1-- -- -=-=1 TI ~~
FPafIIldentification 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)
(a) Name address and EIN of related organization
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Exempt Code
section
(e) Public charity status (if section 501 (c) (3raquo)
(f) Direct controlling
entity
(g)Sec 512(b)(13)
controlled entity
Yes No (1) FAMILIA CENTER
236SANTA-rnUZAVE----------- shy------------------------- shyAPTOS CA 95003770071589 - - shy - - - -- shy - - - -- shy - - shy BILINGUAL FAMILY
SERVICES CA I
501(C)3 PUBLIC
CHARITY COMMUNITY
BRIDGES X
---------------------- shy_shy --shy --------------------- shy - shy - -- -- shy - - shy - - shy - - - - - - - - - - - - - - -
- --
----------~--------------
-shy - shy --------------------- shy
-shy - shy - shy - shy shy -shy - - ---------------- shy- c--- shy
- - -- --- -- - - - - --- - - - - - - - - - - - - shy
- - -- - shy
- -- - --------------------- shy -=r_ I _ __ I
~-- I ------- - -- ----- --- --
BAt For Paperwork Reduction Act Notice see the Instructions for Form 990 TEEA5001 L 122812 Schedule R (Form 990) 2012
- -- ------
----- -
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 2
re~rtUI Iidentific~tion of Related Organizations T~xable 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)
me oddltl od EIN of I PIm~~cttyrelated organization
-+shy----shy
-_--shy -- -shy ~
(c) Legal
domicile (state or foreign country)
(d) Direct
controlling entity
(e) Predominant income (related unrelated excluded from tax
under sections 512-514)
(f) Share of total
income
(g) Share of
end-of-year assets
(h) Disproporshy
tionate allocations
Yes No
(i) Code V-UBI
amount in box 20 of Schedule
K-1 (Form 1065)
(j) General or managing partner
Yes No
(k) Percentage ownership
shy -shy --shy --shy -shy
-shy -__shy ---shy -shy
_ _ _____ ___ J~
-- -- -- - - - -- - -- shy
-
--T~ --=~ -- ~~==~=-
I
IPaHJVl Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered Yes to Form 990 Part IV L----_-l line 34 because it had one or more related organizations treated as a corporation or trust during the tax year)
(a) (b) I (c) (d) (e) I (f) (g) (h) I (i)iiame address and EIN of related organization Primary activity Legal domicile Direct Type of entity Share of Share of end-of- Percentage Sec S12(b)(13)
(state or foreign controlling (C corp S corp total income year assets ownership controlled entitycountry) entity or trust)
Yes I No
- - - - - - - - - -- - - - - - -- --I --------------------4
--==========1------~--------------~------------~------------~------------~--------------~--------------~--------~I----~------TEEA5002L 1228112 Schedule R (Form 990) 2012
---------
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 3
i])~ Transactions With Related Organizations (Complete if the organization answered Yes to Form 990 Part IV line 34 35b or 36)
Note Complete line 1 if any entity is listed in Parts II III or IV of this schedule During the lax year did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity b Gift grant or capital contribution to related organization(s)
Gift grant or capital contribution from related organization(s)
d Loans or loan guarantees to or for related organization(s)
e Loans or loan guarantees by related organization(s)
Dividends from related organization(s) 9 Sale of assets to related organization(s)
h Purchase of assets from related organization(s)
Exchange of assets with related organization(s)
Lease c[racilities equipment or other assets to related organization(s)
Lease of facilities equipment or other assets from related organization(s)
Performance of services or membership or fundraising solicitations for related organization(s)
Ferformance of services or membership or fundraising solicitations by related organization(s)
Sharing of facilities equipment mailing lists or other assets with related organization(s)
o Sharing of paid employees with related organization(s)
Reimbursement paid to related organization(s) for expenses
q Reimbursement paid by related organization(s) for expenses
r Other transfer of cash or property to related organization(s
5 Other transfer of cash or property from related organization(s)
If the answer to any of the above is Yes see the instructions for information on who must complete this line including covered relationships and transaction thresholds
(b) (c)N f h(a) d (2 lame 0 ot er organization Transaction Amount involved Metho of etermlnlng --~
type (a-s) amount involved
(1)
(2)
ltd ~ ~J
I I I
(5) ------------shy
(6) ~---------------------------------------------------------------------------~--------------~--------~~~~--~--~~~
TEEIS003L 1228112 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 4
e~~I1 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) I (b) (c) (d) (e) (f) (g) (h) (i) (j) I (k)Jame address and EIN of entity Primary activity Legal domicile Predominant Are all partners Share of Share of Dispropor- Code V-UBI General or Percentage
(state or foreign income section total income end-of-year tionate amount in box managing ownership country) (related unre- 501 (c)(3) assets allocations 20 of Schedule partner
lated excluded organizations i K- 1 from tax under ~---c--- Form (1065)
section 512-514) Yes I No Yes No Yes No----+----1
- --==~ ~ ~ ====== ~ I ~ --I------+--+----t--shy
(3)
--------------1
(6)
-____ __~__ - I I I SAl TEEAS004L 122812 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Page 5 _ Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions)
-r- I - lt-j005L middot22312 Schedule R (Forni
s 94-2460211 Page 9
Check if Schedule 0 contains a response to any question in this Part VIII D
a Federated campaigns
b Membership dues
c Fundraising events
d Related organizations
e Government grants (contributions)
f All other contributions gifts grants and similar amounts not included above
9 Noncash contributions included in Ins 1a-1 f h Total Add lines 1a-1 f
(A) (8) (C) Total revenue Related or Unrelated
exempt business function revenue
(0) Revenue
excluded from tax under sections
512513 or 514
2 a sect~yipound~ fe~~ gt~in_____ -I-=-==-=-=---_t-----L=-=L~_+----=~~-=-=__t------_t------shyb sect~yis~ fe~~ 1~ls12 shy __ _
-r-~~~-----t
c sect~yis~ fe~~ gtreglt_G9_pounde__ -r-=-=-=-----t__--=-=~--et__--=-=~----t__------t__-----shyd sect~yis~ fe~s_ =- Iil1i1Y jQu __ -I---=----------=--L--------=--L------------------shy
e sect~yis~ fe~~ ~1U_ld_G9_pounde__ -r-=--=-----t__--=-=-=L=~t__--=-=-=L=-------I------shyf All other program service revenue
L-~~~__~+-__~~~~ 9 Total Add lines 2a-2f
--+----shy3 Investment income (including dividends interest and
4
5
other similar amounts)
6 a Gross rents
b Less rental expenses
c Rental income or (loss)
d Net rental income or (I -~~~~---~~--~
7 a Gross amount from sales of assets otller than inventory
b Less cost or other basis and sales expenses
c Gain or (loss) d Net gain or (loss)
LIJ 8 a Gross income from fundraising events ~ (not including $--~--cc--c~shy~ of contributions reported on line 1 c)
---------t
~ See Part IV line 18 a LIJ j---~~~-shy
~ b Less direct expenses o c Net income or (loss) from fundraising
9 a Gross income from gaming activities See Part IV line 19
b Less direct expenses
c Net income or (loss) from gaming acti i -----------
10a Gross sales of inventory less returns and allowances a
b Less cost of goods sold j------ shy
c d 11 other revenue
e Total Add lines 11 a-11 d
lotal revenue See instruction
------------------
94-2460211 Page 10
Do not include amounts reported on lines 6b lb 8b 9b and lOb of Part VIII
1 Grants and other assistance to governments
p~~t ~ryalr~~a1if~~ ~~ t~~ ~ni~d state~ ~~~ 2 Grants and other assistance to individuals in
the United States See Part IV line 22
3 Grants and other assistance to governments organizations and individuals outside the United States See Part IV lines 15 and 16
4 Benefits paid to or for members 5 Compensation of current officers directors
trustees and key employees 251 751 6 Compensation not included above to
disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c) (3) (8)
7 Other salaries and wages
8 Pension plan accruals and contributions (include section 401 (k) and section 403(b) employer contributions)
9 Other employee benefits
10 Payroll taxes
11 Fees for services (non-employees)
a Management
b Legal
c Accounting
d Lobbying
e Professional fundraising services See Part IV line 17 f Investment management fees 9 Other (If line 11 g amt exceeds 10 of line 25 colshy
umn (A) amt list line 11 g expenses on Sch 0) 12 Advertising and promotion
13 Office expenses
14 Information technology
15 Royalties
16 Occupancy
17 Travel
18 Payments of travel or entertainment expenses for any federal state or local public officials
19 Conferences conventions and meetings 20 Interest
21 Payments to affiliates
22 Depreciation depletion and amortization
23 Insurance 24 Other expenses Itemize expenses not
covered above (List miscellaneous expenses in line 24e If line 24e amount exceeds 10 of line 25 column (A) amount list line 24e expenses on Schedule 0)
a ])~ ~sectlr_e_ Io_m~ _F99g lEYlIelts_ +__~~---=--=+-_----L~~~-+-______-+-________ b Administrative services cM~~~_~xp~~s~_______ _ d Y~~iltb~ ~~el1~~ ________ _ e All other expenses
25 Total functional expenses Add lines 1 through 24e
26 Joint costs Complete this line only if the organization reported in column (8) joint costs from a combined educational campaign and fundraising solicitation Check here 0 if following SOP 98-2 (ASe 958720)
TEEAOll OLI2n Ri Form 990 (2012)
Loans and other receivables from current and former officers directors
~~~i1Ff ~eJ~~o[ees ~~~ ~ig~es ~~~~~~~~~~ ~~~I~~~~s ~o~plete Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1raquo persons described in section 4958(c)(3) (B) and contributing employers and sponsoring organizations of section Sal (c)(9) voluntary employees beneficiary organizations (see instructions) Complete Part II of Schedule L
Notes and loans receivable net
Inventories for sale or use
Prepaid expenses and deferred charges
I lOa c~~r-----~--~~~-
other securities See Part IV line 11
program-related See Part IV line 11
Other assets See Part IV line 11
15 Ie an accrue expenses
Grants payable Deferred revenue
Tax-exempt bond liabilities
or custodial account liability Complete Part IV of Schedule D
Loans and other payables to current and former officers directors trustees key employees highest compensated employees and disqualified persons Complete Part II of Schedule L
Secured mortgages and notes payable to unrelated third parties
Unsecured notes and loans payable to unrelated third parties
Other liabilities (including federal income tax payables to related third parties and other liabilities not included on lines 17-24) Complete Part X of Schedule D
Organizations that follow SFAS 117 (ASe 958) check here and complete
Unrestricted net assets
Temporarily restricted net assets
Permanently restricted net assets
Organizations that do not follow SFAS 117 (ASe 958) check here D 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
Total net assets or fund balances
Total liabilities and net assetsfund balances
94-2460211 Page 11
Cash - non-interest-bearing
2 Savings and temporary cash investments 3 Pledges and grants receivable net
4 Accounts receivable net
5
6
A S 7 S E 8 T S 9
lOa Land buildings and equipment cost or other basis Complete Part VI of Schedule D
b Less accumulated depreciation
11 Investments - publicly traded securities
12 Investments shy
13 Investments shy
14 Intangible assets
15 16 17 18 19
L 20 I A 21 Escrow B I 22 L I T I 23E s 24
25
26 Total liabilities Add lines 17 through 25
N E T lines 27 through 29 and lines 33 and 34 A 27s s E 28 T 5 29 0 R
and complete lines 30 through 34J N 30
B 31 D
A L 32A N c 33 E s 34
BAA
(A) (B) Beginning of year End of year
IL 01103113
94-2460211 Page 12
Check if Schedule 0 contains a response to any question in this Part XI
Total revenue (must equal Part VIII column (A) line 12) 2 Total expenses (must equal Part IX column (A) line 25)
3 Revenue less expenses Subtract line 2 from line 1
4 Net assets or fund balances at beginning of year (must equal Part X line 33 column (A))
5 Net unrealized gains (losses) on investments 6 Donated services and use of facilities 7 I nvestment expenses 8 Prior period adjustments
9 Other changes in net assets or fund balances (explain in Schedule 0) Se~ SGb~ciul~ Q 10 Net assets or fund balances at end of year Combine lines 3 through 9 (must equal Part X line 33
column (B)) 10
Financial Statements and Reporting
Check if Schedule 0 contains a response to any question in this Part XII
1 Accounting method used to prepare the Form 990 D Cash [29 Accrual DOther
If the organization changed its method of accounting from a prior year or checked Other explain in Schedule O
2 a Were the organizations financial statements compiled or reviewed by an independent accountant If Yes check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis consolidated basis or both
D Separate basis D Consolidated basis D Both consolidated and separate basis
b Were the organizations financial statements audited by an independent accountant
If Yes check a box below to indicate whether the financial statements for the year were audited on a separate basis consolidated basis or both
~ Separate basis DConsolidated basis 0Both consolidated and separate basis
c 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 O
3 a As a result of a federal award was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133
b If Yes did the organization undergo the required audit or audits If the organization did not undergo the required audit or audits explain why in Schedule 0 and describe any steps taken to undergo such audits
BAA
1 384 061_
3a x
3b X Form (2012)
OMB No 1545-0047
SCHEDULE A Public Charity Status and Public Support (Form 990 or 990-EZ) 2012
Complete if the organization is a section 501 (c)(3) organization or a section 4947(a)(1) nonexempt charitable trust
Department of the Treasury Internal Revenue Service ~ Attach to Form 990 or Form 990-EZ ~ See separate instructions
2
3 4
~ A church convention of churches or association of churches described in section 170(bX1XAXi)
A school described in section 170(bX1)(AXii) (Attach Schedule E)
A hospital or a cooperative hospital service organization described in section 170(bX1XA)(iii)
A medical research organization operated in conjunction with a hospital described in section 170(bXl)(AXiii)- Enter the hospitals
name city and state
5 An organization operatedfOr thebenefit Of acollege oruniversh-Y owned or operated bya-governmentalunltdescribed in sectiOn - - - - - - shyD 170(bX1XAXiv) (Complete Part II)
6 A federal state or local government or governmental unit described in section 170(b)(1)(AXv) R7 X 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)(1XAXvi) (Complete Part II)
8 D A community trust described in section 170(bX1XAXvi) (Complete Part II)
9 D An organization that normally receives (1) more than 33-13 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 33-13 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)
10 An organization organized and operated exclusively to test for public safety See section 509(aX4) R11 An organization organized and operated exclusively for the benefit of to perform the functions of or carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2) See section 509(aX3) Check the box that describes the type of supporting organization and complete lines 11 e through 11 h
a DType I b DType II c D Type III - Functionally integrated d D Type III - Non-functionally integrated
e D 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 is a Type I Type II or Type III supporting organization check this box D
9 Since August 172006 has the organization accepted any gift or contribution from any of the following persons
I Yes No (i) A person who directly or indirectly controls either alone or together with persons described in (ii) and (iii)
below the governing body of the supported organization 11 g (i) ~-----r---+---shy
(ii) A family member of a person described in (i) above 11 9 (ii)
(iii) A 35 controlled entity of a person described in (i) or (ii) above 11 g (iii) h Provide the following information about the supported organization(s)
(i) Name of supported organization
(ii) EIN (iii) Type of organization (described on lines 1-9
(iv) Is the organization in
(v) Di d you notify the organization in
(vi) Is the organization in
(vii) Amount of monetary support
above or IRe section column (i) listed in column (i) of your column (i) (see instructionsraquo your governing
document support organized in the
US
(A)
(8)
(C)
(D)
(E)
Total
For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990-EZ
I EEA040 Il_
Schedule A (Form 990 or 990-EZ) 2012 Community Bridges 94-2460211 Page 2
_Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5 7 or 8 of Part I or if the organization failed to qualify under Part III If the organization fails to qualify under the tests listed below please complete Part III)
Section A Public Su rt Calendar year (or fiscal year beginning in) ~ (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts grants contributions and membership fees received ltpo not include any unusual grants ) 11700497 12531538 11914396 13085089 12897266 62 128 786
2 Tax revenues levied for the organizations benefit and either paid to or expended on its behalf o
3 The value of services or facilities furnished by a governmental unit to the organization without charge
4 Total Add lines 1 through 3 5 The portion of total
contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2 of the amount shown on line 11 column (f) o
6 786
Calendar year (or fiscal year beginning in) ~
7 Amounts from line 4
8 Gross income from interest dividends payments received on securities loans rents royalties and income from similar sources 7 754 3 403 5 421 244 51 392 68 214
9 Net income from unrelated business activities whether or not the business is regularly carried on o
10 Other income Do not include gain or loss from the sale of capital aS~~Se(Ep~fie irrV
13 First five years If the Form 990 is for the organizations first second third fourth or fifth tax year as a section 501 (c) (3) organization check this box and stop here ~ D
Section C Computation of Public Support Percentage 14 Public support percentage for 2012 (line 6 column (f) divided by line 11 column (f)) 9892 15 Public support percentage from 2011 Schedule A Part II line 14 9886
16a 33-13 support test - 2012 If the organization did not check the box on line 13 and the line 14 is 33-13 or more check this box and stop here The organization qualifies as a publicly supported organization ~ ~
b 33-13 support test - 2011 If the organization did not check a box on line 13 or 16a and line 15 is 33-13 or more check this box and stop here The organization qualifies as a publicly supported organization ~ D
17 a 1 O-facts-and-circumstances test - 2012 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-andmiddot circumstances test check this box and stop here Explain in Part IV how the organization meets the factsmiddotand-circumstances test The organization qualifies as a publicly supported organization ~ lJ
Part IV)
11 rh~~aJ9shu~8~~ ~dd Iin~s
612 273
12 Gross receipts from related activities etc (see instructions) L-__~~~~~~~
b 1 O-facts-and-circumstances test - 2011 If the organization did not check a box on line 13 16a 16b or 17a and line 15 is 10 or more and if the organization meets the facts-and-circumstances test check this box and stop here Explain in Part IV how the 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 o( l7b check this box and see instructions
Schedule A (rorm 990 or 990middot[2) 202
~EEA0402L 080912
Section A Public rt Calendar year (or fiscal yr beginning in)
1 Gifts grants contributions
Schedule A (Form 990 or 990middotEZ) 2012 Communi Br s 94-2460211 3 Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II If the organization fails to qualify under the tests listed below please complete Part II)
and membership fees received (Do not include any unusual grants)
2 Gross receipts from admisshysions merchandise sold or services performed or facilities furnished in any activity that is related to the organizations taxmiddotexempt purpose
3 Gross receipts from activities that are not an unrelated trade or business under section 513
4 Tax revenues levied for the organizations benefit and either paid to or expended on its behalf
5 The value of services or facilities furnished by a governmental unit to the organization without charge
6 Total Add lines 1 through 5 7 a Amounts included on lines 1
2 and 3 received from disqualified persons
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5000 or 1 of the amount on line 13 for the year
c Add lines 7a and 7b
8
Calendar year (or fiscal yr beginning in) (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (I) Total
9 Amounts from line 6 10 a Gross income from interest
dividends payments received on securities loans rents royalties and income from similar sources
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30 1975
c Add lines lOa and 1 Db Net income from unrelated business
activities not included in line lOb whether or not the business is regularly carried on
12 Other income Do not include gain or loss from the sale of capital assets (Explain in Part IV)
13 Total support (Add Ins9 10c 11 and 12) ~~~____~~~~____~~__~__-L__________ __~~~~~__~
14 First five years If the Form 990 is for the organizations first second third fourth or fifth tax year as a section 501 (c)(3)organization check this box and stop here
Section C Computation of Public Support Percentage shy15 Public support percentage for 2012 (line 8 column (I) divided by line 13 column (I)) 16 Public support percentage from 2011 Schedule A Part III line 15
Section D Computation of Investment Income Percentage 17 Investment income percentage for 2012 (line 10c column (I) divided by line 13 column (I)) 17
18 Investment income percentage from 2011 Schedule A Part III line 17 18 19a 33-13 support tests - 2012 If the organization did not check the box on IIn8 14 and line 15 is more than 33-13 and line 17
is not more than 33-13 check this box and stop here The organization qualifies as a publicly supported organization
b 33-13 support tests - 2011 If the organization did not check a box on line 14 or line 19a and line 16 is more than 33-13 and line 18 is not mOIe than 33-13 check this box and stop here The organization qualifies as a publicly supported organization
20 Private foundation If the organization did not check hox Orl line 14 19a or 19b check box and see instructions ~H -----o------~--- ------
BAA NJ403L 080912 Schedule A (Form 990 or 99QZ) 2012
4 Schedule A (Form 990 or 990-EZ) 2012 Communi s 94-2460211 Supplemental Information Complete this part to provide the explanations required by Part II line 10 Part II line 17a or 17b and Part III line 12 Also complete this part for any additional information (See instructions)
___~P~~t1~cJ~Cule_~dJltli9~lt ~~~lelTI_e~U~f9l1aiQf _______________________________ _
_ _cLeID1tu_g1_lzgti_ol)-PSlYlJ1~nL _ _ _ _ _ _ _ _ _ _ _ _ ________________________________ _
BAA
081012
2012 Schedule A Part IV - Supplemental Information PageS
Community Bridges 94-2460211
Part II Line 10 - Other Income
Nature and Source 2012 2011 2010 2009 2008
Other Income Total
$ 108645 $ 108645
$ 36333 $ 36333
$ 130009 $ 130009
$ 169710 $ 169710
$ $
167576 167576
------
---------------
OMB No 1545middot0047SCHEDULE C Political Campaign and Lobbying Activities (Form 990 or 990-EZ)
For Organizations Exempt From Income Tax Under section 501 (c) and section 527 2012 Complete if the organization is described below Attach to Form 990 or Form 990-EZ
Department of the Treasury Internal Revenue Service See separate instructions
If the organization answered Yes to Form 990 Part IV line 3 or Form 990-EZ Part V line 46 (Political Campaign Activities) then bull Section 501 (c)(3) organizations Complete Parts I-A and B Do not complete Part I-C bull Section 501 (c) (other than section 501 (c)(3raquo) organizations Complete Parts I-A and C below Do not complete Part I-B bull Section 527 organizations Complete Part I-A only
If the organization answered Yes to Form 990 Part IV line 4 or Form 990-EZ Part VI line 47 (Lobbying Activities) then bull Section 501 (c) (3) organizations that have filed Form 5768 (election under section 501 (h)) Complete Part II-A Do not complete Part II-B
bull Section 501 (c) (3) organizations that have NOT filed Form 5768 (election under section 501 (h)) Complete Part II-B Do not complete Part II-A
If the organization answered Yes to Form 990 Part IV line 5 (Proxy Tax) or Form 990-EZ Part V line 35a (Proxy Tax) then bull Section 501 (c)(4) (5) or (6) organizations Complete Part III
See Part IV 2 3 Volunteer hours bull w Complete if the organization is exempt under section 501 (c)(3) 1 Enter the amount of any excise tax incurred by the organization under section 4955
2 Enter the amount of any excise tax incurred by organization managers under section 4955
3 If the organization incurred a section 4955 tax did it file Form 4720 for this year DYes
4a Was a correction made middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotDYes b If Yes describe in Part IV
II~~~~~~~~~~~~--~~~~~~~--~~---------2 Enter the amount of the filing organizations funds contributed to other organizations for section 527 exempt
function activities $
3 Total exempt function expenditures Add lines 1 and 2 Enter here and on Form 1120-POL line 17b ~ $
4 Did the filing organization file Form 1120-POL for this year DYes
5 Enter the names addresses and employer identification number (EIN) of all section 527 political organizations to which the filing organization made payments For each organization listed enter the amount paid from the filing organizations funds Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization such as a separate segregated fund or a political action committee (PAC) If additional space is needed provide information in Part IV
(a) Name (b) Address (e) EIN (d) Amount paid from filing (e) Amount of political organizations funds If contributions received and
none enter-Omiddot promptly and directly delivered to a separate political organization If
none enter -0middot
(1) ~---------------~---
(2) ~------
(3) ~-
(4)
~~)~~~~~--~~~~--~-~---~~-~---~~~~~~~-~_-_~~~~-----~~~~~~-~~~~~~~~~~-~~~~~-~---------_-_--f------c_~~~_-middot_J_L~~--------+---~ -~ -shyBAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990middotEZ Schedule C (Form 990 or 990middotEZ) 2012
TEEA320 I L 217112
----
Schedule C(Form 990 or 990-EZ) 2012 Communi Bri s 4-2460211 Page 2
Complete if the organization is exempt under section 501 (c)(3) and filed Form 5768 (election under section 501 (hraquo
A Check ~ 0 if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group members name
address EIN expenses and share of excess lobbying expenditures)
B Check ~ 0 if the filing organization checked box A and limited control provisions apply
Limits on Lobbying Expenditures (a) Filing (b) Affiliated organizations totals group totals (The term expenditures means amounts paid or incurred)
1 a Total lobbying expenditures to influence public opinion (grass roots lobbying)
b Total lobbying expenditures to influen_ce a legislative body (direct lobbying)
c Total lobbying expenditures (add lines 1a and 1b)
d Other exempt purpose expenditures
e Total exempt purpose expenditures (add lines 1c and 1d)
f Lobbying nontaxable amount Enter the amount from the following table in both columns
g Grassroots nontaxable amount (enter 25 of line 1f)
h Subtract line 1g from line 1a If zero or less enter -0-
Subtract line 1f from line 1c If zero or less enter -0-
If there is an amount other than zero on either line 1h or line 1i did the organization file Form 4720 reporting section 4911 tax for this year DYes 0No
4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501 (h) election do not have to complete all of the five
columns below See the instructions for lines 2a through 2f)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total year beginning in)
13l7 524
2a Lobbying non-taxable amount 3 513 393
b Lobbying ceiling amount (150 of line 2a column (eraquo 5 270 090
c Total lobbying enditures 18 425
d Grassroots nontaxable amount 878 349
e Grassroots ceiling amount (150 of line 2d column
f Grassroots lobbying expenditures o
BAA Schedule C (Form 990 or 990-EZ) 2012
-EEA3202L 010713
3 Schedule C(Form 990 or 2012 Bri 94-2460211 Complete if the organization is exempt under se as NOT filed Form 5768 (election under section 501 (hraquo
For each Yesresponse to lines 7a through Ii below provide in Part IVa detailed description of the lobbying activity
During the year did the filing organization attempt to influence foreign national state or local legislation including any attempt to influence public opinion on a legislative matter or referendum through the use of
a Volunteers
b Paid staff or management (include compensation in expenses reported on lines 1 c through 1 i)
c Media advertisements
d Mailings to members legislators or the pUblic ~~---+--------------
e Publications or published or broadcast statements
f Grants to other organizations for lobbying purposes
9 Direct contact with legislators their staffs government ofFicials or a legislative body
h Rallies demonstrations seminars conventions speeches lectures or any similar means
i Other activities ~~~~--------
j Total Add lines 1c through 1 i ~lli~J~i01 ~2iJn
I----t---- shy
2 a Did the activities in line 1 cause the organization to be not described in section 501 (c)(3)
b If Yes enter the amount of any tax incurred under section 4912
c If Yes enter the amount of any tax incurred by organization managers under section 4912
d If the filing organization incurred a section 4912 tax did it file Form 4720 for this year
Complete if ization is exempt under section 501 (c)(4) section 501 (c)(5) or section 501
Were substantially all (90 or more) dues received nondeductible by members 1----+---1---shy
2 Did the organization make only inmiddothouse lobbying expenditures of $2000 or less f----j----j--- shy
3 Did the organization agree to carryover lobbying and political from the prior year
Complete if the organization is exempt under section 501 (c)(4) section 501 (c)(5) or section 501 (c) (6) and if either (a) BOTH Part III-A lines 1 and 2 are answered No OR (b) Part III-A line 3 is answered Yes
Dues assessments and similar amounts from members
2 Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid)
a Current year
b Carryover from last year
c Total
3 Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues
4 If notices were sent and the amount on line 2c exceeds the amount on line 3 what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year
I---~--------------5 Taxable amount of lobbying and political expenditures (see instructions)
Complete this part to provide the descriptions required for Part ImiddotA line 1 Part ImiddotB line 4 Part Imiddote line 5 Part IImiddotA (affiliated group list) Part IImiddotA line 2 and Part IImiddotB line 1 Also complete this part for any additional information
TEEA32031 OliO
Scheciu1e
-----------------
OMB I~o 1545-0047 SCHEDULE D (Form 990) Supplemental Financial Statements 2012
~ Complete if the organization answered Yes to Form 990 Part IV lines 6 7 8 9 10 l1a 11 b 1lc l1d l1e l1f 12a or 12b
~ Attach to Form 990 ~ See instructions
(a) Donor advised funds
1 Total number at end of year
2 Aggregate contributions to (during year
3 Aggregate grants from (during year) 4 Aggregate value at end of year
S Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organizations property subject to the organizations exclusive legal control DYes
6 Did the organization inform all grantees donors and donor advisors in writing that grant funds can be used only
impermissible private benefit for charitable purposes and not for the benefit of the donor or donor advisor or for any other purpose conferring
No
(b) Funds and other accounts
Purpose(s) of conservation easements held by the organization (check all that apply)
Preservation of land for public use (eg recreation or education) D Preservation of an historically important land area
Protection of natural habitat D Preservation of a certified historic structure
Preservation of open space ~
2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the iast day of the tax year
a Total number of conservation easements
b Total acreage restricted by conservation easements
c Number of conservation easements on a certified historic structure included in (a)
d Number of conservation easements included in (c) acquired after 81706 and not on a historic structure listed in the National Register 2 dL-__L-_________________________
3 Number of conservation easements modified transferred released extinguished or terminated by the organization during the tax year Igt
4 Number of states where property subject to conservation easement is located Igt
S Does the organization have a written policy regarding the periodic monitoring inspection handling of violations and enforcement of the conservation easements it holds DYes
6 Staff and volunteer hours devoted to monitoring inspecting and enforcing conservation easements during the year Igt
7 Amount of expenses incurred in monitoring inspecting and enforcing conservation easements during the year 1gt$
8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(8)(i) and section 170(h)(4)(8)(ii) DYes
9 In Part XIII describe how the organization reports conservation easements in its revenue and expense statement and balance sheet and include if applicable the text of the footnote to the organizations financial statements that describes the organizations accounting for conservation easements
tf~rtiml Organizations Maintaining Collections of Art Historical Treasures or Other Similar Assets Complete if the organization answered Yes to Form 990 Part IV line 8
1 a If the organization elected as permitted under SFAS 116 (ASC 958) 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 XIII the text of the footnote to its financial statements that describes these items
b If the organization elected as permitted under SFAS 116 (ASe 958) 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 VI I line 1 ~$
(ii) Assets included in Form 990 Part X 11gt-$
2 If the organization received or held works of art histOrical treasures or other similar assets for financial gaill provide the following amounts required to be reported under SFAS 116 (ASe 958) relating to these items
11gt-$ -~~-------
$ BAA For Paperwork Reduction Act Notice the Instructions for Form 990 991l) CJ12
~--~-------------------------
-----------------------------------------------
-------
e2
3 Using the organizations acquisition accession and other records check any of the following that are a significant use of its collection items (check all that apply)
a sectPublic exhibition d BLoan or exchange programs b Scholarly research e Other
c Preservation for future generations
4 Provide a description of the organizations collections and explain how they further the organizations exempt purpose in Part XIII
5 During the year did the organization solicit or receive donations of art historical treasures or other similar assets D to be sold to raise funds rather than to be maintained as part of the organizations collection Yes
IRal~IYRI Escrow and Custodial Arrangemel1ts Complete if the organization answered Yes to Form 990 Part IV line 9 or reported an amount on Form 990 Part X line 21
1 a ~nt~~r~g~~~~~r~ ~~ ~~~~t~ trus~e~ ~u~t~~i~~ or ot~er int~~~~~~~~~ ~o~contnbu~i~~~ ~r ~~e~ ass~ts n~i~cI~~~d DYes
b If Yes explain the arrangement in Part XIII and complete the following table
Amount
c Beginning balance 1 c d Additions during the year d
e Distributions during the year 1 e f Ending balance 1f
2a Did the organization include an amount on Form 990 Part X line 21 UYes NOb If Yes explain the arrangement in Part XIII Check here if the explantion has been provided in Part Xlll D
fBaIM~1 Endowment Funds Complete if the or~anization answered Yes to Form 990 Part IV line 10 (a) Current (b) Prior year (e) Two years (d) Three years (e) Four years
1 a Beginning of year balance
b Contributions
c Net investment earnings gains and losses
d Grants or scholarships
e Other expenditures for facilities and programs
f Administrative expenses
9 End of year balance
2 PrOVide the estimated percentage of the current year end balance (line 1 g column (araquo held as
a Board designated or quasi-endowment b Permanent endowment c Temporarily restricted endowment
The percentages in lines 2a 2b and 2c should equal 10000
3 a Are there endowment funds not in the possession of the organization that are held and administered for the organization by Yes No (i) unrelated organizations 3a(i)
(ii) related organiZations 3a(ii)
b If Yes to 3a(ii) are the related organizations listed as required on Schedule R 3b I 4 Describe in Part XIII the intended uses of the organizations endowment funds
1 a Land
b Buildings
c Leasehold improvements
d Equipment
e Other
Total Add lines 1 a
BAA
(d) Book value
TEEt3302L 06e71 i 2
-------------------------
of security or rfpnlrl
name of secu (1) Financial derivatives
94-2460211
uation Cost or rket value
Page 3
~------------~--------------------------------------(2) Closely-held equity interests
~------------~--------------------------------------(3) Other ______________________ +----------f--------------------shyi~ __________________________1---_______-+____________________ (8)
iq __________________________~-----~---------------------------iD1_ - - - - - - - - - - - - - - - - - - - - - - -- -f------------+-------------------------------shy(E)- - - - - - - - - - - - - - - - - - - - - - - - - - - - ~-------------I---------------------------------------~~--------------------------f__----------+_-------------------------------iGl ______ -- _________ - _ - - - __ - - -f__----------l-----------------------------shy(H)- - - - - - - - - - - - - - - - - - - - - - - - - - - -- ~-------------+---------------------------------------J~ _____________________ _
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10) ----shy
(11)
Total (Column (b) must equal Form 990 Part X column (8) line 25) 2 FIN 48 CASe 740) Footnote In Part XIII provide the text of the footnote to the organizations financial statements that reports the organizations liability for uncertain tax positions under FIN 48 (ASe 740) Cherv here If the text of the footnote has been provided 11 Part XIII LJ BAA ____~_~__O~_ ~-~-~~~~--~~~-- --~T~-~middotA3303L- 122312 -- gt--~~-- Schedule 0 (Form 990) 2012
Page 4
2 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 XIII)
e Add lines 2a through 2d
3 Subtract line 2e from line 1 4 Amounts included on Form 990 Part VIII line 12 but not on line 1
a Investment expenses not included on Form 990 Part VIII line 7b
b Other (Describe in Part XII I)
c Add lines 4a and 4b
5 Total revenue Add lines 3 and 4c (This must equal Form 990 Part I line 72)
Total expenses and losses per audited financial statements
2 Amounts included on line 1 but not on Form 990 Part IX line 25
a Donated services and use of facilities 13 244 b Prior year adjustments c Other losses
d Other (Describe in Part XIII)
e Add lines 2a through 2d 3 Subtract line 2e from line 1
4 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 XIII) c Add lines 4a and 4b
must equal Form 990 Part I line 78)
Complete this part to provide the descriptions required for Part II lines 3 5 and 9 Part III lines 1a and 4 Part IV lines 1b and 2b Part V line 4 Part X line 2 Part XI lines 2d and 4b and Part XII lines 2d and 4b Also complete this part to provide any additional information
BAA Schedule 0 (Form 990) 2012
fEEA3304L 1
OMS No 1545middot0047
SCHEDULE G Supplemental Information Regarding (Form 990 or 990-EZ) Fundraising or Gaming Activities 2012
Complete if the organization answered Yes to Form 990 Part IV lines 17 18 or 19 or if the organization entered more than $15000 on Form 990-EZ line 6aDepartment of the Treasury
Internal Revenue Service ~ Attach to Form 990 or Form 990-EZ ~ See separate instructions
Name of Employer
94-2460211 InnInn ACtlVlllles Complete if the organization
___-c---cFo_r_m--- ~ filers are not required to complete this part
Indicate whether the organization raised funds through any of the following activities Check all that apply
a DMail solicitations e DSolicitation of non-government grants
b D Internet and email solicitations f DSolicitation of government grants
c D Phone solicitations g D Special fundraising events
d D Inmiddotperson solicitations
2 a 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 DYes ~No
b If Yes list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fund raiser is to be compensated at least $5000 by the organization
(i) Name and address of individual or entity (fund raiser)
(ii) Activity (iii) Did fund raiser have custod6or control
of contri utions
(iv) Gross receipts from activity
(v) Amount paid to (or retained by)
fundraiser listed in
(vi) Amount paid to (or retained by)
organization column (i)
Yes No
1
-- shy2
3 I
4 -----~--------
5
6
7 -__----shy
8
9
10
Total O bull -
3 List all states In which the organization IS reglslered or licensed to SOliCit contributions or has been notified It IS exempt from registration or licensing
- --~---~---~-- ~-~--~-~--~-~~-- ---
BAA for Paperwork Reduction Act Notice see the Instructions Form 990 or 990-EL Schedule G (runn 990 or 990-EZ) 2012 TEEA3701L 01107113
--
------
Schedule G (Form 990 or 990-EZ) 2012 Commun Br 94-2460211 Page 2
Fun ng Events Complete if the organization answered Yes to Form 990 Part IV ine 18 or reported more than $15000 of fundraising event contributions and gross income on Form 990-EZ lines 1 and 6b List events with gross receipts greater than $5000
(a) Event 1 (b) Event 2 (c) Other events (d) Total events (add column (a)
Italian Affair None through column (craquoR (event type) (event type) (total number) E V E N 1 Gross receipts 20186 20186 U E
2 Less Charitable contributions
3 Gross income (line 1 minus line 2) 20186 20186
4 Cash prizes
5 Noncash prizes D
R I
6 Rentfacility costs E C T 7 Food and beverages 5391 539l E x p 8 Entertainment E
N s 9 Other direct expenses 5822 5822E S
10 Direct expense summary Add lines 4 through 9 in column (d) 11213 11 Net income summary Combine line 3 column (d) and line 1 Q 8973
[Pifllll Gaming Complete if the o~ganization answered Yes to Form 990 Part IV line 19 or reported more than
(a) Bingo (b) Pull tabsllnstant (c) Other gaming (d) Total gaming R E bingoprogressive (add column (a) V bingo through column (eraquo E N U E Gross revenue
2 Cash prizes ~------------4---------------+--------------~--------------E
D X I P 3 Non-cash prizes R E E N C S T E
S 4 Rentfacility costs
5 Other direct expenses
Yes Yes Yes 6 Volunteer labor No No No
7 Direct expense summary Add lines 2 through 5 in column (d)
8 Net gaming income summary Combine lines 1 column (d) and line 7
9 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 0 Yes
b If No explain
lOa Were any of the organizations gaming licenses revoked suspended or terminated during the tax year 0 Yes b If Yes explain
BAA TFJ3]02L 010713 ScheclJle G (F (JIm 990 or 990 2012
------------
-----------
Schedule G (Form 990 or 990-EZ) 2012 Community Bridges 94-2460211 Page 3 11 Does the organization operate gaming activities with nonmembers DYes 12 Is the organization a grantor beneficiary or trustee of a trust or a member of a partnership or other entity formed to
administer charitable gaming DYes 13 Indicate the percentage of gaming activity operated in
a The organizations facility 13a ~13-b~------------~~b An outside facility
14 Enter the name and address of the person who prepares the organizations gamingspecial events books and records
Name
Address
15a Does the organization have a contact with a third party from whom the organization receives gaming revenue DYes b If Yes enter the amount of gaming revenue received by the organization $ and the amount
of gaming revenue retained by the third party $ c If Yes enter name and address of the third party
Name ---------------------------------------------~-----l
I Address I
16 Gaming manager information
Name
Gaming manager compensation $
Description of services provided
D Directorofficer DEmployee D independent contractor
17 Mandatory distributions
a Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the ~~egaminglicense ___________________________________________________________________ D~s ~No
b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the
organizations own exempt activities during the tax year $ lean~IlUI Supplemental Information Complete this part to provide the explanations required by Igtart I line 2b
columns (iii) and (v) and Part III lines 9 9b 1 ~b 15b 15c 16 and 17b as applicable Also complete this part to provide any additional information (see instructions)
----------------------- -------------------- ------ ----------------------------- __--shy
_ ---_ --------------- ---------------- ----- shy
BAA TEEA3703L 010113 Schedule G (Form 990 or 990middotEZ) 2012
--------------------------------------------------------- ---------
OMB No 1545-0047SCHEDULE 0 Supplemental Information to Form 990 or 990middotEZ (Form 990 or 990-EZ)
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information
Department of the Treasury ~ Attach to Form 990 or 990-EZInternal Revenue Service
Name of the
94-2460211
health care 4112-63012
BAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990-EZ TFEIA)IJIL 12812 Schedule 0 (Forrn 990 or 2012
Schedule 0 (Form 990 or 990-EZ) 2012 Page 2 Name of the organization Employer Identification number
Community Bridges 94-2460211
~ ~~Oy~~sjg1~~ge~~~e~~~~~ ~~~ ~ ~ ~~ ~~ ~_ ~~ ~ ~ ~~~~~~~ ~ ~ ~ ~ ~ ~~~~ ~ ~ ~~ ~ ~~~~~ ~ ~ ~ ~ _
Schedule (Form 990 or
TEEA4902L
2012
2012 Schedule 0 bull Supplemental Information Page 1
Community Bridges 94-2460211
Form 990 Part XI Line 9 Other Changes In Net Assets Or Fund Balances
Depreciation Grant Funded Assets $ -140124 Familia Net Assets 82104
Total $ -58020========
-------------------
OMS No 1545-0047
SCHEDULE R (Form 990) Related Organizations and Unrelated Partnerships 2012
Complete if the organization answered Yes to Fonn 990 Part IV line 33343536 or 37DqJ21rTrrent of the Treasury Internal Revenue Service Attach to Form 990 ~ See separate instructions Name of the organization
s 94-2460211Commu
rp~ Identification of Disregarded Entities (Complete if the organization answered Yes to Form 990 Part
(a) (b) (c) (e) (f) iiame address and EIN (if applicable) of disregarded entity Primary activity Legal domicile (state End-of-year assets Direct controlling
or foreiqn country) entity
=== === =_===== =_ ===== == ===__1 1-- -- -=-=1 TI ~~
FPafIIldentification 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)
(a) Name address and EIN of related organization
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Exempt Code
section
(e) Public charity status (if section 501 (c) (3raquo)
(f) Direct controlling
entity
(g)Sec 512(b)(13)
controlled entity
Yes No (1) FAMILIA CENTER
236SANTA-rnUZAVE----------- shy------------------------- shyAPTOS CA 95003770071589 - - shy - - - -- shy - - - -- shy - - shy BILINGUAL FAMILY
SERVICES CA I
501(C)3 PUBLIC
CHARITY COMMUNITY
BRIDGES X
---------------------- shy_shy --shy --------------------- shy - shy - -- -- shy - - shy - - shy - - - - - - - - - - - - - - -
- --
----------~--------------
-shy - shy --------------------- shy
-shy - shy - shy - shy shy -shy - - ---------------- shy- c--- shy
- - -- --- -- - - - - --- - - - - - - - - - - - - shy
- - -- - shy
- -- - --------------------- shy -=r_ I _ __ I
~-- I ------- - -- ----- --- --
BAt For Paperwork Reduction Act Notice see the Instructions for Form 990 TEEA5001 L 122812 Schedule R (Form 990) 2012
- -- ------
----- -
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 2
re~rtUI Iidentific~tion of Related Organizations T~xable 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)
me oddltl od EIN of I PIm~~cttyrelated organization
-+shy----shy
-_--shy -- -shy ~
(c) Legal
domicile (state or foreign country)
(d) Direct
controlling entity
(e) Predominant income (related unrelated excluded from tax
under sections 512-514)
(f) Share of total
income
(g) Share of
end-of-year assets
(h) Disproporshy
tionate allocations
Yes No
(i) Code V-UBI
amount in box 20 of Schedule
K-1 (Form 1065)
(j) General or managing partner
Yes No
(k) Percentage ownership
shy -shy --shy --shy -shy
-shy -__shy ---shy -shy
_ _ _____ ___ J~
-- -- -- - - - -- - -- shy
-
--T~ --=~ -- ~~==~=-
I
IPaHJVl Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered Yes to Form 990 Part IV L----_-l line 34 because it had one or more related organizations treated as a corporation or trust during the tax year)
(a) (b) I (c) (d) (e) I (f) (g) (h) I (i)iiame address and EIN of related organization Primary activity Legal domicile Direct Type of entity Share of Share of end-of- Percentage Sec S12(b)(13)
(state or foreign controlling (C corp S corp total income year assets ownership controlled entitycountry) entity or trust)
Yes I No
- - - - - - - - - -- - - - - - -- --I --------------------4
--==========1------~--------------~------------~------------~------------~--------------~--------------~--------~I----~------TEEA5002L 1228112 Schedule R (Form 990) 2012
---------
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 3
i])~ Transactions With Related Organizations (Complete if the organization answered Yes to Form 990 Part IV line 34 35b or 36)
Note Complete line 1 if any entity is listed in Parts II III or IV of this schedule During the lax year did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity b Gift grant or capital contribution to related organization(s)
Gift grant or capital contribution from related organization(s)
d Loans or loan guarantees to or for related organization(s)
e Loans or loan guarantees by related organization(s)
Dividends from related organization(s) 9 Sale of assets to related organization(s)
h Purchase of assets from related organization(s)
Exchange of assets with related organization(s)
Lease c[racilities equipment or other assets to related organization(s)
Lease of facilities equipment or other assets from related organization(s)
Performance of services or membership or fundraising solicitations for related organization(s)
Ferformance of services or membership or fundraising solicitations by related organization(s)
Sharing of facilities equipment mailing lists or other assets with related organization(s)
o Sharing of paid employees with related organization(s)
Reimbursement paid to related organization(s) for expenses
q Reimbursement paid by related organization(s) for expenses
r Other transfer of cash or property to related organization(s
5 Other transfer of cash or property from related organization(s)
If the answer to any of the above is Yes see the instructions for information on who must complete this line including covered relationships and transaction thresholds
(b) (c)N f h(a) d (2 lame 0 ot er organization Transaction Amount involved Metho of etermlnlng --~
type (a-s) amount involved
(1)
(2)
ltd ~ ~J
I I I
(5) ------------shy
(6) ~---------------------------------------------------------------------------~--------------~--------~~~~--~--~~~
TEEIS003L 1228112 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 4
e~~I1 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) I (b) (c) (d) (e) (f) (g) (h) (i) (j) I (k)Jame address and EIN of entity Primary activity Legal domicile Predominant Are all partners Share of Share of Dispropor- Code V-UBI General or Percentage
(state or foreign income section total income end-of-year tionate amount in box managing ownership country) (related unre- 501 (c)(3) assets allocations 20 of Schedule partner
lated excluded organizations i K- 1 from tax under ~---c--- Form (1065)
section 512-514) Yes I No Yes No Yes No----+----1
- --==~ ~ ~ ====== ~ I ~ --I------+--+----t--shy
(3)
--------------1
(6)
-____ __~__ - I I I SAl TEEAS004L 122812 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Page 5 _ Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions)
-r- I - lt-j005L middot22312 Schedule R (Forni
------------------
94-2460211 Page 10
Do not include amounts reported on lines 6b lb 8b 9b and lOb of Part VIII
1 Grants and other assistance to governments
p~~t ~ryalr~~a1if~~ ~~ t~~ ~ni~d state~ ~~~ 2 Grants and other assistance to individuals in
the United States See Part IV line 22
3 Grants and other assistance to governments organizations and individuals outside the United States See Part IV lines 15 and 16
4 Benefits paid to or for members 5 Compensation of current officers directors
trustees and key employees 251 751 6 Compensation not included above to
disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c) (3) (8)
7 Other salaries and wages
8 Pension plan accruals and contributions (include section 401 (k) and section 403(b) employer contributions)
9 Other employee benefits
10 Payroll taxes
11 Fees for services (non-employees)
a Management
b Legal
c Accounting
d Lobbying
e Professional fundraising services See Part IV line 17 f Investment management fees 9 Other (If line 11 g amt exceeds 10 of line 25 colshy
umn (A) amt list line 11 g expenses on Sch 0) 12 Advertising and promotion
13 Office expenses
14 Information technology
15 Royalties
16 Occupancy
17 Travel
18 Payments of travel or entertainment expenses for any federal state or local public officials
19 Conferences conventions and meetings 20 Interest
21 Payments to affiliates
22 Depreciation depletion and amortization
23 Insurance 24 Other expenses Itemize expenses not
covered above (List miscellaneous expenses in line 24e If line 24e amount exceeds 10 of line 25 column (A) amount list line 24e expenses on Schedule 0)
a ])~ ~sectlr_e_ Io_m~ _F99g lEYlIelts_ +__~~---=--=+-_----L~~~-+-______-+-________ b Administrative services cM~~~_~xp~~s~_______ _ d Y~~iltb~ ~~el1~~ ________ _ e All other expenses
25 Total functional expenses Add lines 1 through 24e
26 Joint costs Complete this line only if the organization reported in column (8) joint costs from a combined educational campaign and fundraising solicitation Check here 0 if following SOP 98-2 (ASe 958720)
TEEAOll OLI2n Ri Form 990 (2012)
Loans and other receivables from current and former officers directors
~~~i1Ff ~eJ~~o[ees ~~~ ~ig~es ~~~~~~~~~~ ~~~I~~~~s ~o~plete Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1raquo persons described in section 4958(c)(3) (B) and contributing employers and sponsoring organizations of section Sal (c)(9) voluntary employees beneficiary organizations (see instructions) Complete Part II of Schedule L
Notes and loans receivable net
Inventories for sale or use
Prepaid expenses and deferred charges
I lOa c~~r-----~--~~~-
other securities See Part IV line 11
program-related See Part IV line 11
Other assets See Part IV line 11
15 Ie an accrue expenses
Grants payable Deferred revenue
Tax-exempt bond liabilities
or custodial account liability Complete Part IV of Schedule D
Loans and other payables to current and former officers directors trustees key employees highest compensated employees and disqualified persons Complete Part II of Schedule L
Secured mortgages and notes payable to unrelated third parties
Unsecured notes and loans payable to unrelated third parties
Other liabilities (including federal income tax payables to related third parties and other liabilities not included on lines 17-24) Complete Part X of Schedule D
Organizations that follow SFAS 117 (ASe 958) check here and complete
Unrestricted net assets
Temporarily restricted net assets
Permanently restricted net assets
Organizations that do not follow SFAS 117 (ASe 958) check here D 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
Total net assets or fund balances
Total liabilities and net assetsfund balances
94-2460211 Page 11
Cash - non-interest-bearing
2 Savings and temporary cash investments 3 Pledges and grants receivable net
4 Accounts receivable net
5
6
A S 7 S E 8 T S 9
lOa Land buildings and equipment cost or other basis Complete Part VI of Schedule D
b Less accumulated depreciation
11 Investments - publicly traded securities
12 Investments shy
13 Investments shy
14 Intangible assets
15 16 17 18 19
L 20 I A 21 Escrow B I 22 L I T I 23E s 24
25
26 Total liabilities Add lines 17 through 25
N E T lines 27 through 29 and lines 33 and 34 A 27s s E 28 T 5 29 0 R
and complete lines 30 through 34J N 30
B 31 D
A L 32A N c 33 E s 34
BAA
(A) (B) Beginning of year End of year
IL 01103113
94-2460211 Page 12
Check if Schedule 0 contains a response to any question in this Part XI
Total revenue (must equal Part VIII column (A) line 12) 2 Total expenses (must equal Part IX column (A) line 25)
3 Revenue less expenses Subtract line 2 from line 1
4 Net assets or fund balances at beginning of year (must equal Part X line 33 column (A))
5 Net unrealized gains (losses) on investments 6 Donated services and use of facilities 7 I nvestment expenses 8 Prior period adjustments
9 Other changes in net assets or fund balances (explain in Schedule 0) Se~ SGb~ciul~ Q 10 Net assets or fund balances at end of year Combine lines 3 through 9 (must equal Part X line 33
column (B)) 10
Financial Statements and Reporting
Check if Schedule 0 contains a response to any question in this Part XII
1 Accounting method used to prepare the Form 990 D Cash [29 Accrual DOther
If the organization changed its method of accounting from a prior year or checked Other explain in Schedule O
2 a Were the organizations financial statements compiled or reviewed by an independent accountant If Yes check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis consolidated basis or both
D Separate basis D Consolidated basis D Both consolidated and separate basis
b Were the organizations financial statements audited by an independent accountant
If Yes check a box below to indicate whether the financial statements for the year were audited on a separate basis consolidated basis or both
~ Separate basis DConsolidated basis 0Both consolidated and separate basis
c 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 O
3 a As a result of a federal award was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133
b If Yes did the organization undergo the required audit or audits If the organization did not undergo the required audit or audits explain why in Schedule 0 and describe any steps taken to undergo such audits
BAA
1 384 061_
3a x
3b X Form (2012)
OMB No 1545-0047
SCHEDULE A Public Charity Status and Public Support (Form 990 or 990-EZ) 2012
Complete if the organization is a section 501 (c)(3) organization or a section 4947(a)(1) nonexempt charitable trust
Department of the Treasury Internal Revenue Service ~ Attach to Form 990 or Form 990-EZ ~ See separate instructions
2
3 4
~ A church convention of churches or association of churches described in section 170(bX1XAXi)
A school described in section 170(bX1)(AXii) (Attach Schedule E)
A hospital or a cooperative hospital service organization described in section 170(bX1XA)(iii)
A medical research organization operated in conjunction with a hospital described in section 170(bXl)(AXiii)- Enter the hospitals
name city and state
5 An organization operatedfOr thebenefit Of acollege oruniversh-Y owned or operated bya-governmentalunltdescribed in sectiOn - - - - - - shyD 170(bX1XAXiv) (Complete Part II)
6 A federal state or local government or governmental unit described in section 170(b)(1)(AXv) R7 X 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)(1XAXvi) (Complete Part II)
8 D A community trust described in section 170(bX1XAXvi) (Complete Part II)
9 D An organization that normally receives (1) more than 33-13 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 33-13 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)
10 An organization organized and operated exclusively to test for public safety See section 509(aX4) R11 An organization organized and operated exclusively for the benefit of to perform the functions of or carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2) See section 509(aX3) Check the box that describes the type of supporting organization and complete lines 11 e through 11 h
a DType I b DType II c D Type III - Functionally integrated d D Type III - Non-functionally integrated
e D 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 is a Type I Type II or Type III supporting organization check this box D
9 Since August 172006 has the organization accepted any gift or contribution from any of the following persons
I Yes No (i) A person who directly or indirectly controls either alone or together with persons described in (ii) and (iii)
below the governing body of the supported organization 11 g (i) ~-----r---+---shy
(ii) A family member of a person described in (i) above 11 9 (ii)
(iii) A 35 controlled entity of a person described in (i) or (ii) above 11 g (iii) h Provide the following information about the supported organization(s)
(i) Name of supported organization
(ii) EIN (iii) Type of organization (described on lines 1-9
(iv) Is the organization in
(v) Di d you notify the organization in
(vi) Is the organization in
(vii) Amount of monetary support
above or IRe section column (i) listed in column (i) of your column (i) (see instructionsraquo your governing
document support organized in the
US
(A)
(8)
(C)
(D)
(E)
Total
For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990-EZ
I EEA040 Il_
Schedule A (Form 990 or 990-EZ) 2012 Community Bridges 94-2460211 Page 2
_Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5 7 or 8 of Part I or if the organization failed to qualify under Part III If the organization fails to qualify under the tests listed below please complete Part III)
Section A Public Su rt Calendar year (or fiscal year beginning in) ~ (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts grants contributions and membership fees received ltpo not include any unusual grants ) 11700497 12531538 11914396 13085089 12897266 62 128 786
2 Tax revenues levied for the organizations benefit and either paid to or expended on its behalf o
3 The value of services or facilities furnished by a governmental unit to the organization without charge
4 Total Add lines 1 through 3 5 The portion of total
contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2 of the amount shown on line 11 column (f) o
6 786
Calendar year (or fiscal year beginning in) ~
7 Amounts from line 4
8 Gross income from interest dividends payments received on securities loans rents royalties and income from similar sources 7 754 3 403 5 421 244 51 392 68 214
9 Net income from unrelated business activities whether or not the business is regularly carried on o
10 Other income Do not include gain or loss from the sale of capital aS~~Se(Ep~fie irrV
13 First five years If the Form 990 is for the organizations first second third fourth or fifth tax year as a section 501 (c) (3) organization check this box and stop here ~ D
Section C Computation of Public Support Percentage 14 Public support percentage for 2012 (line 6 column (f) divided by line 11 column (f)) 9892 15 Public support percentage from 2011 Schedule A Part II line 14 9886
16a 33-13 support test - 2012 If the organization did not check the box on line 13 and the line 14 is 33-13 or more check this box and stop here The organization qualifies as a publicly supported organization ~ ~
b 33-13 support test - 2011 If the organization did not check a box on line 13 or 16a and line 15 is 33-13 or more check this box and stop here The organization qualifies as a publicly supported organization ~ D
17 a 1 O-facts-and-circumstances test - 2012 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-andmiddot circumstances test check this box and stop here Explain in Part IV how the organization meets the factsmiddotand-circumstances test The organization qualifies as a publicly supported organization ~ lJ
Part IV)
11 rh~~aJ9shu~8~~ ~dd Iin~s
612 273
12 Gross receipts from related activities etc (see instructions) L-__~~~~~~~
b 1 O-facts-and-circumstances test - 2011 If the organization did not check a box on line 13 16a 16b or 17a and line 15 is 10 or more and if the organization meets the facts-and-circumstances test check this box and stop here Explain in Part IV how the 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 o( l7b check this box and see instructions
Schedule A (rorm 990 or 990middot[2) 202
~EEA0402L 080912
Section A Public rt Calendar year (or fiscal yr beginning in)
1 Gifts grants contributions
Schedule A (Form 990 or 990middotEZ) 2012 Communi Br s 94-2460211 3 Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II If the organization fails to qualify under the tests listed below please complete Part II)
and membership fees received (Do not include any unusual grants)
2 Gross receipts from admisshysions merchandise sold or services performed or facilities furnished in any activity that is related to the organizations taxmiddotexempt purpose
3 Gross receipts from activities that are not an unrelated trade or business under section 513
4 Tax revenues levied for the organizations benefit and either paid to or expended on its behalf
5 The value of services or facilities furnished by a governmental unit to the organization without charge
6 Total Add lines 1 through 5 7 a Amounts included on lines 1
2 and 3 received from disqualified persons
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5000 or 1 of the amount on line 13 for the year
c Add lines 7a and 7b
8
Calendar year (or fiscal yr beginning in) (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (I) Total
9 Amounts from line 6 10 a Gross income from interest
dividends payments received on securities loans rents royalties and income from similar sources
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30 1975
c Add lines lOa and 1 Db Net income from unrelated business
activities not included in line lOb whether or not the business is regularly carried on
12 Other income Do not include gain or loss from the sale of capital assets (Explain in Part IV)
13 Total support (Add Ins9 10c 11 and 12) ~~~____~~~~____~~__~__-L__________ __~~~~~__~
14 First five years If the Form 990 is for the organizations first second third fourth or fifth tax year as a section 501 (c)(3)organization check this box and stop here
Section C Computation of Public Support Percentage shy15 Public support percentage for 2012 (line 8 column (I) divided by line 13 column (I)) 16 Public support percentage from 2011 Schedule A Part III line 15
Section D Computation of Investment Income Percentage 17 Investment income percentage for 2012 (line 10c column (I) divided by line 13 column (I)) 17
18 Investment income percentage from 2011 Schedule A Part III line 17 18 19a 33-13 support tests - 2012 If the organization did not check the box on IIn8 14 and line 15 is more than 33-13 and line 17
is not more than 33-13 check this box and stop here The organization qualifies as a publicly supported organization
b 33-13 support tests - 2011 If the organization did not check a box on line 14 or line 19a and line 16 is more than 33-13 and line 18 is not mOIe than 33-13 check this box and stop here The organization qualifies as a publicly supported organization
20 Private foundation If the organization did not check hox Orl line 14 19a or 19b check box and see instructions ~H -----o------~--- ------
BAA NJ403L 080912 Schedule A (Form 990 or 99QZ) 2012
4 Schedule A (Form 990 or 990-EZ) 2012 Communi s 94-2460211 Supplemental Information Complete this part to provide the explanations required by Part II line 10 Part II line 17a or 17b and Part III line 12 Also complete this part for any additional information (See instructions)
___~P~~t1~cJ~Cule_~dJltli9~lt ~~~lelTI_e~U~f9l1aiQf _______________________________ _
_ _cLeID1tu_g1_lzgti_ol)-PSlYlJ1~nL _ _ _ _ _ _ _ _ _ _ _ _ ________________________________ _
BAA
081012
2012 Schedule A Part IV - Supplemental Information PageS
Community Bridges 94-2460211
Part II Line 10 - Other Income
Nature and Source 2012 2011 2010 2009 2008
Other Income Total
$ 108645 $ 108645
$ 36333 $ 36333
$ 130009 $ 130009
$ 169710 $ 169710
$ $
167576 167576
------
---------------
OMB No 1545middot0047SCHEDULE C Political Campaign and Lobbying Activities (Form 990 or 990-EZ)
For Organizations Exempt From Income Tax Under section 501 (c) and section 527 2012 Complete if the organization is described below Attach to Form 990 or Form 990-EZ
Department of the Treasury Internal Revenue Service See separate instructions
If the organization answered Yes to Form 990 Part IV line 3 or Form 990-EZ Part V line 46 (Political Campaign Activities) then bull Section 501 (c)(3) organizations Complete Parts I-A and B Do not complete Part I-C bull Section 501 (c) (other than section 501 (c)(3raquo) organizations Complete Parts I-A and C below Do not complete Part I-B bull Section 527 organizations Complete Part I-A only
If the organization answered Yes to Form 990 Part IV line 4 or Form 990-EZ Part VI line 47 (Lobbying Activities) then bull Section 501 (c) (3) organizations that have filed Form 5768 (election under section 501 (h)) Complete Part II-A Do not complete Part II-B
bull Section 501 (c) (3) organizations that have NOT filed Form 5768 (election under section 501 (h)) Complete Part II-B Do not complete Part II-A
If the organization answered Yes to Form 990 Part IV line 5 (Proxy Tax) or Form 990-EZ Part V line 35a (Proxy Tax) then bull Section 501 (c)(4) (5) or (6) organizations Complete Part III
See Part IV 2 3 Volunteer hours bull w Complete if the organization is exempt under section 501 (c)(3) 1 Enter the amount of any excise tax incurred by the organization under section 4955
2 Enter the amount of any excise tax incurred by organization managers under section 4955
3 If the organization incurred a section 4955 tax did it file Form 4720 for this year DYes
4a Was a correction made middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotDYes b If Yes describe in Part IV
II~~~~~~~~~~~~--~~~~~~~--~~---------2 Enter the amount of the filing organizations funds contributed to other organizations for section 527 exempt
function activities $
3 Total exempt function expenditures Add lines 1 and 2 Enter here and on Form 1120-POL line 17b ~ $
4 Did the filing organization file Form 1120-POL for this year DYes
5 Enter the names addresses and employer identification number (EIN) of all section 527 political organizations to which the filing organization made payments For each organization listed enter the amount paid from the filing organizations funds Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization such as a separate segregated fund or a political action committee (PAC) If additional space is needed provide information in Part IV
(a) Name (b) Address (e) EIN (d) Amount paid from filing (e) Amount of political organizations funds If contributions received and
none enter-Omiddot promptly and directly delivered to a separate political organization If
none enter -0middot
(1) ~---------------~---
(2) ~------
(3) ~-
(4)
~~)~~~~~--~~~~--~-~---~~-~---~~~~~~~-~_-_~~~~-----~~~~~~-~~~~~~~~~~-~~~~~-~---------_-_--f------c_~~~_-middot_J_L~~--------+---~ -~ -shyBAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990middotEZ Schedule C (Form 990 or 990middotEZ) 2012
TEEA320 I L 217112
----
Schedule C(Form 990 or 990-EZ) 2012 Communi Bri s 4-2460211 Page 2
Complete if the organization is exempt under section 501 (c)(3) and filed Form 5768 (election under section 501 (hraquo
A Check ~ 0 if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group members name
address EIN expenses and share of excess lobbying expenditures)
B Check ~ 0 if the filing organization checked box A and limited control provisions apply
Limits on Lobbying Expenditures (a) Filing (b) Affiliated organizations totals group totals (The term expenditures means amounts paid or incurred)
1 a Total lobbying expenditures to influence public opinion (grass roots lobbying)
b Total lobbying expenditures to influen_ce a legislative body (direct lobbying)
c Total lobbying expenditures (add lines 1a and 1b)
d Other exempt purpose expenditures
e Total exempt purpose expenditures (add lines 1c and 1d)
f Lobbying nontaxable amount Enter the amount from the following table in both columns
g Grassroots nontaxable amount (enter 25 of line 1f)
h Subtract line 1g from line 1a If zero or less enter -0-
Subtract line 1f from line 1c If zero or less enter -0-
If there is an amount other than zero on either line 1h or line 1i did the organization file Form 4720 reporting section 4911 tax for this year DYes 0No
4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501 (h) election do not have to complete all of the five
columns below See the instructions for lines 2a through 2f)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total year beginning in)
13l7 524
2a Lobbying non-taxable amount 3 513 393
b Lobbying ceiling amount (150 of line 2a column (eraquo 5 270 090
c Total lobbying enditures 18 425
d Grassroots nontaxable amount 878 349
e Grassroots ceiling amount (150 of line 2d column
f Grassroots lobbying expenditures o
BAA Schedule C (Form 990 or 990-EZ) 2012
-EEA3202L 010713
3 Schedule C(Form 990 or 2012 Bri 94-2460211 Complete if the organization is exempt under se as NOT filed Form 5768 (election under section 501 (hraquo
For each Yesresponse to lines 7a through Ii below provide in Part IVa detailed description of the lobbying activity
During the year did the filing organization attempt to influence foreign national state or local legislation including any attempt to influence public opinion on a legislative matter or referendum through the use of
a Volunteers
b Paid staff or management (include compensation in expenses reported on lines 1 c through 1 i)
c Media advertisements
d Mailings to members legislators or the pUblic ~~---+--------------
e Publications or published or broadcast statements
f Grants to other organizations for lobbying purposes
9 Direct contact with legislators their staffs government ofFicials or a legislative body
h Rallies demonstrations seminars conventions speeches lectures or any similar means
i Other activities ~~~~--------
j Total Add lines 1c through 1 i ~lli~J~i01 ~2iJn
I----t---- shy
2 a Did the activities in line 1 cause the organization to be not described in section 501 (c)(3)
b If Yes enter the amount of any tax incurred under section 4912
c If Yes enter the amount of any tax incurred by organization managers under section 4912
d If the filing organization incurred a section 4912 tax did it file Form 4720 for this year
Complete if ization is exempt under section 501 (c)(4) section 501 (c)(5) or section 501
Were substantially all (90 or more) dues received nondeductible by members 1----+---1---shy
2 Did the organization make only inmiddothouse lobbying expenditures of $2000 or less f----j----j--- shy
3 Did the organization agree to carryover lobbying and political from the prior year
Complete if the organization is exempt under section 501 (c)(4) section 501 (c)(5) or section 501 (c) (6) and if either (a) BOTH Part III-A lines 1 and 2 are answered No OR (b) Part III-A line 3 is answered Yes
Dues assessments and similar amounts from members
2 Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid)
a Current year
b Carryover from last year
c Total
3 Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues
4 If notices were sent and the amount on line 2c exceeds the amount on line 3 what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year
I---~--------------5 Taxable amount of lobbying and political expenditures (see instructions)
Complete this part to provide the descriptions required for Part ImiddotA line 1 Part ImiddotB line 4 Part Imiddote line 5 Part IImiddotA (affiliated group list) Part IImiddotA line 2 and Part IImiddotB line 1 Also complete this part for any additional information
TEEA32031 OliO
Scheciu1e
-----------------
OMB I~o 1545-0047 SCHEDULE D (Form 990) Supplemental Financial Statements 2012
~ Complete if the organization answered Yes to Form 990 Part IV lines 6 7 8 9 10 l1a 11 b 1lc l1d l1e l1f 12a or 12b
~ Attach to Form 990 ~ See instructions
(a) Donor advised funds
1 Total number at end of year
2 Aggregate contributions to (during year
3 Aggregate grants from (during year) 4 Aggregate value at end of year
S Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organizations property subject to the organizations exclusive legal control DYes
6 Did the organization inform all grantees donors and donor advisors in writing that grant funds can be used only
impermissible private benefit for charitable purposes and not for the benefit of the donor or donor advisor or for any other purpose conferring
No
(b) Funds and other accounts
Purpose(s) of conservation easements held by the organization (check all that apply)
Preservation of land for public use (eg recreation or education) D Preservation of an historically important land area
Protection of natural habitat D Preservation of a certified historic structure
Preservation of open space ~
2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the iast day of the tax year
a Total number of conservation easements
b Total acreage restricted by conservation easements
c Number of conservation easements on a certified historic structure included in (a)
d Number of conservation easements included in (c) acquired after 81706 and not on a historic structure listed in the National Register 2 dL-__L-_________________________
3 Number of conservation easements modified transferred released extinguished or terminated by the organization during the tax year Igt
4 Number of states where property subject to conservation easement is located Igt
S Does the organization have a written policy regarding the periodic monitoring inspection handling of violations and enforcement of the conservation easements it holds DYes
6 Staff and volunteer hours devoted to monitoring inspecting and enforcing conservation easements during the year Igt
7 Amount of expenses incurred in monitoring inspecting and enforcing conservation easements during the year 1gt$
8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(8)(i) and section 170(h)(4)(8)(ii) DYes
9 In Part XIII describe how the organization reports conservation easements in its revenue and expense statement and balance sheet and include if applicable the text of the footnote to the organizations financial statements that describes the organizations accounting for conservation easements
tf~rtiml Organizations Maintaining Collections of Art Historical Treasures or Other Similar Assets Complete if the organization answered Yes to Form 990 Part IV line 8
1 a If the organization elected as permitted under SFAS 116 (ASC 958) 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 XIII the text of the footnote to its financial statements that describes these items
b If the organization elected as permitted under SFAS 116 (ASe 958) 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 VI I line 1 ~$
(ii) Assets included in Form 990 Part X 11gt-$
2 If the organization received or held works of art histOrical treasures or other similar assets for financial gaill provide the following amounts required to be reported under SFAS 116 (ASe 958) relating to these items
11gt-$ -~~-------
$ BAA For Paperwork Reduction Act Notice the Instructions for Form 990 991l) CJ12
~--~-------------------------
-----------------------------------------------
-------
e2
3 Using the organizations acquisition accession and other records check any of the following that are a significant use of its collection items (check all that apply)
a sectPublic exhibition d BLoan or exchange programs b Scholarly research e Other
c Preservation for future generations
4 Provide a description of the organizations collections and explain how they further the organizations exempt purpose in Part XIII
5 During the year did the organization solicit or receive donations of art historical treasures or other similar assets D to be sold to raise funds rather than to be maintained as part of the organizations collection Yes
IRal~IYRI Escrow and Custodial Arrangemel1ts Complete if the organization answered Yes to Form 990 Part IV line 9 or reported an amount on Form 990 Part X line 21
1 a ~nt~~r~g~~~~~r~ ~~ ~~~~t~ trus~e~ ~u~t~~i~~ or ot~er int~~~~~~~~~ ~o~contnbu~i~~~ ~r ~~e~ ass~ts n~i~cI~~~d DYes
b If Yes explain the arrangement in Part XIII and complete the following table
Amount
c Beginning balance 1 c d Additions during the year d
e Distributions during the year 1 e f Ending balance 1f
2a Did the organization include an amount on Form 990 Part X line 21 UYes NOb If Yes explain the arrangement in Part XIII Check here if the explantion has been provided in Part Xlll D
fBaIM~1 Endowment Funds Complete if the or~anization answered Yes to Form 990 Part IV line 10 (a) Current (b) Prior year (e) Two years (d) Three years (e) Four years
1 a Beginning of year balance
b Contributions
c Net investment earnings gains and losses
d Grants or scholarships
e Other expenditures for facilities and programs
f Administrative expenses
9 End of year balance
2 PrOVide the estimated percentage of the current year end balance (line 1 g column (araquo held as
a Board designated or quasi-endowment b Permanent endowment c Temporarily restricted endowment
The percentages in lines 2a 2b and 2c should equal 10000
3 a Are there endowment funds not in the possession of the organization that are held and administered for the organization by Yes No (i) unrelated organizations 3a(i)
(ii) related organiZations 3a(ii)
b If Yes to 3a(ii) are the related organizations listed as required on Schedule R 3b I 4 Describe in Part XIII the intended uses of the organizations endowment funds
1 a Land
b Buildings
c Leasehold improvements
d Equipment
e Other
Total Add lines 1 a
BAA
(d) Book value
TEEt3302L 06e71 i 2
-------------------------
of security or rfpnlrl
name of secu (1) Financial derivatives
94-2460211
uation Cost or rket value
Page 3
~------------~--------------------------------------(2) Closely-held equity interests
~------------~--------------------------------------(3) Other ______________________ +----------f--------------------shyi~ __________________________1---_______-+____________________ (8)
iq __________________________~-----~---------------------------iD1_ - - - - - - - - - - - - - - - - - - - - - - -- -f------------+-------------------------------shy(E)- - - - - - - - - - - - - - - - - - - - - - - - - - - - ~-------------I---------------------------------------~~--------------------------f__----------+_-------------------------------iGl ______ -- _________ - _ - - - __ - - -f__----------l-----------------------------shy(H)- - - - - - - - - - - - - - - - - - - - - - - - - - - -- ~-------------+---------------------------------------J~ _____________________ _
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10) ----shy
(11)
Total (Column (b) must equal Form 990 Part X column (8) line 25) 2 FIN 48 CASe 740) Footnote In Part XIII provide the text of the footnote to the organizations financial statements that reports the organizations liability for uncertain tax positions under FIN 48 (ASe 740) Cherv here If the text of the footnote has been provided 11 Part XIII LJ BAA ____~_~__O~_ ~-~-~~~~--~~~-- --~T~-~middotA3303L- 122312 -- gt--~~-- Schedule 0 (Form 990) 2012
Page 4
2 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 XIII)
e Add lines 2a through 2d
3 Subtract line 2e from line 1 4 Amounts included on Form 990 Part VIII line 12 but not on line 1
a Investment expenses not included on Form 990 Part VIII line 7b
b Other (Describe in Part XII I)
c Add lines 4a and 4b
5 Total revenue Add lines 3 and 4c (This must equal Form 990 Part I line 72)
Total expenses and losses per audited financial statements
2 Amounts included on line 1 but not on Form 990 Part IX line 25
a Donated services and use of facilities 13 244 b Prior year adjustments c Other losses
d Other (Describe in Part XIII)
e Add lines 2a through 2d 3 Subtract line 2e from line 1
4 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 XIII) c Add lines 4a and 4b
must equal Form 990 Part I line 78)
Complete this part to provide the descriptions required for Part II lines 3 5 and 9 Part III lines 1a and 4 Part IV lines 1b and 2b Part V line 4 Part X line 2 Part XI lines 2d and 4b and Part XII lines 2d and 4b Also complete this part to provide any additional information
BAA Schedule 0 (Form 990) 2012
fEEA3304L 1
OMS No 1545middot0047
SCHEDULE G Supplemental Information Regarding (Form 990 or 990-EZ) Fundraising or Gaming Activities 2012
Complete if the organization answered Yes to Form 990 Part IV lines 17 18 or 19 or if the organization entered more than $15000 on Form 990-EZ line 6aDepartment of the Treasury
Internal Revenue Service ~ Attach to Form 990 or Form 990-EZ ~ See separate instructions
Name of Employer
94-2460211 InnInn ACtlVlllles Complete if the organization
___-c---cFo_r_m--- ~ filers are not required to complete this part
Indicate whether the organization raised funds through any of the following activities Check all that apply
a DMail solicitations e DSolicitation of non-government grants
b D Internet and email solicitations f DSolicitation of government grants
c D Phone solicitations g D Special fundraising events
d D Inmiddotperson solicitations
2 a 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 DYes ~No
b If Yes list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fund raiser is to be compensated at least $5000 by the organization
(i) Name and address of individual or entity (fund raiser)
(ii) Activity (iii) Did fund raiser have custod6or control
of contri utions
(iv) Gross receipts from activity
(v) Amount paid to (or retained by)
fundraiser listed in
(vi) Amount paid to (or retained by)
organization column (i)
Yes No
1
-- shy2
3 I
4 -----~--------
5
6
7 -__----shy
8
9
10
Total O bull -
3 List all states In which the organization IS reglslered or licensed to SOliCit contributions or has been notified It IS exempt from registration or licensing
- --~---~---~-- ~-~--~-~--~-~~-- ---
BAA for Paperwork Reduction Act Notice see the Instructions Form 990 or 990-EL Schedule G (runn 990 or 990-EZ) 2012 TEEA3701L 01107113
--
------
Schedule G (Form 990 or 990-EZ) 2012 Commun Br 94-2460211 Page 2
Fun ng Events Complete if the organization answered Yes to Form 990 Part IV ine 18 or reported more than $15000 of fundraising event contributions and gross income on Form 990-EZ lines 1 and 6b List events with gross receipts greater than $5000
(a) Event 1 (b) Event 2 (c) Other events (d) Total events (add column (a)
Italian Affair None through column (craquoR (event type) (event type) (total number) E V E N 1 Gross receipts 20186 20186 U E
2 Less Charitable contributions
3 Gross income (line 1 minus line 2) 20186 20186
4 Cash prizes
5 Noncash prizes D
R I
6 Rentfacility costs E C T 7 Food and beverages 5391 539l E x p 8 Entertainment E
N s 9 Other direct expenses 5822 5822E S
10 Direct expense summary Add lines 4 through 9 in column (d) 11213 11 Net income summary Combine line 3 column (d) and line 1 Q 8973
[Pifllll Gaming Complete if the o~ganization answered Yes to Form 990 Part IV line 19 or reported more than
(a) Bingo (b) Pull tabsllnstant (c) Other gaming (d) Total gaming R E bingoprogressive (add column (a) V bingo through column (eraquo E N U E Gross revenue
2 Cash prizes ~------------4---------------+--------------~--------------E
D X I P 3 Non-cash prizes R E E N C S T E
S 4 Rentfacility costs
5 Other direct expenses
Yes Yes Yes 6 Volunteer labor No No No
7 Direct expense summary Add lines 2 through 5 in column (d)
8 Net gaming income summary Combine lines 1 column (d) and line 7
9 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 0 Yes
b If No explain
lOa Were any of the organizations gaming licenses revoked suspended or terminated during the tax year 0 Yes b If Yes explain
BAA TFJ3]02L 010713 ScheclJle G (F (JIm 990 or 990 2012
------------
-----------
Schedule G (Form 990 or 990-EZ) 2012 Community Bridges 94-2460211 Page 3 11 Does the organization operate gaming activities with nonmembers DYes 12 Is the organization a grantor beneficiary or trustee of a trust or a member of a partnership or other entity formed to
administer charitable gaming DYes 13 Indicate the percentage of gaming activity operated in
a The organizations facility 13a ~13-b~------------~~b An outside facility
14 Enter the name and address of the person who prepares the organizations gamingspecial events books and records
Name
Address
15a Does the organization have a contact with a third party from whom the organization receives gaming revenue DYes b If Yes enter the amount of gaming revenue received by the organization $ and the amount
of gaming revenue retained by the third party $ c If Yes enter name and address of the third party
Name ---------------------------------------------~-----l
I Address I
16 Gaming manager information
Name
Gaming manager compensation $
Description of services provided
D Directorofficer DEmployee D independent contractor
17 Mandatory distributions
a Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the ~~egaminglicense ___________________________________________________________________ D~s ~No
b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the
organizations own exempt activities during the tax year $ lean~IlUI Supplemental Information Complete this part to provide the explanations required by Igtart I line 2b
columns (iii) and (v) and Part III lines 9 9b 1 ~b 15b 15c 16 and 17b as applicable Also complete this part to provide any additional information (see instructions)
----------------------- -------------------- ------ ----------------------------- __--shy
_ ---_ --------------- ---------------- ----- shy
BAA TEEA3703L 010113 Schedule G (Form 990 or 990middotEZ) 2012
--------------------------------------------------------- ---------
OMB No 1545-0047SCHEDULE 0 Supplemental Information to Form 990 or 990middotEZ (Form 990 or 990-EZ)
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information
Department of the Treasury ~ Attach to Form 990 or 990-EZInternal Revenue Service
Name of the
94-2460211
health care 4112-63012
BAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990-EZ TFEIA)IJIL 12812 Schedule 0 (Forrn 990 or 2012
Schedule 0 (Form 990 or 990-EZ) 2012 Page 2 Name of the organization Employer Identification number
Community Bridges 94-2460211
~ ~~Oy~~sjg1~~ge~~~e~~~~~ ~~~ ~ ~ ~~ ~~ ~_ ~~ ~ ~ ~~~~~~~ ~ ~ ~ ~ ~ ~~~~ ~ ~ ~~ ~ ~~~~~ ~ ~ ~ ~ _
Schedule (Form 990 or
TEEA4902L
2012
2012 Schedule 0 bull Supplemental Information Page 1
Community Bridges 94-2460211
Form 990 Part XI Line 9 Other Changes In Net Assets Or Fund Balances
Depreciation Grant Funded Assets $ -140124 Familia Net Assets 82104
Total $ -58020========
-------------------
OMS No 1545-0047
SCHEDULE R (Form 990) Related Organizations and Unrelated Partnerships 2012
Complete if the organization answered Yes to Fonn 990 Part IV line 33343536 or 37DqJ21rTrrent of the Treasury Internal Revenue Service Attach to Form 990 ~ See separate instructions Name of the organization
s 94-2460211Commu
rp~ Identification of Disregarded Entities (Complete if the organization answered Yes to Form 990 Part
(a) (b) (c) (e) (f) iiame address and EIN (if applicable) of disregarded entity Primary activity Legal domicile (state End-of-year assets Direct controlling
or foreiqn country) entity
=== === =_===== =_ ===== == ===__1 1-- -- -=-=1 TI ~~
FPafIIldentification 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)
(a) Name address and EIN of related organization
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Exempt Code
section
(e) Public charity status (if section 501 (c) (3raquo)
(f) Direct controlling
entity
(g)Sec 512(b)(13)
controlled entity
Yes No (1) FAMILIA CENTER
236SANTA-rnUZAVE----------- shy------------------------- shyAPTOS CA 95003770071589 - - shy - - - -- shy - - - -- shy - - shy BILINGUAL FAMILY
SERVICES CA I
501(C)3 PUBLIC
CHARITY COMMUNITY
BRIDGES X
---------------------- shy_shy --shy --------------------- shy - shy - -- -- shy - - shy - - shy - - - - - - - - - - - - - - -
- --
----------~--------------
-shy - shy --------------------- shy
-shy - shy - shy - shy shy -shy - - ---------------- shy- c--- shy
- - -- --- -- - - - - --- - - - - - - - - - - - - shy
- - -- - shy
- -- - --------------------- shy -=r_ I _ __ I
~-- I ------- - -- ----- --- --
BAt For Paperwork Reduction Act Notice see the Instructions for Form 990 TEEA5001 L 122812 Schedule R (Form 990) 2012
- -- ------
----- -
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 2
re~rtUI Iidentific~tion of Related Organizations T~xable 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)
me oddltl od EIN of I PIm~~cttyrelated organization
-+shy----shy
-_--shy -- -shy ~
(c) Legal
domicile (state or foreign country)
(d) Direct
controlling entity
(e) Predominant income (related unrelated excluded from tax
under sections 512-514)
(f) Share of total
income
(g) Share of
end-of-year assets
(h) Disproporshy
tionate allocations
Yes No
(i) Code V-UBI
amount in box 20 of Schedule
K-1 (Form 1065)
(j) General or managing partner
Yes No
(k) Percentage ownership
shy -shy --shy --shy -shy
-shy -__shy ---shy -shy
_ _ _____ ___ J~
-- -- -- - - - -- - -- shy
-
--T~ --=~ -- ~~==~=-
I
IPaHJVl Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered Yes to Form 990 Part IV L----_-l line 34 because it had one or more related organizations treated as a corporation or trust during the tax year)
(a) (b) I (c) (d) (e) I (f) (g) (h) I (i)iiame address and EIN of related organization Primary activity Legal domicile Direct Type of entity Share of Share of end-of- Percentage Sec S12(b)(13)
(state or foreign controlling (C corp S corp total income year assets ownership controlled entitycountry) entity or trust)
Yes I No
- - - - - - - - - -- - - - - - -- --I --------------------4
--==========1------~--------------~------------~------------~------------~--------------~--------------~--------~I----~------TEEA5002L 1228112 Schedule R (Form 990) 2012
---------
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 3
i])~ Transactions With Related Organizations (Complete if the organization answered Yes to Form 990 Part IV line 34 35b or 36)
Note Complete line 1 if any entity is listed in Parts II III or IV of this schedule During the lax year did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity b Gift grant or capital contribution to related organization(s)
Gift grant or capital contribution from related organization(s)
d Loans or loan guarantees to or for related organization(s)
e Loans or loan guarantees by related organization(s)
Dividends from related organization(s) 9 Sale of assets to related organization(s)
h Purchase of assets from related organization(s)
Exchange of assets with related organization(s)
Lease c[racilities equipment or other assets to related organization(s)
Lease of facilities equipment or other assets from related organization(s)
Performance of services or membership or fundraising solicitations for related organization(s)
Ferformance of services or membership or fundraising solicitations by related organization(s)
Sharing of facilities equipment mailing lists or other assets with related organization(s)
o Sharing of paid employees with related organization(s)
Reimbursement paid to related organization(s) for expenses
q Reimbursement paid by related organization(s) for expenses
r Other transfer of cash or property to related organization(s
5 Other transfer of cash or property from related organization(s)
If the answer to any of the above is Yes see the instructions for information on who must complete this line including covered relationships and transaction thresholds
(b) (c)N f h(a) d (2 lame 0 ot er organization Transaction Amount involved Metho of etermlnlng --~
type (a-s) amount involved
(1)
(2)
ltd ~ ~J
I I I
(5) ------------shy
(6) ~---------------------------------------------------------------------------~--------------~--------~~~~--~--~~~
TEEIS003L 1228112 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 4
e~~I1 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) I (b) (c) (d) (e) (f) (g) (h) (i) (j) I (k)Jame address and EIN of entity Primary activity Legal domicile Predominant Are all partners Share of Share of Dispropor- Code V-UBI General or Percentage
(state or foreign income section total income end-of-year tionate amount in box managing ownership country) (related unre- 501 (c)(3) assets allocations 20 of Schedule partner
lated excluded organizations i K- 1 from tax under ~---c--- Form (1065)
section 512-514) Yes I No Yes No Yes No----+----1
- --==~ ~ ~ ====== ~ I ~ --I------+--+----t--shy
(3)
--------------1
(6)
-____ __~__ - I I I SAl TEEAS004L 122812 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Page 5 _ Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions)
-r- I - lt-j005L middot22312 Schedule R (Forni
Loans and other receivables from current and former officers directors
~~~i1Ff ~eJ~~o[ees ~~~ ~ig~es ~~~~~~~~~~ ~~~I~~~~s ~o~plete Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1raquo persons described in section 4958(c)(3) (B) and contributing employers and sponsoring organizations of section Sal (c)(9) voluntary employees beneficiary organizations (see instructions) Complete Part II of Schedule L
Notes and loans receivable net
Inventories for sale or use
Prepaid expenses and deferred charges
I lOa c~~r-----~--~~~-
other securities See Part IV line 11
program-related See Part IV line 11
Other assets See Part IV line 11
15 Ie an accrue expenses
Grants payable Deferred revenue
Tax-exempt bond liabilities
or custodial account liability Complete Part IV of Schedule D
Loans and other payables to current and former officers directors trustees key employees highest compensated employees and disqualified persons Complete Part II of Schedule L
Secured mortgages and notes payable to unrelated third parties
Unsecured notes and loans payable to unrelated third parties
Other liabilities (including federal income tax payables to related third parties and other liabilities not included on lines 17-24) Complete Part X of Schedule D
Organizations that follow SFAS 117 (ASe 958) check here and complete
Unrestricted net assets
Temporarily restricted net assets
Permanently restricted net assets
Organizations that do not follow SFAS 117 (ASe 958) check here D 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
Total net assets or fund balances
Total liabilities and net assetsfund balances
94-2460211 Page 11
Cash - non-interest-bearing
2 Savings and temporary cash investments 3 Pledges and grants receivable net
4 Accounts receivable net
5
6
A S 7 S E 8 T S 9
lOa Land buildings and equipment cost or other basis Complete Part VI of Schedule D
b Less accumulated depreciation
11 Investments - publicly traded securities
12 Investments shy
13 Investments shy
14 Intangible assets
15 16 17 18 19
L 20 I A 21 Escrow B I 22 L I T I 23E s 24
25
26 Total liabilities Add lines 17 through 25
N E T lines 27 through 29 and lines 33 and 34 A 27s s E 28 T 5 29 0 R
and complete lines 30 through 34J N 30
B 31 D
A L 32A N c 33 E s 34
BAA
(A) (B) Beginning of year End of year
IL 01103113
94-2460211 Page 12
Check if Schedule 0 contains a response to any question in this Part XI
Total revenue (must equal Part VIII column (A) line 12) 2 Total expenses (must equal Part IX column (A) line 25)
3 Revenue less expenses Subtract line 2 from line 1
4 Net assets or fund balances at beginning of year (must equal Part X line 33 column (A))
5 Net unrealized gains (losses) on investments 6 Donated services and use of facilities 7 I nvestment expenses 8 Prior period adjustments
9 Other changes in net assets or fund balances (explain in Schedule 0) Se~ SGb~ciul~ Q 10 Net assets or fund balances at end of year Combine lines 3 through 9 (must equal Part X line 33
column (B)) 10
Financial Statements and Reporting
Check if Schedule 0 contains a response to any question in this Part XII
1 Accounting method used to prepare the Form 990 D Cash [29 Accrual DOther
If the organization changed its method of accounting from a prior year or checked Other explain in Schedule O
2 a Were the organizations financial statements compiled or reviewed by an independent accountant If Yes check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis consolidated basis or both
D Separate basis D Consolidated basis D Both consolidated and separate basis
b Were the organizations financial statements audited by an independent accountant
If Yes check a box below to indicate whether the financial statements for the year were audited on a separate basis consolidated basis or both
~ Separate basis DConsolidated basis 0Both consolidated and separate basis
c 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 O
3 a As a result of a federal award was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133
b If Yes did the organization undergo the required audit or audits If the organization did not undergo the required audit or audits explain why in Schedule 0 and describe any steps taken to undergo such audits
BAA
1 384 061_
3a x
3b X Form (2012)
OMB No 1545-0047
SCHEDULE A Public Charity Status and Public Support (Form 990 or 990-EZ) 2012
Complete if the organization is a section 501 (c)(3) organization or a section 4947(a)(1) nonexempt charitable trust
Department of the Treasury Internal Revenue Service ~ Attach to Form 990 or Form 990-EZ ~ See separate instructions
2
3 4
~ A church convention of churches or association of churches described in section 170(bX1XAXi)
A school described in section 170(bX1)(AXii) (Attach Schedule E)
A hospital or a cooperative hospital service organization described in section 170(bX1XA)(iii)
A medical research organization operated in conjunction with a hospital described in section 170(bXl)(AXiii)- Enter the hospitals
name city and state
5 An organization operatedfOr thebenefit Of acollege oruniversh-Y owned or operated bya-governmentalunltdescribed in sectiOn - - - - - - shyD 170(bX1XAXiv) (Complete Part II)
6 A federal state or local government or governmental unit described in section 170(b)(1)(AXv) R7 X 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)(1XAXvi) (Complete Part II)
8 D A community trust described in section 170(bX1XAXvi) (Complete Part II)
9 D An organization that normally receives (1) more than 33-13 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 33-13 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)
10 An organization organized and operated exclusively to test for public safety See section 509(aX4) R11 An organization organized and operated exclusively for the benefit of to perform the functions of or carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2) See section 509(aX3) Check the box that describes the type of supporting organization and complete lines 11 e through 11 h
a DType I b DType II c D Type III - Functionally integrated d D Type III - Non-functionally integrated
e D 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 is a Type I Type II or Type III supporting organization check this box D
9 Since August 172006 has the organization accepted any gift or contribution from any of the following persons
I Yes No (i) A person who directly or indirectly controls either alone or together with persons described in (ii) and (iii)
below the governing body of the supported organization 11 g (i) ~-----r---+---shy
(ii) A family member of a person described in (i) above 11 9 (ii)
(iii) A 35 controlled entity of a person described in (i) or (ii) above 11 g (iii) h Provide the following information about the supported organization(s)
(i) Name of supported organization
(ii) EIN (iii) Type of organization (described on lines 1-9
(iv) Is the organization in
(v) Di d you notify the organization in
(vi) Is the organization in
(vii) Amount of monetary support
above or IRe section column (i) listed in column (i) of your column (i) (see instructionsraquo your governing
document support organized in the
US
(A)
(8)
(C)
(D)
(E)
Total
For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990-EZ
I EEA040 Il_
Schedule A (Form 990 or 990-EZ) 2012 Community Bridges 94-2460211 Page 2
_Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5 7 or 8 of Part I or if the organization failed to qualify under Part III If the organization fails to qualify under the tests listed below please complete Part III)
Section A Public Su rt Calendar year (or fiscal year beginning in) ~ (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts grants contributions and membership fees received ltpo not include any unusual grants ) 11700497 12531538 11914396 13085089 12897266 62 128 786
2 Tax revenues levied for the organizations benefit and either paid to or expended on its behalf o
3 The value of services or facilities furnished by a governmental unit to the organization without charge
4 Total Add lines 1 through 3 5 The portion of total
contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2 of the amount shown on line 11 column (f) o
6 786
Calendar year (or fiscal year beginning in) ~
7 Amounts from line 4
8 Gross income from interest dividends payments received on securities loans rents royalties and income from similar sources 7 754 3 403 5 421 244 51 392 68 214
9 Net income from unrelated business activities whether or not the business is regularly carried on o
10 Other income Do not include gain or loss from the sale of capital aS~~Se(Ep~fie irrV
13 First five years If the Form 990 is for the organizations first second third fourth or fifth tax year as a section 501 (c) (3) organization check this box and stop here ~ D
Section C Computation of Public Support Percentage 14 Public support percentage for 2012 (line 6 column (f) divided by line 11 column (f)) 9892 15 Public support percentage from 2011 Schedule A Part II line 14 9886
16a 33-13 support test - 2012 If the organization did not check the box on line 13 and the line 14 is 33-13 or more check this box and stop here The organization qualifies as a publicly supported organization ~ ~
b 33-13 support test - 2011 If the organization did not check a box on line 13 or 16a and line 15 is 33-13 or more check this box and stop here The organization qualifies as a publicly supported organization ~ D
17 a 1 O-facts-and-circumstances test - 2012 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-andmiddot circumstances test check this box and stop here Explain in Part IV how the organization meets the factsmiddotand-circumstances test The organization qualifies as a publicly supported organization ~ lJ
Part IV)
11 rh~~aJ9shu~8~~ ~dd Iin~s
612 273
12 Gross receipts from related activities etc (see instructions) L-__~~~~~~~
b 1 O-facts-and-circumstances test - 2011 If the organization did not check a box on line 13 16a 16b or 17a and line 15 is 10 or more and if the organization meets the facts-and-circumstances test check this box and stop here Explain in Part IV how the 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 o( l7b check this box and see instructions
Schedule A (rorm 990 or 990middot[2) 202
~EEA0402L 080912
Section A Public rt Calendar year (or fiscal yr beginning in)
1 Gifts grants contributions
Schedule A (Form 990 or 990middotEZ) 2012 Communi Br s 94-2460211 3 Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II If the organization fails to qualify under the tests listed below please complete Part II)
and membership fees received (Do not include any unusual grants)
2 Gross receipts from admisshysions merchandise sold or services performed or facilities furnished in any activity that is related to the organizations taxmiddotexempt purpose
3 Gross receipts from activities that are not an unrelated trade or business under section 513
4 Tax revenues levied for the organizations benefit and either paid to or expended on its behalf
5 The value of services or facilities furnished by a governmental unit to the organization without charge
6 Total Add lines 1 through 5 7 a Amounts included on lines 1
2 and 3 received from disqualified persons
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5000 or 1 of the amount on line 13 for the year
c Add lines 7a and 7b
8
Calendar year (or fiscal yr beginning in) (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (I) Total
9 Amounts from line 6 10 a Gross income from interest
dividends payments received on securities loans rents royalties and income from similar sources
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30 1975
c Add lines lOa and 1 Db Net income from unrelated business
activities not included in line lOb whether or not the business is regularly carried on
12 Other income Do not include gain or loss from the sale of capital assets (Explain in Part IV)
13 Total support (Add Ins9 10c 11 and 12) ~~~____~~~~____~~__~__-L__________ __~~~~~__~
14 First five years If the Form 990 is for the organizations first second third fourth or fifth tax year as a section 501 (c)(3)organization check this box and stop here
Section C Computation of Public Support Percentage shy15 Public support percentage for 2012 (line 8 column (I) divided by line 13 column (I)) 16 Public support percentage from 2011 Schedule A Part III line 15
Section D Computation of Investment Income Percentage 17 Investment income percentage for 2012 (line 10c column (I) divided by line 13 column (I)) 17
18 Investment income percentage from 2011 Schedule A Part III line 17 18 19a 33-13 support tests - 2012 If the organization did not check the box on IIn8 14 and line 15 is more than 33-13 and line 17
is not more than 33-13 check this box and stop here The organization qualifies as a publicly supported organization
b 33-13 support tests - 2011 If the organization did not check a box on line 14 or line 19a and line 16 is more than 33-13 and line 18 is not mOIe than 33-13 check this box and stop here The organization qualifies as a publicly supported organization
20 Private foundation If the organization did not check hox Orl line 14 19a or 19b check box and see instructions ~H -----o------~--- ------
BAA NJ403L 080912 Schedule A (Form 990 or 99QZ) 2012
4 Schedule A (Form 990 or 990-EZ) 2012 Communi s 94-2460211 Supplemental Information Complete this part to provide the explanations required by Part II line 10 Part II line 17a or 17b and Part III line 12 Also complete this part for any additional information (See instructions)
___~P~~t1~cJ~Cule_~dJltli9~lt ~~~lelTI_e~U~f9l1aiQf _______________________________ _
_ _cLeID1tu_g1_lzgti_ol)-PSlYlJ1~nL _ _ _ _ _ _ _ _ _ _ _ _ ________________________________ _
BAA
081012
2012 Schedule A Part IV - Supplemental Information PageS
Community Bridges 94-2460211
Part II Line 10 - Other Income
Nature and Source 2012 2011 2010 2009 2008
Other Income Total
$ 108645 $ 108645
$ 36333 $ 36333
$ 130009 $ 130009
$ 169710 $ 169710
$ $
167576 167576
------
---------------
OMB No 1545middot0047SCHEDULE C Political Campaign and Lobbying Activities (Form 990 or 990-EZ)
For Organizations Exempt From Income Tax Under section 501 (c) and section 527 2012 Complete if the organization is described below Attach to Form 990 or Form 990-EZ
Department of the Treasury Internal Revenue Service See separate instructions
If the organization answered Yes to Form 990 Part IV line 3 or Form 990-EZ Part V line 46 (Political Campaign Activities) then bull Section 501 (c)(3) organizations Complete Parts I-A and B Do not complete Part I-C bull Section 501 (c) (other than section 501 (c)(3raquo) organizations Complete Parts I-A and C below Do not complete Part I-B bull Section 527 organizations Complete Part I-A only
If the organization answered Yes to Form 990 Part IV line 4 or Form 990-EZ Part VI line 47 (Lobbying Activities) then bull Section 501 (c) (3) organizations that have filed Form 5768 (election under section 501 (h)) Complete Part II-A Do not complete Part II-B
bull Section 501 (c) (3) organizations that have NOT filed Form 5768 (election under section 501 (h)) Complete Part II-B Do not complete Part II-A
If the organization answered Yes to Form 990 Part IV line 5 (Proxy Tax) or Form 990-EZ Part V line 35a (Proxy Tax) then bull Section 501 (c)(4) (5) or (6) organizations Complete Part III
See Part IV 2 3 Volunteer hours bull w Complete if the organization is exempt under section 501 (c)(3) 1 Enter the amount of any excise tax incurred by the organization under section 4955
2 Enter the amount of any excise tax incurred by organization managers under section 4955
3 If the organization incurred a section 4955 tax did it file Form 4720 for this year DYes
4a Was a correction made middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotDYes b If Yes describe in Part IV
II~~~~~~~~~~~~--~~~~~~~--~~---------2 Enter the amount of the filing organizations funds contributed to other organizations for section 527 exempt
function activities $
3 Total exempt function expenditures Add lines 1 and 2 Enter here and on Form 1120-POL line 17b ~ $
4 Did the filing organization file Form 1120-POL for this year DYes
5 Enter the names addresses and employer identification number (EIN) of all section 527 political organizations to which the filing organization made payments For each organization listed enter the amount paid from the filing organizations funds Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization such as a separate segregated fund or a political action committee (PAC) If additional space is needed provide information in Part IV
(a) Name (b) Address (e) EIN (d) Amount paid from filing (e) Amount of political organizations funds If contributions received and
none enter-Omiddot promptly and directly delivered to a separate political organization If
none enter -0middot
(1) ~---------------~---
(2) ~------
(3) ~-
(4)
~~)~~~~~--~~~~--~-~---~~-~---~~~~~~~-~_-_~~~~-----~~~~~~-~~~~~~~~~~-~~~~~-~---------_-_--f------c_~~~_-middot_J_L~~--------+---~ -~ -shyBAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990middotEZ Schedule C (Form 990 or 990middotEZ) 2012
TEEA320 I L 217112
----
Schedule C(Form 990 or 990-EZ) 2012 Communi Bri s 4-2460211 Page 2
Complete if the organization is exempt under section 501 (c)(3) and filed Form 5768 (election under section 501 (hraquo
A Check ~ 0 if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group members name
address EIN expenses and share of excess lobbying expenditures)
B Check ~ 0 if the filing organization checked box A and limited control provisions apply
Limits on Lobbying Expenditures (a) Filing (b) Affiliated organizations totals group totals (The term expenditures means amounts paid or incurred)
1 a Total lobbying expenditures to influence public opinion (grass roots lobbying)
b Total lobbying expenditures to influen_ce a legislative body (direct lobbying)
c Total lobbying expenditures (add lines 1a and 1b)
d Other exempt purpose expenditures
e Total exempt purpose expenditures (add lines 1c and 1d)
f Lobbying nontaxable amount Enter the amount from the following table in both columns
g Grassroots nontaxable amount (enter 25 of line 1f)
h Subtract line 1g from line 1a If zero or less enter -0-
Subtract line 1f from line 1c If zero or less enter -0-
If there is an amount other than zero on either line 1h or line 1i did the organization file Form 4720 reporting section 4911 tax for this year DYes 0No
4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501 (h) election do not have to complete all of the five
columns below See the instructions for lines 2a through 2f)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total year beginning in)
13l7 524
2a Lobbying non-taxable amount 3 513 393
b Lobbying ceiling amount (150 of line 2a column (eraquo 5 270 090
c Total lobbying enditures 18 425
d Grassroots nontaxable amount 878 349
e Grassroots ceiling amount (150 of line 2d column
f Grassroots lobbying expenditures o
BAA Schedule C (Form 990 or 990-EZ) 2012
-EEA3202L 010713
3 Schedule C(Form 990 or 2012 Bri 94-2460211 Complete if the organization is exempt under se as NOT filed Form 5768 (election under section 501 (hraquo
For each Yesresponse to lines 7a through Ii below provide in Part IVa detailed description of the lobbying activity
During the year did the filing organization attempt to influence foreign national state or local legislation including any attempt to influence public opinion on a legislative matter or referendum through the use of
a Volunteers
b Paid staff or management (include compensation in expenses reported on lines 1 c through 1 i)
c Media advertisements
d Mailings to members legislators or the pUblic ~~---+--------------
e Publications or published or broadcast statements
f Grants to other organizations for lobbying purposes
9 Direct contact with legislators their staffs government ofFicials or a legislative body
h Rallies demonstrations seminars conventions speeches lectures or any similar means
i Other activities ~~~~--------
j Total Add lines 1c through 1 i ~lli~J~i01 ~2iJn
I----t---- shy
2 a Did the activities in line 1 cause the organization to be not described in section 501 (c)(3)
b If Yes enter the amount of any tax incurred under section 4912
c If Yes enter the amount of any tax incurred by organization managers under section 4912
d If the filing organization incurred a section 4912 tax did it file Form 4720 for this year
Complete if ization is exempt under section 501 (c)(4) section 501 (c)(5) or section 501
Were substantially all (90 or more) dues received nondeductible by members 1----+---1---shy
2 Did the organization make only inmiddothouse lobbying expenditures of $2000 or less f----j----j--- shy
3 Did the organization agree to carryover lobbying and political from the prior year
Complete if the organization is exempt under section 501 (c)(4) section 501 (c)(5) or section 501 (c) (6) and if either (a) BOTH Part III-A lines 1 and 2 are answered No OR (b) Part III-A line 3 is answered Yes
Dues assessments and similar amounts from members
2 Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid)
a Current year
b Carryover from last year
c Total
3 Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues
4 If notices were sent and the amount on line 2c exceeds the amount on line 3 what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year
I---~--------------5 Taxable amount of lobbying and political expenditures (see instructions)
Complete this part to provide the descriptions required for Part ImiddotA line 1 Part ImiddotB line 4 Part Imiddote line 5 Part IImiddotA (affiliated group list) Part IImiddotA line 2 and Part IImiddotB line 1 Also complete this part for any additional information
TEEA32031 OliO
Scheciu1e
-----------------
OMB I~o 1545-0047 SCHEDULE D (Form 990) Supplemental Financial Statements 2012
~ Complete if the organization answered Yes to Form 990 Part IV lines 6 7 8 9 10 l1a 11 b 1lc l1d l1e l1f 12a or 12b
~ Attach to Form 990 ~ See instructions
(a) Donor advised funds
1 Total number at end of year
2 Aggregate contributions to (during year
3 Aggregate grants from (during year) 4 Aggregate value at end of year
S Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organizations property subject to the organizations exclusive legal control DYes
6 Did the organization inform all grantees donors and donor advisors in writing that grant funds can be used only
impermissible private benefit for charitable purposes and not for the benefit of the donor or donor advisor or for any other purpose conferring
No
(b) Funds and other accounts
Purpose(s) of conservation easements held by the organization (check all that apply)
Preservation of land for public use (eg recreation or education) D Preservation of an historically important land area
Protection of natural habitat D Preservation of a certified historic structure
Preservation of open space ~
2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the iast day of the tax year
a Total number of conservation easements
b Total acreage restricted by conservation easements
c Number of conservation easements on a certified historic structure included in (a)
d Number of conservation easements included in (c) acquired after 81706 and not on a historic structure listed in the National Register 2 dL-__L-_________________________
3 Number of conservation easements modified transferred released extinguished or terminated by the organization during the tax year Igt
4 Number of states where property subject to conservation easement is located Igt
S Does the organization have a written policy regarding the periodic monitoring inspection handling of violations and enforcement of the conservation easements it holds DYes
6 Staff and volunteer hours devoted to monitoring inspecting and enforcing conservation easements during the year Igt
7 Amount of expenses incurred in monitoring inspecting and enforcing conservation easements during the year 1gt$
8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(8)(i) and section 170(h)(4)(8)(ii) DYes
9 In Part XIII describe how the organization reports conservation easements in its revenue and expense statement and balance sheet and include if applicable the text of the footnote to the organizations financial statements that describes the organizations accounting for conservation easements
tf~rtiml Organizations Maintaining Collections of Art Historical Treasures or Other Similar Assets Complete if the organization answered Yes to Form 990 Part IV line 8
1 a If the organization elected as permitted under SFAS 116 (ASC 958) 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 XIII the text of the footnote to its financial statements that describes these items
b If the organization elected as permitted under SFAS 116 (ASe 958) 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 VI I line 1 ~$
(ii) Assets included in Form 990 Part X 11gt-$
2 If the organization received or held works of art histOrical treasures or other similar assets for financial gaill provide the following amounts required to be reported under SFAS 116 (ASe 958) relating to these items
11gt-$ -~~-------
$ BAA For Paperwork Reduction Act Notice the Instructions for Form 990 991l) CJ12
~--~-------------------------
-----------------------------------------------
-------
e2
3 Using the organizations acquisition accession and other records check any of the following that are a significant use of its collection items (check all that apply)
a sectPublic exhibition d BLoan or exchange programs b Scholarly research e Other
c Preservation for future generations
4 Provide a description of the organizations collections and explain how they further the organizations exempt purpose in Part XIII
5 During the year did the organization solicit or receive donations of art historical treasures or other similar assets D to be sold to raise funds rather than to be maintained as part of the organizations collection Yes
IRal~IYRI Escrow and Custodial Arrangemel1ts Complete if the organization answered Yes to Form 990 Part IV line 9 or reported an amount on Form 990 Part X line 21
1 a ~nt~~r~g~~~~~r~ ~~ ~~~~t~ trus~e~ ~u~t~~i~~ or ot~er int~~~~~~~~~ ~o~contnbu~i~~~ ~r ~~e~ ass~ts n~i~cI~~~d DYes
b If Yes explain the arrangement in Part XIII and complete the following table
Amount
c Beginning balance 1 c d Additions during the year d
e Distributions during the year 1 e f Ending balance 1f
2a Did the organization include an amount on Form 990 Part X line 21 UYes NOb If Yes explain the arrangement in Part XIII Check here if the explantion has been provided in Part Xlll D
fBaIM~1 Endowment Funds Complete if the or~anization answered Yes to Form 990 Part IV line 10 (a) Current (b) Prior year (e) Two years (d) Three years (e) Four years
1 a Beginning of year balance
b Contributions
c Net investment earnings gains and losses
d Grants or scholarships
e Other expenditures for facilities and programs
f Administrative expenses
9 End of year balance
2 PrOVide the estimated percentage of the current year end balance (line 1 g column (araquo held as
a Board designated or quasi-endowment b Permanent endowment c Temporarily restricted endowment
The percentages in lines 2a 2b and 2c should equal 10000
3 a Are there endowment funds not in the possession of the organization that are held and administered for the organization by Yes No (i) unrelated organizations 3a(i)
(ii) related organiZations 3a(ii)
b If Yes to 3a(ii) are the related organizations listed as required on Schedule R 3b I 4 Describe in Part XIII the intended uses of the organizations endowment funds
1 a Land
b Buildings
c Leasehold improvements
d Equipment
e Other
Total Add lines 1 a
BAA
(d) Book value
TEEt3302L 06e71 i 2
-------------------------
of security or rfpnlrl
name of secu (1) Financial derivatives
94-2460211
uation Cost or rket value
Page 3
~------------~--------------------------------------(2) Closely-held equity interests
~------------~--------------------------------------(3) Other ______________________ +----------f--------------------shyi~ __________________________1---_______-+____________________ (8)
iq __________________________~-----~---------------------------iD1_ - - - - - - - - - - - - - - - - - - - - - - -- -f------------+-------------------------------shy(E)- - - - - - - - - - - - - - - - - - - - - - - - - - - - ~-------------I---------------------------------------~~--------------------------f__----------+_-------------------------------iGl ______ -- _________ - _ - - - __ - - -f__----------l-----------------------------shy(H)- - - - - - - - - - - - - - - - - - - - - - - - - - - -- ~-------------+---------------------------------------J~ _____________________ _
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10) ----shy
(11)
Total (Column (b) must equal Form 990 Part X column (8) line 25) 2 FIN 48 CASe 740) Footnote In Part XIII provide the text of the footnote to the organizations financial statements that reports the organizations liability for uncertain tax positions under FIN 48 (ASe 740) Cherv here If the text of the footnote has been provided 11 Part XIII LJ BAA ____~_~__O~_ ~-~-~~~~--~~~-- --~T~-~middotA3303L- 122312 -- gt--~~-- Schedule 0 (Form 990) 2012
Page 4
2 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 XIII)
e Add lines 2a through 2d
3 Subtract line 2e from line 1 4 Amounts included on Form 990 Part VIII line 12 but not on line 1
a Investment expenses not included on Form 990 Part VIII line 7b
b Other (Describe in Part XII I)
c Add lines 4a and 4b
5 Total revenue Add lines 3 and 4c (This must equal Form 990 Part I line 72)
Total expenses and losses per audited financial statements
2 Amounts included on line 1 but not on Form 990 Part IX line 25
a Donated services and use of facilities 13 244 b Prior year adjustments c Other losses
d Other (Describe in Part XIII)
e Add lines 2a through 2d 3 Subtract line 2e from line 1
4 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 XIII) c Add lines 4a and 4b
must equal Form 990 Part I line 78)
Complete this part to provide the descriptions required for Part II lines 3 5 and 9 Part III lines 1a and 4 Part IV lines 1b and 2b Part V line 4 Part X line 2 Part XI lines 2d and 4b and Part XII lines 2d and 4b Also complete this part to provide any additional information
BAA Schedule 0 (Form 990) 2012
fEEA3304L 1
OMS No 1545middot0047
SCHEDULE G Supplemental Information Regarding (Form 990 or 990-EZ) Fundraising or Gaming Activities 2012
Complete if the organization answered Yes to Form 990 Part IV lines 17 18 or 19 or if the organization entered more than $15000 on Form 990-EZ line 6aDepartment of the Treasury
Internal Revenue Service ~ Attach to Form 990 or Form 990-EZ ~ See separate instructions
Name of Employer
94-2460211 InnInn ACtlVlllles Complete if the organization
___-c---cFo_r_m--- ~ filers are not required to complete this part
Indicate whether the organization raised funds through any of the following activities Check all that apply
a DMail solicitations e DSolicitation of non-government grants
b D Internet and email solicitations f DSolicitation of government grants
c D Phone solicitations g D Special fundraising events
d D Inmiddotperson solicitations
2 a 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 DYes ~No
b If Yes list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fund raiser is to be compensated at least $5000 by the organization
(i) Name and address of individual or entity (fund raiser)
(ii) Activity (iii) Did fund raiser have custod6or control
of contri utions
(iv) Gross receipts from activity
(v) Amount paid to (or retained by)
fundraiser listed in
(vi) Amount paid to (or retained by)
organization column (i)
Yes No
1
-- shy2
3 I
4 -----~--------
5
6
7 -__----shy
8
9
10
Total O bull -
3 List all states In which the organization IS reglslered or licensed to SOliCit contributions or has been notified It IS exempt from registration or licensing
- --~---~---~-- ~-~--~-~--~-~~-- ---
BAA for Paperwork Reduction Act Notice see the Instructions Form 990 or 990-EL Schedule G (runn 990 or 990-EZ) 2012 TEEA3701L 01107113
--
------
Schedule G (Form 990 or 990-EZ) 2012 Commun Br 94-2460211 Page 2
Fun ng Events Complete if the organization answered Yes to Form 990 Part IV ine 18 or reported more than $15000 of fundraising event contributions and gross income on Form 990-EZ lines 1 and 6b List events with gross receipts greater than $5000
(a) Event 1 (b) Event 2 (c) Other events (d) Total events (add column (a)
Italian Affair None through column (craquoR (event type) (event type) (total number) E V E N 1 Gross receipts 20186 20186 U E
2 Less Charitable contributions
3 Gross income (line 1 minus line 2) 20186 20186
4 Cash prizes
5 Noncash prizes D
R I
6 Rentfacility costs E C T 7 Food and beverages 5391 539l E x p 8 Entertainment E
N s 9 Other direct expenses 5822 5822E S
10 Direct expense summary Add lines 4 through 9 in column (d) 11213 11 Net income summary Combine line 3 column (d) and line 1 Q 8973
[Pifllll Gaming Complete if the o~ganization answered Yes to Form 990 Part IV line 19 or reported more than
(a) Bingo (b) Pull tabsllnstant (c) Other gaming (d) Total gaming R E bingoprogressive (add column (a) V bingo through column (eraquo E N U E Gross revenue
2 Cash prizes ~------------4---------------+--------------~--------------E
D X I P 3 Non-cash prizes R E E N C S T E
S 4 Rentfacility costs
5 Other direct expenses
Yes Yes Yes 6 Volunteer labor No No No
7 Direct expense summary Add lines 2 through 5 in column (d)
8 Net gaming income summary Combine lines 1 column (d) and line 7
9 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 0 Yes
b If No explain
lOa Were any of the organizations gaming licenses revoked suspended or terminated during the tax year 0 Yes b If Yes explain
BAA TFJ3]02L 010713 ScheclJle G (F (JIm 990 or 990 2012
------------
-----------
Schedule G (Form 990 or 990-EZ) 2012 Community Bridges 94-2460211 Page 3 11 Does the organization operate gaming activities with nonmembers DYes 12 Is the organization a grantor beneficiary or trustee of a trust or a member of a partnership or other entity formed to
administer charitable gaming DYes 13 Indicate the percentage of gaming activity operated in
a The organizations facility 13a ~13-b~------------~~b An outside facility
14 Enter the name and address of the person who prepares the organizations gamingspecial events books and records
Name
Address
15a Does the organization have a contact with a third party from whom the organization receives gaming revenue DYes b If Yes enter the amount of gaming revenue received by the organization $ and the amount
of gaming revenue retained by the third party $ c If Yes enter name and address of the third party
Name ---------------------------------------------~-----l
I Address I
16 Gaming manager information
Name
Gaming manager compensation $
Description of services provided
D Directorofficer DEmployee D independent contractor
17 Mandatory distributions
a Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the ~~egaminglicense ___________________________________________________________________ D~s ~No
b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the
organizations own exempt activities during the tax year $ lean~IlUI Supplemental Information Complete this part to provide the explanations required by Igtart I line 2b
columns (iii) and (v) and Part III lines 9 9b 1 ~b 15b 15c 16 and 17b as applicable Also complete this part to provide any additional information (see instructions)
----------------------- -------------------- ------ ----------------------------- __--shy
_ ---_ --------------- ---------------- ----- shy
BAA TEEA3703L 010113 Schedule G (Form 990 or 990middotEZ) 2012
--------------------------------------------------------- ---------
OMB No 1545-0047SCHEDULE 0 Supplemental Information to Form 990 or 990middotEZ (Form 990 or 990-EZ)
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information
Department of the Treasury ~ Attach to Form 990 or 990-EZInternal Revenue Service
Name of the
94-2460211
health care 4112-63012
BAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990-EZ TFEIA)IJIL 12812 Schedule 0 (Forrn 990 or 2012
Schedule 0 (Form 990 or 990-EZ) 2012 Page 2 Name of the organization Employer Identification number
Community Bridges 94-2460211
~ ~~Oy~~sjg1~~ge~~~e~~~~~ ~~~ ~ ~ ~~ ~~ ~_ ~~ ~ ~ ~~~~~~~ ~ ~ ~ ~ ~ ~~~~ ~ ~ ~~ ~ ~~~~~ ~ ~ ~ ~ _
Schedule (Form 990 or
TEEA4902L
2012
2012 Schedule 0 bull Supplemental Information Page 1
Community Bridges 94-2460211
Form 990 Part XI Line 9 Other Changes In Net Assets Or Fund Balances
Depreciation Grant Funded Assets $ -140124 Familia Net Assets 82104
Total $ -58020========
-------------------
OMS No 1545-0047
SCHEDULE R (Form 990) Related Organizations and Unrelated Partnerships 2012
Complete if the organization answered Yes to Fonn 990 Part IV line 33343536 or 37DqJ21rTrrent of the Treasury Internal Revenue Service Attach to Form 990 ~ See separate instructions Name of the organization
s 94-2460211Commu
rp~ Identification of Disregarded Entities (Complete if the organization answered Yes to Form 990 Part
(a) (b) (c) (e) (f) iiame address and EIN (if applicable) of disregarded entity Primary activity Legal domicile (state End-of-year assets Direct controlling
or foreiqn country) entity
=== === =_===== =_ ===== == ===__1 1-- -- -=-=1 TI ~~
FPafIIldentification 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)
(a) Name address and EIN of related organization
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Exempt Code
section
(e) Public charity status (if section 501 (c) (3raquo)
(f) Direct controlling
entity
(g)Sec 512(b)(13)
controlled entity
Yes No (1) FAMILIA CENTER
236SANTA-rnUZAVE----------- shy------------------------- shyAPTOS CA 95003770071589 - - shy - - - -- shy - - - -- shy - - shy BILINGUAL FAMILY
SERVICES CA I
501(C)3 PUBLIC
CHARITY COMMUNITY
BRIDGES X
---------------------- shy_shy --shy --------------------- shy - shy - -- -- shy - - shy - - shy - - - - - - - - - - - - - - -
- --
----------~--------------
-shy - shy --------------------- shy
-shy - shy - shy - shy shy -shy - - ---------------- shy- c--- shy
- - -- --- -- - - - - --- - - - - - - - - - - - - shy
- - -- - shy
- -- - --------------------- shy -=r_ I _ __ I
~-- I ------- - -- ----- --- --
BAt For Paperwork Reduction Act Notice see the Instructions for Form 990 TEEA5001 L 122812 Schedule R (Form 990) 2012
- -- ------
----- -
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 2
re~rtUI Iidentific~tion of Related Organizations T~xable 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)
me oddltl od EIN of I PIm~~cttyrelated organization
-+shy----shy
-_--shy -- -shy ~
(c) Legal
domicile (state or foreign country)
(d) Direct
controlling entity
(e) Predominant income (related unrelated excluded from tax
under sections 512-514)
(f) Share of total
income
(g) Share of
end-of-year assets
(h) Disproporshy
tionate allocations
Yes No
(i) Code V-UBI
amount in box 20 of Schedule
K-1 (Form 1065)
(j) General or managing partner
Yes No
(k) Percentage ownership
shy -shy --shy --shy -shy
-shy -__shy ---shy -shy
_ _ _____ ___ J~
-- -- -- - - - -- - -- shy
-
--T~ --=~ -- ~~==~=-
I
IPaHJVl Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered Yes to Form 990 Part IV L----_-l line 34 because it had one or more related organizations treated as a corporation or trust during the tax year)
(a) (b) I (c) (d) (e) I (f) (g) (h) I (i)iiame address and EIN of related organization Primary activity Legal domicile Direct Type of entity Share of Share of end-of- Percentage Sec S12(b)(13)
(state or foreign controlling (C corp S corp total income year assets ownership controlled entitycountry) entity or trust)
Yes I No
- - - - - - - - - -- - - - - - -- --I --------------------4
--==========1------~--------------~------------~------------~------------~--------------~--------------~--------~I----~------TEEA5002L 1228112 Schedule R (Form 990) 2012
---------
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 3
i])~ Transactions With Related Organizations (Complete if the organization answered Yes to Form 990 Part IV line 34 35b or 36)
Note Complete line 1 if any entity is listed in Parts II III or IV of this schedule During the lax year did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity b Gift grant or capital contribution to related organization(s)
Gift grant or capital contribution from related organization(s)
d Loans or loan guarantees to or for related organization(s)
e Loans or loan guarantees by related organization(s)
Dividends from related organization(s) 9 Sale of assets to related organization(s)
h Purchase of assets from related organization(s)
Exchange of assets with related organization(s)
Lease c[racilities equipment or other assets to related organization(s)
Lease of facilities equipment or other assets from related organization(s)
Performance of services or membership or fundraising solicitations for related organization(s)
Ferformance of services or membership or fundraising solicitations by related organization(s)
Sharing of facilities equipment mailing lists or other assets with related organization(s)
o Sharing of paid employees with related organization(s)
Reimbursement paid to related organization(s) for expenses
q Reimbursement paid by related organization(s) for expenses
r Other transfer of cash or property to related organization(s
5 Other transfer of cash or property from related organization(s)
If the answer to any of the above is Yes see the instructions for information on who must complete this line including covered relationships and transaction thresholds
(b) (c)N f h(a) d (2 lame 0 ot er organization Transaction Amount involved Metho of etermlnlng --~
type (a-s) amount involved
(1)
(2)
ltd ~ ~J
I I I
(5) ------------shy
(6) ~---------------------------------------------------------------------------~--------------~--------~~~~--~--~~~
TEEIS003L 1228112 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 4
e~~I1 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) I (b) (c) (d) (e) (f) (g) (h) (i) (j) I (k)Jame address and EIN of entity Primary activity Legal domicile Predominant Are all partners Share of Share of Dispropor- Code V-UBI General or Percentage
(state or foreign income section total income end-of-year tionate amount in box managing ownership country) (related unre- 501 (c)(3) assets allocations 20 of Schedule partner
lated excluded organizations i K- 1 from tax under ~---c--- Form (1065)
section 512-514) Yes I No Yes No Yes No----+----1
- --==~ ~ ~ ====== ~ I ~ --I------+--+----t--shy
(3)
--------------1
(6)
-____ __~__ - I I I SAl TEEAS004L 122812 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Page 5 _ Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions)
-r- I - lt-j005L middot22312 Schedule R (Forni
94-2460211 Page 12
Check if Schedule 0 contains a response to any question in this Part XI
Total revenue (must equal Part VIII column (A) line 12) 2 Total expenses (must equal Part IX column (A) line 25)
3 Revenue less expenses Subtract line 2 from line 1
4 Net assets or fund balances at beginning of year (must equal Part X line 33 column (A))
5 Net unrealized gains (losses) on investments 6 Donated services and use of facilities 7 I nvestment expenses 8 Prior period adjustments
9 Other changes in net assets or fund balances (explain in Schedule 0) Se~ SGb~ciul~ Q 10 Net assets or fund balances at end of year Combine lines 3 through 9 (must equal Part X line 33
column (B)) 10
Financial Statements and Reporting
Check if Schedule 0 contains a response to any question in this Part XII
1 Accounting method used to prepare the Form 990 D Cash [29 Accrual DOther
If the organization changed its method of accounting from a prior year or checked Other explain in Schedule O
2 a Were the organizations financial statements compiled or reviewed by an independent accountant If Yes check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis consolidated basis or both
D Separate basis D Consolidated basis D Both consolidated and separate basis
b Were the organizations financial statements audited by an independent accountant
If Yes check a box below to indicate whether the financial statements for the year were audited on a separate basis consolidated basis or both
~ Separate basis DConsolidated basis 0Both consolidated and separate basis
c 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 O
3 a As a result of a federal award was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133
b If Yes did the organization undergo the required audit or audits If the organization did not undergo the required audit or audits explain why in Schedule 0 and describe any steps taken to undergo such audits
BAA
1 384 061_
3a x
3b X Form (2012)
OMB No 1545-0047
SCHEDULE A Public Charity Status and Public Support (Form 990 or 990-EZ) 2012
Complete if the organization is a section 501 (c)(3) organization or a section 4947(a)(1) nonexempt charitable trust
Department of the Treasury Internal Revenue Service ~ Attach to Form 990 or Form 990-EZ ~ See separate instructions
2
3 4
~ A church convention of churches or association of churches described in section 170(bX1XAXi)
A school described in section 170(bX1)(AXii) (Attach Schedule E)
A hospital or a cooperative hospital service organization described in section 170(bX1XA)(iii)
A medical research organization operated in conjunction with a hospital described in section 170(bXl)(AXiii)- Enter the hospitals
name city and state
5 An organization operatedfOr thebenefit Of acollege oruniversh-Y owned or operated bya-governmentalunltdescribed in sectiOn - - - - - - shyD 170(bX1XAXiv) (Complete Part II)
6 A federal state or local government or governmental unit described in section 170(b)(1)(AXv) R7 X 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)(1XAXvi) (Complete Part II)
8 D A community trust described in section 170(bX1XAXvi) (Complete Part II)
9 D An organization that normally receives (1) more than 33-13 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 33-13 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)
10 An organization organized and operated exclusively to test for public safety See section 509(aX4) R11 An organization organized and operated exclusively for the benefit of to perform the functions of or carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2) See section 509(aX3) Check the box that describes the type of supporting organization and complete lines 11 e through 11 h
a DType I b DType II c D Type III - Functionally integrated d D Type III - Non-functionally integrated
e D 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 is a Type I Type II or Type III supporting organization check this box D
9 Since August 172006 has the organization accepted any gift or contribution from any of the following persons
I Yes No (i) A person who directly or indirectly controls either alone or together with persons described in (ii) and (iii)
below the governing body of the supported organization 11 g (i) ~-----r---+---shy
(ii) A family member of a person described in (i) above 11 9 (ii)
(iii) A 35 controlled entity of a person described in (i) or (ii) above 11 g (iii) h Provide the following information about the supported organization(s)
(i) Name of supported organization
(ii) EIN (iii) Type of organization (described on lines 1-9
(iv) Is the organization in
(v) Di d you notify the organization in
(vi) Is the organization in
(vii) Amount of monetary support
above or IRe section column (i) listed in column (i) of your column (i) (see instructionsraquo your governing
document support organized in the
US
(A)
(8)
(C)
(D)
(E)
Total
For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990-EZ
I EEA040 Il_
Schedule A (Form 990 or 990-EZ) 2012 Community Bridges 94-2460211 Page 2
_Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5 7 or 8 of Part I or if the organization failed to qualify under Part III If the organization fails to qualify under the tests listed below please complete Part III)
Section A Public Su rt Calendar year (or fiscal year beginning in) ~ (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts grants contributions and membership fees received ltpo not include any unusual grants ) 11700497 12531538 11914396 13085089 12897266 62 128 786
2 Tax revenues levied for the organizations benefit and either paid to or expended on its behalf o
3 The value of services or facilities furnished by a governmental unit to the organization without charge
4 Total Add lines 1 through 3 5 The portion of total
contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2 of the amount shown on line 11 column (f) o
6 786
Calendar year (or fiscal year beginning in) ~
7 Amounts from line 4
8 Gross income from interest dividends payments received on securities loans rents royalties and income from similar sources 7 754 3 403 5 421 244 51 392 68 214
9 Net income from unrelated business activities whether or not the business is regularly carried on o
10 Other income Do not include gain or loss from the sale of capital aS~~Se(Ep~fie irrV
13 First five years If the Form 990 is for the organizations first second third fourth or fifth tax year as a section 501 (c) (3) organization check this box and stop here ~ D
Section C Computation of Public Support Percentage 14 Public support percentage for 2012 (line 6 column (f) divided by line 11 column (f)) 9892 15 Public support percentage from 2011 Schedule A Part II line 14 9886
16a 33-13 support test - 2012 If the organization did not check the box on line 13 and the line 14 is 33-13 or more check this box and stop here The organization qualifies as a publicly supported organization ~ ~
b 33-13 support test - 2011 If the organization did not check a box on line 13 or 16a and line 15 is 33-13 or more check this box and stop here The organization qualifies as a publicly supported organization ~ D
17 a 1 O-facts-and-circumstances test - 2012 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-andmiddot circumstances test check this box and stop here Explain in Part IV how the organization meets the factsmiddotand-circumstances test The organization qualifies as a publicly supported organization ~ lJ
Part IV)
11 rh~~aJ9shu~8~~ ~dd Iin~s
612 273
12 Gross receipts from related activities etc (see instructions) L-__~~~~~~~
b 1 O-facts-and-circumstances test - 2011 If the organization did not check a box on line 13 16a 16b or 17a and line 15 is 10 or more and if the organization meets the facts-and-circumstances test check this box and stop here Explain in Part IV how the 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 o( l7b check this box and see instructions
Schedule A (rorm 990 or 990middot[2) 202
~EEA0402L 080912
Section A Public rt Calendar year (or fiscal yr beginning in)
1 Gifts grants contributions
Schedule A (Form 990 or 990middotEZ) 2012 Communi Br s 94-2460211 3 Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II If the organization fails to qualify under the tests listed below please complete Part II)
and membership fees received (Do not include any unusual grants)
2 Gross receipts from admisshysions merchandise sold or services performed or facilities furnished in any activity that is related to the organizations taxmiddotexempt purpose
3 Gross receipts from activities that are not an unrelated trade or business under section 513
4 Tax revenues levied for the organizations benefit and either paid to or expended on its behalf
5 The value of services or facilities furnished by a governmental unit to the organization without charge
6 Total Add lines 1 through 5 7 a Amounts included on lines 1
2 and 3 received from disqualified persons
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5000 or 1 of the amount on line 13 for the year
c Add lines 7a and 7b
8
Calendar year (or fiscal yr beginning in) (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (I) Total
9 Amounts from line 6 10 a Gross income from interest
dividends payments received on securities loans rents royalties and income from similar sources
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30 1975
c Add lines lOa and 1 Db Net income from unrelated business
activities not included in line lOb whether or not the business is regularly carried on
12 Other income Do not include gain or loss from the sale of capital assets (Explain in Part IV)
13 Total support (Add Ins9 10c 11 and 12) ~~~____~~~~____~~__~__-L__________ __~~~~~__~
14 First five years If the Form 990 is for the organizations first second third fourth or fifth tax year as a section 501 (c)(3)organization check this box and stop here
Section C Computation of Public Support Percentage shy15 Public support percentage for 2012 (line 8 column (I) divided by line 13 column (I)) 16 Public support percentage from 2011 Schedule A Part III line 15
Section D Computation of Investment Income Percentage 17 Investment income percentage for 2012 (line 10c column (I) divided by line 13 column (I)) 17
18 Investment income percentage from 2011 Schedule A Part III line 17 18 19a 33-13 support tests - 2012 If the organization did not check the box on IIn8 14 and line 15 is more than 33-13 and line 17
is not more than 33-13 check this box and stop here The organization qualifies as a publicly supported organization
b 33-13 support tests - 2011 If the organization did not check a box on line 14 or line 19a and line 16 is more than 33-13 and line 18 is not mOIe than 33-13 check this box and stop here The organization qualifies as a publicly supported organization
20 Private foundation If the organization did not check hox Orl line 14 19a or 19b check box and see instructions ~H -----o------~--- ------
BAA NJ403L 080912 Schedule A (Form 990 or 99QZ) 2012
4 Schedule A (Form 990 or 990-EZ) 2012 Communi s 94-2460211 Supplemental Information Complete this part to provide the explanations required by Part II line 10 Part II line 17a or 17b and Part III line 12 Also complete this part for any additional information (See instructions)
___~P~~t1~cJ~Cule_~dJltli9~lt ~~~lelTI_e~U~f9l1aiQf _______________________________ _
_ _cLeID1tu_g1_lzgti_ol)-PSlYlJ1~nL _ _ _ _ _ _ _ _ _ _ _ _ ________________________________ _
BAA
081012
2012 Schedule A Part IV - Supplemental Information PageS
Community Bridges 94-2460211
Part II Line 10 - Other Income
Nature and Source 2012 2011 2010 2009 2008
Other Income Total
$ 108645 $ 108645
$ 36333 $ 36333
$ 130009 $ 130009
$ 169710 $ 169710
$ $
167576 167576
------
---------------
OMB No 1545middot0047SCHEDULE C Political Campaign and Lobbying Activities (Form 990 or 990-EZ)
For Organizations Exempt From Income Tax Under section 501 (c) and section 527 2012 Complete if the organization is described below Attach to Form 990 or Form 990-EZ
Department of the Treasury Internal Revenue Service See separate instructions
If the organization answered Yes to Form 990 Part IV line 3 or Form 990-EZ Part V line 46 (Political Campaign Activities) then bull Section 501 (c)(3) organizations Complete Parts I-A and B Do not complete Part I-C bull Section 501 (c) (other than section 501 (c)(3raquo) organizations Complete Parts I-A and C below Do not complete Part I-B bull Section 527 organizations Complete Part I-A only
If the organization answered Yes to Form 990 Part IV line 4 or Form 990-EZ Part VI line 47 (Lobbying Activities) then bull Section 501 (c) (3) organizations that have filed Form 5768 (election under section 501 (h)) Complete Part II-A Do not complete Part II-B
bull Section 501 (c) (3) organizations that have NOT filed Form 5768 (election under section 501 (h)) Complete Part II-B Do not complete Part II-A
If the organization answered Yes to Form 990 Part IV line 5 (Proxy Tax) or Form 990-EZ Part V line 35a (Proxy Tax) then bull Section 501 (c)(4) (5) or (6) organizations Complete Part III
See Part IV 2 3 Volunteer hours bull w Complete if the organization is exempt under section 501 (c)(3) 1 Enter the amount of any excise tax incurred by the organization under section 4955
2 Enter the amount of any excise tax incurred by organization managers under section 4955
3 If the organization incurred a section 4955 tax did it file Form 4720 for this year DYes
4a Was a correction made middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotDYes b If Yes describe in Part IV
II~~~~~~~~~~~~--~~~~~~~--~~---------2 Enter the amount of the filing organizations funds contributed to other organizations for section 527 exempt
function activities $
3 Total exempt function expenditures Add lines 1 and 2 Enter here and on Form 1120-POL line 17b ~ $
4 Did the filing organization file Form 1120-POL for this year DYes
5 Enter the names addresses and employer identification number (EIN) of all section 527 political organizations to which the filing organization made payments For each organization listed enter the amount paid from the filing organizations funds Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization such as a separate segregated fund or a political action committee (PAC) If additional space is needed provide information in Part IV
(a) Name (b) Address (e) EIN (d) Amount paid from filing (e) Amount of political organizations funds If contributions received and
none enter-Omiddot promptly and directly delivered to a separate political organization If
none enter -0middot
(1) ~---------------~---
(2) ~------
(3) ~-
(4)
~~)~~~~~--~~~~--~-~---~~-~---~~~~~~~-~_-_~~~~-----~~~~~~-~~~~~~~~~~-~~~~~-~---------_-_--f------c_~~~_-middot_J_L~~--------+---~ -~ -shyBAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990middotEZ Schedule C (Form 990 or 990middotEZ) 2012
TEEA320 I L 217112
----
Schedule C(Form 990 or 990-EZ) 2012 Communi Bri s 4-2460211 Page 2
Complete if the organization is exempt under section 501 (c)(3) and filed Form 5768 (election under section 501 (hraquo
A Check ~ 0 if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group members name
address EIN expenses and share of excess lobbying expenditures)
B Check ~ 0 if the filing organization checked box A and limited control provisions apply
Limits on Lobbying Expenditures (a) Filing (b) Affiliated organizations totals group totals (The term expenditures means amounts paid or incurred)
1 a Total lobbying expenditures to influence public opinion (grass roots lobbying)
b Total lobbying expenditures to influen_ce a legislative body (direct lobbying)
c Total lobbying expenditures (add lines 1a and 1b)
d Other exempt purpose expenditures
e Total exempt purpose expenditures (add lines 1c and 1d)
f Lobbying nontaxable amount Enter the amount from the following table in both columns
g Grassroots nontaxable amount (enter 25 of line 1f)
h Subtract line 1g from line 1a If zero or less enter -0-
Subtract line 1f from line 1c If zero or less enter -0-
If there is an amount other than zero on either line 1h or line 1i did the organization file Form 4720 reporting section 4911 tax for this year DYes 0No
4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501 (h) election do not have to complete all of the five
columns below See the instructions for lines 2a through 2f)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total year beginning in)
13l7 524
2a Lobbying non-taxable amount 3 513 393
b Lobbying ceiling amount (150 of line 2a column (eraquo 5 270 090
c Total lobbying enditures 18 425
d Grassroots nontaxable amount 878 349
e Grassroots ceiling amount (150 of line 2d column
f Grassroots lobbying expenditures o
BAA Schedule C (Form 990 or 990-EZ) 2012
-EEA3202L 010713
3 Schedule C(Form 990 or 2012 Bri 94-2460211 Complete if the organization is exempt under se as NOT filed Form 5768 (election under section 501 (hraquo
For each Yesresponse to lines 7a through Ii below provide in Part IVa detailed description of the lobbying activity
During the year did the filing organization attempt to influence foreign national state or local legislation including any attempt to influence public opinion on a legislative matter or referendum through the use of
a Volunteers
b Paid staff or management (include compensation in expenses reported on lines 1 c through 1 i)
c Media advertisements
d Mailings to members legislators or the pUblic ~~---+--------------
e Publications or published or broadcast statements
f Grants to other organizations for lobbying purposes
9 Direct contact with legislators their staffs government ofFicials or a legislative body
h Rallies demonstrations seminars conventions speeches lectures or any similar means
i Other activities ~~~~--------
j Total Add lines 1c through 1 i ~lli~J~i01 ~2iJn
I----t---- shy
2 a Did the activities in line 1 cause the organization to be not described in section 501 (c)(3)
b If Yes enter the amount of any tax incurred under section 4912
c If Yes enter the amount of any tax incurred by organization managers under section 4912
d If the filing organization incurred a section 4912 tax did it file Form 4720 for this year
Complete if ization is exempt under section 501 (c)(4) section 501 (c)(5) or section 501
Were substantially all (90 or more) dues received nondeductible by members 1----+---1---shy
2 Did the organization make only inmiddothouse lobbying expenditures of $2000 or less f----j----j--- shy
3 Did the organization agree to carryover lobbying and political from the prior year
Complete if the organization is exempt under section 501 (c)(4) section 501 (c)(5) or section 501 (c) (6) and if either (a) BOTH Part III-A lines 1 and 2 are answered No OR (b) Part III-A line 3 is answered Yes
Dues assessments and similar amounts from members
2 Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid)
a Current year
b Carryover from last year
c Total
3 Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues
4 If notices were sent and the amount on line 2c exceeds the amount on line 3 what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year
I---~--------------5 Taxable amount of lobbying and political expenditures (see instructions)
Complete this part to provide the descriptions required for Part ImiddotA line 1 Part ImiddotB line 4 Part Imiddote line 5 Part IImiddotA (affiliated group list) Part IImiddotA line 2 and Part IImiddotB line 1 Also complete this part for any additional information
TEEA32031 OliO
Scheciu1e
-----------------
OMB I~o 1545-0047 SCHEDULE D (Form 990) Supplemental Financial Statements 2012
~ Complete if the organization answered Yes to Form 990 Part IV lines 6 7 8 9 10 l1a 11 b 1lc l1d l1e l1f 12a or 12b
~ Attach to Form 990 ~ See instructions
(a) Donor advised funds
1 Total number at end of year
2 Aggregate contributions to (during year
3 Aggregate grants from (during year) 4 Aggregate value at end of year
S Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organizations property subject to the organizations exclusive legal control DYes
6 Did the organization inform all grantees donors and donor advisors in writing that grant funds can be used only
impermissible private benefit for charitable purposes and not for the benefit of the donor or donor advisor or for any other purpose conferring
No
(b) Funds and other accounts
Purpose(s) of conservation easements held by the organization (check all that apply)
Preservation of land for public use (eg recreation or education) D Preservation of an historically important land area
Protection of natural habitat D Preservation of a certified historic structure
Preservation of open space ~
2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the iast day of the tax year
a Total number of conservation easements
b Total acreage restricted by conservation easements
c Number of conservation easements on a certified historic structure included in (a)
d Number of conservation easements included in (c) acquired after 81706 and not on a historic structure listed in the National Register 2 dL-__L-_________________________
3 Number of conservation easements modified transferred released extinguished or terminated by the organization during the tax year Igt
4 Number of states where property subject to conservation easement is located Igt
S Does the organization have a written policy regarding the periodic monitoring inspection handling of violations and enforcement of the conservation easements it holds DYes
6 Staff and volunteer hours devoted to monitoring inspecting and enforcing conservation easements during the year Igt
7 Amount of expenses incurred in monitoring inspecting and enforcing conservation easements during the year 1gt$
8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(8)(i) and section 170(h)(4)(8)(ii) DYes
9 In Part XIII describe how the organization reports conservation easements in its revenue and expense statement and balance sheet and include if applicable the text of the footnote to the organizations financial statements that describes the organizations accounting for conservation easements
tf~rtiml Organizations Maintaining Collections of Art Historical Treasures or Other Similar Assets Complete if the organization answered Yes to Form 990 Part IV line 8
1 a If the organization elected as permitted under SFAS 116 (ASC 958) 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 XIII the text of the footnote to its financial statements that describes these items
b If the organization elected as permitted under SFAS 116 (ASe 958) 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 VI I line 1 ~$
(ii) Assets included in Form 990 Part X 11gt-$
2 If the organization received or held works of art histOrical treasures or other similar assets for financial gaill provide the following amounts required to be reported under SFAS 116 (ASe 958) relating to these items
11gt-$ -~~-------
$ BAA For Paperwork Reduction Act Notice the Instructions for Form 990 991l) CJ12
~--~-------------------------
-----------------------------------------------
-------
e2
3 Using the organizations acquisition accession and other records check any of the following that are a significant use of its collection items (check all that apply)
a sectPublic exhibition d BLoan or exchange programs b Scholarly research e Other
c Preservation for future generations
4 Provide a description of the organizations collections and explain how they further the organizations exempt purpose in Part XIII
5 During the year did the organization solicit or receive donations of art historical treasures or other similar assets D to be sold to raise funds rather than to be maintained as part of the organizations collection Yes
IRal~IYRI Escrow and Custodial Arrangemel1ts Complete if the organization answered Yes to Form 990 Part IV line 9 or reported an amount on Form 990 Part X line 21
1 a ~nt~~r~g~~~~~r~ ~~ ~~~~t~ trus~e~ ~u~t~~i~~ or ot~er int~~~~~~~~~ ~o~contnbu~i~~~ ~r ~~e~ ass~ts n~i~cI~~~d DYes
b If Yes explain the arrangement in Part XIII and complete the following table
Amount
c Beginning balance 1 c d Additions during the year d
e Distributions during the year 1 e f Ending balance 1f
2a Did the organization include an amount on Form 990 Part X line 21 UYes NOb If Yes explain the arrangement in Part XIII Check here if the explantion has been provided in Part Xlll D
fBaIM~1 Endowment Funds Complete if the or~anization answered Yes to Form 990 Part IV line 10 (a) Current (b) Prior year (e) Two years (d) Three years (e) Four years
1 a Beginning of year balance
b Contributions
c Net investment earnings gains and losses
d Grants or scholarships
e Other expenditures for facilities and programs
f Administrative expenses
9 End of year balance
2 PrOVide the estimated percentage of the current year end balance (line 1 g column (araquo held as
a Board designated or quasi-endowment b Permanent endowment c Temporarily restricted endowment
The percentages in lines 2a 2b and 2c should equal 10000
3 a Are there endowment funds not in the possession of the organization that are held and administered for the organization by Yes No (i) unrelated organizations 3a(i)
(ii) related organiZations 3a(ii)
b If Yes to 3a(ii) are the related organizations listed as required on Schedule R 3b I 4 Describe in Part XIII the intended uses of the organizations endowment funds
1 a Land
b Buildings
c Leasehold improvements
d Equipment
e Other
Total Add lines 1 a
BAA
(d) Book value
TEEt3302L 06e71 i 2
-------------------------
of security or rfpnlrl
name of secu (1) Financial derivatives
94-2460211
uation Cost or rket value
Page 3
~------------~--------------------------------------(2) Closely-held equity interests
~------------~--------------------------------------(3) Other ______________________ +----------f--------------------shyi~ __________________________1---_______-+____________________ (8)
iq __________________________~-----~---------------------------iD1_ - - - - - - - - - - - - - - - - - - - - - - -- -f------------+-------------------------------shy(E)- - - - - - - - - - - - - - - - - - - - - - - - - - - - ~-------------I---------------------------------------~~--------------------------f__----------+_-------------------------------iGl ______ -- _________ - _ - - - __ - - -f__----------l-----------------------------shy(H)- - - - - - - - - - - - - - - - - - - - - - - - - - - -- ~-------------+---------------------------------------J~ _____________________ _
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10) ----shy
(11)
Total (Column (b) must equal Form 990 Part X column (8) line 25) 2 FIN 48 CASe 740) Footnote In Part XIII provide the text of the footnote to the organizations financial statements that reports the organizations liability for uncertain tax positions under FIN 48 (ASe 740) Cherv here If the text of the footnote has been provided 11 Part XIII LJ BAA ____~_~__O~_ ~-~-~~~~--~~~-- --~T~-~middotA3303L- 122312 -- gt--~~-- Schedule 0 (Form 990) 2012
Page 4
2 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 XIII)
e Add lines 2a through 2d
3 Subtract line 2e from line 1 4 Amounts included on Form 990 Part VIII line 12 but not on line 1
a Investment expenses not included on Form 990 Part VIII line 7b
b Other (Describe in Part XII I)
c Add lines 4a and 4b
5 Total revenue Add lines 3 and 4c (This must equal Form 990 Part I line 72)
Total expenses and losses per audited financial statements
2 Amounts included on line 1 but not on Form 990 Part IX line 25
a Donated services and use of facilities 13 244 b Prior year adjustments c Other losses
d Other (Describe in Part XIII)
e Add lines 2a through 2d 3 Subtract line 2e from line 1
4 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 XIII) c Add lines 4a and 4b
must equal Form 990 Part I line 78)
Complete this part to provide the descriptions required for Part II lines 3 5 and 9 Part III lines 1a and 4 Part IV lines 1b and 2b Part V line 4 Part X line 2 Part XI lines 2d and 4b and Part XII lines 2d and 4b Also complete this part to provide any additional information
BAA Schedule 0 (Form 990) 2012
fEEA3304L 1
OMS No 1545middot0047
SCHEDULE G Supplemental Information Regarding (Form 990 or 990-EZ) Fundraising or Gaming Activities 2012
Complete if the organization answered Yes to Form 990 Part IV lines 17 18 or 19 or if the organization entered more than $15000 on Form 990-EZ line 6aDepartment of the Treasury
Internal Revenue Service ~ Attach to Form 990 or Form 990-EZ ~ See separate instructions
Name of Employer
94-2460211 InnInn ACtlVlllles Complete if the organization
___-c---cFo_r_m--- ~ filers are not required to complete this part
Indicate whether the organization raised funds through any of the following activities Check all that apply
a DMail solicitations e DSolicitation of non-government grants
b D Internet and email solicitations f DSolicitation of government grants
c D Phone solicitations g D Special fundraising events
d D Inmiddotperson solicitations
2 a 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 DYes ~No
b If Yes list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fund raiser is to be compensated at least $5000 by the organization
(i) Name and address of individual or entity (fund raiser)
(ii) Activity (iii) Did fund raiser have custod6or control
of contri utions
(iv) Gross receipts from activity
(v) Amount paid to (or retained by)
fundraiser listed in
(vi) Amount paid to (or retained by)
organization column (i)
Yes No
1
-- shy2
3 I
4 -----~--------
5
6
7 -__----shy
8
9
10
Total O bull -
3 List all states In which the organization IS reglslered or licensed to SOliCit contributions or has been notified It IS exempt from registration or licensing
- --~---~---~-- ~-~--~-~--~-~~-- ---
BAA for Paperwork Reduction Act Notice see the Instructions Form 990 or 990-EL Schedule G (runn 990 or 990-EZ) 2012 TEEA3701L 01107113
--
------
Schedule G (Form 990 or 990-EZ) 2012 Commun Br 94-2460211 Page 2
Fun ng Events Complete if the organization answered Yes to Form 990 Part IV ine 18 or reported more than $15000 of fundraising event contributions and gross income on Form 990-EZ lines 1 and 6b List events with gross receipts greater than $5000
(a) Event 1 (b) Event 2 (c) Other events (d) Total events (add column (a)
Italian Affair None through column (craquoR (event type) (event type) (total number) E V E N 1 Gross receipts 20186 20186 U E
2 Less Charitable contributions
3 Gross income (line 1 minus line 2) 20186 20186
4 Cash prizes
5 Noncash prizes D
R I
6 Rentfacility costs E C T 7 Food and beverages 5391 539l E x p 8 Entertainment E
N s 9 Other direct expenses 5822 5822E S
10 Direct expense summary Add lines 4 through 9 in column (d) 11213 11 Net income summary Combine line 3 column (d) and line 1 Q 8973
[Pifllll Gaming Complete if the o~ganization answered Yes to Form 990 Part IV line 19 or reported more than
(a) Bingo (b) Pull tabsllnstant (c) Other gaming (d) Total gaming R E bingoprogressive (add column (a) V bingo through column (eraquo E N U E Gross revenue
2 Cash prizes ~------------4---------------+--------------~--------------E
D X I P 3 Non-cash prizes R E E N C S T E
S 4 Rentfacility costs
5 Other direct expenses
Yes Yes Yes 6 Volunteer labor No No No
7 Direct expense summary Add lines 2 through 5 in column (d)
8 Net gaming income summary Combine lines 1 column (d) and line 7
9 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 0 Yes
b If No explain
lOa Were any of the organizations gaming licenses revoked suspended or terminated during the tax year 0 Yes b If Yes explain
BAA TFJ3]02L 010713 ScheclJle G (F (JIm 990 or 990 2012
------------
-----------
Schedule G (Form 990 or 990-EZ) 2012 Community Bridges 94-2460211 Page 3 11 Does the organization operate gaming activities with nonmembers DYes 12 Is the organization a grantor beneficiary or trustee of a trust or a member of a partnership or other entity formed to
administer charitable gaming DYes 13 Indicate the percentage of gaming activity operated in
a The organizations facility 13a ~13-b~------------~~b An outside facility
14 Enter the name and address of the person who prepares the organizations gamingspecial events books and records
Name
Address
15a Does the organization have a contact with a third party from whom the organization receives gaming revenue DYes b If Yes enter the amount of gaming revenue received by the organization $ and the amount
of gaming revenue retained by the third party $ c If Yes enter name and address of the third party
Name ---------------------------------------------~-----l
I Address I
16 Gaming manager information
Name
Gaming manager compensation $
Description of services provided
D Directorofficer DEmployee D independent contractor
17 Mandatory distributions
a Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the ~~egaminglicense ___________________________________________________________________ D~s ~No
b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the
organizations own exempt activities during the tax year $ lean~IlUI Supplemental Information Complete this part to provide the explanations required by Igtart I line 2b
columns (iii) and (v) and Part III lines 9 9b 1 ~b 15b 15c 16 and 17b as applicable Also complete this part to provide any additional information (see instructions)
----------------------- -------------------- ------ ----------------------------- __--shy
_ ---_ --------------- ---------------- ----- shy
BAA TEEA3703L 010113 Schedule G (Form 990 or 990middotEZ) 2012
--------------------------------------------------------- ---------
OMB No 1545-0047SCHEDULE 0 Supplemental Information to Form 990 or 990middotEZ (Form 990 or 990-EZ)
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information
Department of the Treasury ~ Attach to Form 990 or 990-EZInternal Revenue Service
Name of the
94-2460211
health care 4112-63012
BAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990-EZ TFEIA)IJIL 12812 Schedule 0 (Forrn 990 or 2012
Schedule 0 (Form 990 or 990-EZ) 2012 Page 2 Name of the organization Employer Identification number
Community Bridges 94-2460211
~ ~~Oy~~sjg1~~ge~~~e~~~~~ ~~~ ~ ~ ~~ ~~ ~_ ~~ ~ ~ ~~~~~~~ ~ ~ ~ ~ ~ ~~~~ ~ ~ ~~ ~ ~~~~~ ~ ~ ~ ~ _
Schedule (Form 990 or
TEEA4902L
2012
2012 Schedule 0 bull Supplemental Information Page 1
Community Bridges 94-2460211
Form 990 Part XI Line 9 Other Changes In Net Assets Or Fund Balances
Depreciation Grant Funded Assets $ -140124 Familia Net Assets 82104
Total $ -58020========
-------------------
OMS No 1545-0047
SCHEDULE R (Form 990) Related Organizations and Unrelated Partnerships 2012
Complete if the organization answered Yes to Fonn 990 Part IV line 33343536 or 37DqJ21rTrrent of the Treasury Internal Revenue Service Attach to Form 990 ~ See separate instructions Name of the organization
s 94-2460211Commu
rp~ Identification of Disregarded Entities (Complete if the organization answered Yes to Form 990 Part
(a) (b) (c) (e) (f) iiame address and EIN (if applicable) of disregarded entity Primary activity Legal domicile (state End-of-year assets Direct controlling
or foreiqn country) entity
=== === =_===== =_ ===== == ===__1 1-- -- -=-=1 TI ~~
FPafIIldentification 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)
(a) Name address and EIN of related organization
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Exempt Code
section
(e) Public charity status (if section 501 (c) (3raquo)
(f) Direct controlling
entity
(g)Sec 512(b)(13)
controlled entity
Yes No (1) FAMILIA CENTER
236SANTA-rnUZAVE----------- shy------------------------- shyAPTOS CA 95003770071589 - - shy - - - -- shy - - - -- shy - - shy BILINGUAL FAMILY
SERVICES CA I
501(C)3 PUBLIC
CHARITY COMMUNITY
BRIDGES X
---------------------- shy_shy --shy --------------------- shy - shy - -- -- shy - - shy - - shy - - - - - - - - - - - - - - -
- --
----------~--------------
-shy - shy --------------------- shy
-shy - shy - shy - shy shy -shy - - ---------------- shy- c--- shy
- - -- --- -- - - - - --- - - - - - - - - - - - - shy
- - -- - shy
- -- - --------------------- shy -=r_ I _ __ I
~-- I ------- - -- ----- --- --
BAt For Paperwork Reduction Act Notice see the Instructions for Form 990 TEEA5001 L 122812 Schedule R (Form 990) 2012
- -- ------
----- -
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 2
re~rtUI Iidentific~tion of Related Organizations T~xable 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)
me oddltl od EIN of I PIm~~cttyrelated organization
-+shy----shy
-_--shy -- -shy ~
(c) Legal
domicile (state or foreign country)
(d) Direct
controlling entity
(e) Predominant income (related unrelated excluded from tax
under sections 512-514)
(f) Share of total
income
(g) Share of
end-of-year assets
(h) Disproporshy
tionate allocations
Yes No
(i) Code V-UBI
amount in box 20 of Schedule
K-1 (Form 1065)
(j) General or managing partner
Yes No
(k) Percentage ownership
shy -shy --shy --shy -shy
-shy -__shy ---shy -shy
_ _ _____ ___ J~
-- -- -- - - - -- - -- shy
-
--T~ --=~ -- ~~==~=-
I
IPaHJVl Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered Yes to Form 990 Part IV L----_-l line 34 because it had one or more related organizations treated as a corporation or trust during the tax year)
(a) (b) I (c) (d) (e) I (f) (g) (h) I (i)iiame address and EIN of related organization Primary activity Legal domicile Direct Type of entity Share of Share of end-of- Percentage Sec S12(b)(13)
(state or foreign controlling (C corp S corp total income year assets ownership controlled entitycountry) entity or trust)
Yes I No
- - - - - - - - - -- - - - - - -- --I --------------------4
--==========1------~--------------~------------~------------~------------~--------------~--------------~--------~I----~------TEEA5002L 1228112 Schedule R (Form 990) 2012
---------
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 3
i])~ Transactions With Related Organizations (Complete if the organization answered Yes to Form 990 Part IV line 34 35b or 36)
Note Complete line 1 if any entity is listed in Parts II III or IV of this schedule During the lax year did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity b Gift grant or capital contribution to related organization(s)
Gift grant or capital contribution from related organization(s)
d Loans or loan guarantees to or for related organization(s)
e Loans or loan guarantees by related organization(s)
Dividends from related organization(s) 9 Sale of assets to related organization(s)
h Purchase of assets from related organization(s)
Exchange of assets with related organization(s)
Lease c[racilities equipment or other assets to related organization(s)
Lease of facilities equipment or other assets from related organization(s)
Performance of services or membership or fundraising solicitations for related organization(s)
Ferformance of services or membership or fundraising solicitations by related organization(s)
Sharing of facilities equipment mailing lists or other assets with related organization(s)
o Sharing of paid employees with related organization(s)
Reimbursement paid to related organization(s) for expenses
q Reimbursement paid by related organization(s) for expenses
r Other transfer of cash or property to related organization(s
5 Other transfer of cash or property from related organization(s)
If the answer to any of the above is Yes see the instructions for information on who must complete this line including covered relationships and transaction thresholds
(b) (c)N f h(a) d (2 lame 0 ot er organization Transaction Amount involved Metho of etermlnlng --~
type (a-s) amount involved
(1)
(2)
ltd ~ ~J
I I I
(5) ------------shy
(6) ~---------------------------------------------------------------------------~--------------~--------~~~~--~--~~~
TEEIS003L 1228112 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 4
e~~I1 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) I (b) (c) (d) (e) (f) (g) (h) (i) (j) I (k)Jame address and EIN of entity Primary activity Legal domicile Predominant Are all partners Share of Share of Dispropor- Code V-UBI General or Percentage
(state or foreign income section total income end-of-year tionate amount in box managing ownership country) (related unre- 501 (c)(3) assets allocations 20 of Schedule partner
lated excluded organizations i K- 1 from tax under ~---c--- Form (1065)
section 512-514) Yes I No Yes No Yes No----+----1
- --==~ ~ ~ ====== ~ I ~ --I------+--+----t--shy
(3)
--------------1
(6)
-____ __~__ - I I I SAl TEEAS004L 122812 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Page 5 _ Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions)
-r- I - lt-j005L middot22312 Schedule R (Forni
OMB No 1545-0047
SCHEDULE A Public Charity Status and Public Support (Form 990 or 990-EZ) 2012
Complete if the organization is a section 501 (c)(3) organization or a section 4947(a)(1) nonexempt charitable trust
Department of the Treasury Internal Revenue Service ~ Attach to Form 990 or Form 990-EZ ~ See separate instructions
2
3 4
~ A church convention of churches or association of churches described in section 170(bX1XAXi)
A school described in section 170(bX1)(AXii) (Attach Schedule E)
A hospital or a cooperative hospital service organization described in section 170(bX1XA)(iii)
A medical research organization operated in conjunction with a hospital described in section 170(bXl)(AXiii)- Enter the hospitals
name city and state
5 An organization operatedfOr thebenefit Of acollege oruniversh-Y owned or operated bya-governmentalunltdescribed in sectiOn - - - - - - shyD 170(bX1XAXiv) (Complete Part II)
6 A federal state or local government or governmental unit described in section 170(b)(1)(AXv) R7 X 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)(1XAXvi) (Complete Part II)
8 D A community trust described in section 170(bX1XAXvi) (Complete Part II)
9 D An organization that normally receives (1) more than 33-13 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 33-13 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)
10 An organization organized and operated exclusively to test for public safety See section 509(aX4) R11 An organization organized and operated exclusively for the benefit of to perform the functions of or carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2) See section 509(aX3) Check the box that describes the type of supporting organization and complete lines 11 e through 11 h
a DType I b DType II c D Type III - Functionally integrated d D Type III - Non-functionally integrated
e D 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 is a Type I Type II or Type III supporting organization check this box D
9 Since August 172006 has the organization accepted any gift or contribution from any of the following persons
I Yes No (i) A person who directly or indirectly controls either alone or together with persons described in (ii) and (iii)
below the governing body of the supported organization 11 g (i) ~-----r---+---shy
(ii) A family member of a person described in (i) above 11 9 (ii)
(iii) A 35 controlled entity of a person described in (i) or (ii) above 11 g (iii) h Provide the following information about the supported organization(s)
(i) Name of supported organization
(ii) EIN (iii) Type of organization (described on lines 1-9
(iv) Is the organization in
(v) Di d you notify the organization in
(vi) Is the organization in
(vii) Amount of monetary support
above or IRe section column (i) listed in column (i) of your column (i) (see instructionsraquo your governing
document support organized in the
US
(A)
(8)
(C)
(D)
(E)
Total
For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990-EZ
I EEA040 Il_
Schedule A (Form 990 or 990-EZ) 2012 Community Bridges 94-2460211 Page 2
_Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5 7 or 8 of Part I or if the organization failed to qualify under Part III If the organization fails to qualify under the tests listed below please complete Part III)
Section A Public Su rt Calendar year (or fiscal year beginning in) ~ (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts grants contributions and membership fees received ltpo not include any unusual grants ) 11700497 12531538 11914396 13085089 12897266 62 128 786
2 Tax revenues levied for the organizations benefit and either paid to or expended on its behalf o
3 The value of services or facilities furnished by a governmental unit to the organization without charge
4 Total Add lines 1 through 3 5 The portion of total
contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2 of the amount shown on line 11 column (f) o
6 786
Calendar year (or fiscal year beginning in) ~
7 Amounts from line 4
8 Gross income from interest dividends payments received on securities loans rents royalties and income from similar sources 7 754 3 403 5 421 244 51 392 68 214
9 Net income from unrelated business activities whether or not the business is regularly carried on o
10 Other income Do not include gain or loss from the sale of capital aS~~Se(Ep~fie irrV
13 First five years If the Form 990 is for the organizations first second third fourth or fifth tax year as a section 501 (c) (3) organization check this box and stop here ~ D
Section C Computation of Public Support Percentage 14 Public support percentage for 2012 (line 6 column (f) divided by line 11 column (f)) 9892 15 Public support percentage from 2011 Schedule A Part II line 14 9886
16a 33-13 support test - 2012 If the organization did not check the box on line 13 and the line 14 is 33-13 or more check this box and stop here The organization qualifies as a publicly supported organization ~ ~
b 33-13 support test - 2011 If the organization did not check a box on line 13 or 16a and line 15 is 33-13 or more check this box and stop here The organization qualifies as a publicly supported organization ~ D
17 a 1 O-facts-and-circumstances test - 2012 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-andmiddot circumstances test check this box and stop here Explain in Part IV how the organization meets the factsmiddotand-circumstances test The organization qualifies as a publicly supported organization ~ lJ
Part IV)
11 rh~~aJ9shu~8~~ ~dd Iin~s
612 273
12 Gross receipts from related activities etc (see instructions) L-__~~~~~~~
b 1 O-facts-and-circumstances test - 2011 If the organization did not check a box on line 13 16a 16b or 17a and line 15 is 10 or more and if the organization meets the facts-and-circumstances test check this box and stop here Explain in Part IV how the 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 o( l7b check this box and see instructions
Schedule A (rorm 990 or 990middot[2) 202
~EEA0402L 080912
Section A Public rt Calendar year (or fiscal yr beginning in)
1 Gifts grants contributions
Schedule A (Form 990 or 990middotEZ) 2012 Communi Br s 94-2460211 3 Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II If the organization fails to qualify under the tests listed below please complete Part II)
and membership fees received (Do not include any unusual grants)
2 Gross receipts from admisshysions merchandise sold or services performed or facilities furnished in any activity that is related to the organizations taxmiddotexempt purpose
3 Gross receipts from activities that are not an unrelated trade or business under section 513
4 Tax revenues levied for the organizations benefit and either paid to or expended on its behalf
5 The value of services or facilities furnished by a governmental unit to the organization without charge
6 Total Add lines 1 through 5 7 a Amounts included on lines 1
2 and 3 received from disqualified persons
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5000 or 1 of the amount on line 13 for the year
c Add lines 7a and 7b
8
Calendar year (or fiscal yr beginning in) (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (I) Total
9 Amounts from line 6 10 a Gross income from interest
dividends payments received on securities loans rents royalties and income from similar sources
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30 1975
c Add lines lOa and 1 Db Net income from unrelated business
activities not included in line lOb whether or not the business is regularly carried on
12 Other income Do not include gain or loss from the sale of capital assets (Explain in Part IV)
13 Total support (Add Ins9 10c 11 and 12) ~~~____~~~~____~~__~__-L__________ __~~~~~__~
14 First five years If the Form 990 is for the organizations first second third fourth or fifth tax year as a section 501 (c)(3)organization check this box and stop here
Section C Computation of Public Support Percentage shy15 Public support percentage for 2012 (line 8 column (I) divided by line 13 column (I)) 16 Public support percentage from 2011 Schedule A Part III line 15
Section D Computation of Investment Income Percentage 17 Investment income percentage for 2012 (line 10c column (I) divided by line 13 column (I)) 17
18 Investment income percentage from 2011 Schedule A Part III line 17 18 19a 33-13 support tests - 2012 If the organization did not check the box on IIn8 14 and line 15 is more than 33-13 and line 17
is not more than 33-13 check this box and stop here The organization qualifies as a publicly supported organization
b 33-13 support tests - 2011 If the organization did not check a box on line 14 or line 19a and line 16 is more than 33-13 and line 18 is not mOIe than 33-13 check this box and stop here The organization qualifies as a publicly supported organization
20 Private foundation If the organization did not check hox Orl line 14 19a or 19b check box and see instructions ~H -----o------~--- ------
BAA NJ403L 080912 Schedule A (Form 990 or 99QZ) 2012
4 Schedule A (Form 990 or 990-EZ) 2012 Communi s 94-2460211 Supplemental Information Complete this part to provide the explanations required by Part II line 10 Part II line 17a or 17b and Part III line 12 Also complete this part for any additional information (See instructions)
___~P~~t1~cJ~Cule_~dJltli9~lt ~~~lelTI_e~U~f9l1aiQf _______________________________ _
_ _cLeID1tu_g1_lzgti_ol)-PSlYlJ1~nL _ _ _ _ _ _ _ _ _ _ _ _ ________________________________ _
BAA
081012
2012 Schedule A Part IV - Supplemental Information PageS
Community Bridges 94-2460211
Part II Line 10 - Other Income
Nature and Source 2012 2011 2010 2009 2008
Other Income Total
$ 108645 $ 108645
$ 36333 $ 36333
$ 130009 $ 130009
$ 169710 $ 169710
$ $
167576 167576
------
---------------
OMB No 1545middot0047SCHEDULE C Political Campaign and Lobbying Activities (Form 990 or 990-EZ)
For Organizations Exempt From Income Tax Under section 501 (c) and section 527 2012 Complete if the organization is described below Attach to Form 990 or Form 990-EZ
Department of the Treasury Internal Revenue Service See separate instructions
If the organization answered Yes to Form 990 Part IV line 3 or Form 990-EZ Part V line 46 (Political Campaign Activities) then bull Section 501 (c)(3) organizations Complete Parts I-A and B Do not complete Part I-C bull Section 501 (c) (other than section 501 (c)(3raquo) organizations Complete Parts I-A and C below Do not complete Part I-B bull Section 527 organizations Complete Part I-A only
If the organization answered Yes to Form 990 Part IV line 4 or Form 990-EZ Part VI line 47 (Lobbying Activities) then bull Section 501 (c) (3) organizations that have filed Form 5768 (election under section 501 (h)) Complete Part II-A Do not complete Part II-B
bull Section 501 (c) (3) organizations that have NOT filed Form 5768 (election under section 501 (h)) Complete Part II-B Do not complete Part II-A
If the organization answered Yes to Form 990 Part IV line 5 (Proxy Tax) or Form 990-EZ Part V line 35a (Proxy Tax) then bull Section 501 (c)(4) (5) or (6) organizations Complete Part III
See Part IV 2 3 Volunteer hours bull w Complete if the organization is exempt under section 501 (c)(3) 1 Enter the amount of any excise tax incurred by the organization under section 4955
2 Enter the amount of any excise tax incurred by organization managers under section 4955
3 If the organization incurred a section 4955 tax did it file Form 4720 for this year DYes
4a Was a correction made middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotDYes b If Yes describe in Part IV
II~~~~~~~~~~~~--~~~~~~~--~~---------2 Enter the amount of the filing organizations funds contributed to other organizations for section 527 exempt
function activities $
3 Total exempt function expenditures Add lines 1 and 2 Enter here and on Form 1120-POL line 17b ~ $
4 Did the filing organization file Form 1120-POL for this year DYes
5 Enter the names addresses and employer identification number (EIN) of all section 527 political organizations to which the filing organization made payments For each organization listed enter the amount paid from the filing organizations funds Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization such as a separate segregated fund or a political action committee (PAC) If additional space is needed provide information in Part IV
(a) Name (b) Address (e) EIN (d) Amount paid from filing (e) Amount of political organizations funds If contributions received and
none enter-Omiddot promptly and directly delivered to a separate political organization If
none enter -0middot
(1) ~---------------~---
(2) ~------
(3) ~-
(4)
~~)~~~~~--~~~~--~-~---~~-~---~~~~~~~-~_-_~~~~-----~~~~~~-~~~~~~~~~~-~~~~~-~---------_-_--f------c_~~~_-middot_J_L~~--------+---~ -~ -shyBAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990middotEZ Schedule C (Form 990 or 990middotEZ) 2012
TEEA320 I L 217112
----
Schedule C(Form 990 or 990-EZ) 2012 Communi Bri s 4-2460211 Page 2
Complete if the organization is exempt under section 501 (c)(3) and filed Form 5768 (election under section 501 (hraquo
A Check ~ 0 if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group members name
address EIN expenses and share of excess lobbying expenditures)
B Check ~ 0 if the filing organization checked box A and limited control provisions apply
Limits on Lobbying Expenditures (a) Filing (b) Affiliated organizations totals group totals (The term expenditures means amounts paid or incurred)
1 a Total lobbying expenditures to influence public opinion (grass roots lobbying)
b Total lobbying expenditures to influen_ce a legislative body (direct lobbying)
c Total lobbying expenditures (add lines 1a and 1b)
d Other exempt purpose expenditures
e Total exempt purpose expenditures (add lines 1c and 1d)
f Lobbying nontaxable amount Enter the amount from the following table in both columns
g Grassroots nontaxable amount (enter 25 of line 1f)
h Subtract line 1g from line 1a If zero or less enter -0-
Subtract line 1f from line 1c If zero or less enter -0-
If there is an amount other than zero on either line 1h or line 1i did the organization file Form 4720 reporting section 4911 tax for this year DYes 0No
4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501 (h) election do not have to complete all of the five
columns below See the instructions for lines 2a through 2f)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total year beginning in)
13l7 524
2a Lobbying non-taxable amount 3 513 393
b Lobbying ceiling amount (150 of line 2a column (eraquo 5 270 090
c Total lobbying enditures 18 425
d Grassroots nontaxable amount 878 349
e Grassroots ceiling amount (150 of line 2d column
f Grassroots lobbying expenditures o
BAA Schedule C (Form 990 or 990-EZ) 2012
-EEA3202L 010713
3 Schedule C(Form 990 or 2012 Bri 94-2460211 Complete if the organization is exempt under se as NOT filed Form 5768 (election under section 501 (hraquo
For each Yesresponse to lines 7a through Ii below provide in Part IVa detailed description of the lobbying activity
During the year did the filing organization attempt to influence foreign national state or local legislation including any attempt to influence public opinion on a legislative matter or referendum through the use of
a Volunteers
b Paid staff or management (include compensation in expenses reported on lines 1 c through 1 i)
c Media advertisements
d Mailings to members legislators or the pUblic ~~---+--------------
e Publications or published or broadcast statements
f Grants to other organizations for lobbying purposes
9 Direct contact with legislators their staffs government ofFicials or a legislative body
h Rallies demonstrations seminars conventions speeches lectures or any similar means
i Other activities ~~~~--------
j Total Add lines 1c through 1 i ~lli~J~i01 ~2iJn
I----t---- shy
2 a Did the activities in line 1 cause the organization to be not described in section 501 (c)(3)
b If Yes enter the amount of any tax incurred under section 4912
c If Yes enter the amount of any tax incurred by organization managers under section 4912
d If the filing organization incurred a section 4912 tax did it file Form 4720 for this year
Complete if ization is exempt under section 501 (c)(4) section 501 (c)(5) or section 501
Were substantially all (90 or more) dues received nondeductible by members 1----+---1---shy
2 Did the organization make only inmiddothouse lobbying expenditures of $2000 or less f----j----j--- shy
3 Did the organization agree to carryover lobbying and political from the prior year
Complete if the organization is exempt under section 501 (c)(4) section 501 (c)(5) or section 501 (c) (6) and if either (a) BOTH Part III-A lines 1 and 2 are answered No OR (b) Part III-A line 3 is answered Yes
Dues assessments and similar amounts from members
2 Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid)
a Current year
b Carryover from last year
c Total
3 Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues
4 If notices were sent and the amount on line 2c exceeds the amount on line 3 what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year
I---~--------------5 Taxable amount of lobbying and political expenditures (see instructions)
Complete this part to provide the descriptions required for Part ImiddotA line 1 Part ImiddotB line 4 Part Imiddote line 5 Part IImiddotA (affiliated group list) Part IImiddotA line 2 and Part IImiddotB line 1 Also complete this part for any additional information
TEEA32031 OliO
Scheciu1e
-----------------
OMB I~o 1545-0047 SCHEDULE D (Form 990) Supplemental Financial Statements 2012
~ Complete if the organization answered Yes to Form 990 Part IV lines 6 7 8 9 10 l1a 11 b 1lc l1d l1e l1f 12a or 12b
~ Attach to Form 990 ~ See instructions
(a) Donor advised funds
1 Total number at end of year
2 Aggregate contributions to (during year
3 Aggregate grants from (during year) 4 Aggregate value at end of year
S Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organizations property subject to the organizations exclusive legal control DYes
6 Did the organization inform all grantees donors and donor advisors in writing that grant funds can be used only
impermissible private benefit for charitable purposes and not for the benefit of the donor or donor advisor or for any other purpose conferring
No
(b) Funds and other accounts
Purpose(s) of conservation easements held by the organization (check all that apply)
Preservation of land for public use (eg recreation or education) D Preservation of an historically important land area
Protection of natural habitat D Preservation of a certified historic structure
Preservation of open space ~
2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the iast day of the tax year
a Total number of conservation easements
b Total acreage restricted by conservation easements
c Number of conservation easements on a certified historic structure included in (a)
d Number of conservation easements included in (c) acquired after 81706 and not on a historic structure listed in the National Register 2 dL-__L-_________________________
3 Number of conservation easements modified transferred released extinguished or terminated by the organization during the tax year Igt
4 Number of states where property subject to conservation easement is located Igt
S Does the organization have a written policy regarding the periodic monitoring inspection handling of violations and enforcement of the conservation easements it holds DYes
6 Staff and volunteer hours devoted to monitoring inspecting and enforcing conservation easements during the year Igt
7 Amount of expenses incurred in monitoring inspecting and enforcing conservation easements during the year 1gt$
8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(8)(i) and section 170(h)(4)(8)(ii) DYes
9 In Part XIII describe how the organization reports conservation easements in its revenue and expense statement and balance sheet and include if applicable the text of the footnote to the organizations financial statements that describes the organizations accounting for conservation easements
tf~rtiml Organizations Maintaining Collections of Art Historical Treasures or Other Similar Assets Complete if the organization answered Yes to Form 990 Part IV line 8
1 a If the organization elected as permitted under SFAS 116 (ASC 958) 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 XIII the text of the footnote to its financial statements that describes these items
b If the organization elected as permitted under SFAS 116 (ASe 958) 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 VI I line 1 ~$
(ii) Assets included in Form 990 Part X 11gt-$
2 If the organization received or held works of art histOrical treasures or other similar assets for financial gaill provide the following amounts required to be reported under SFAS 116 (ASe 958) relating to these items
11gt-$ -~~-------
$ BAA For Paperwork Reduction Act Notice the Instructions for Form 990 991l) CJ12
~--~-------------------------
-----------------------------------------------
-------
e2
3 Using the organizations acquisition accession and other records check any of the following that are a significant use of its collection items (check all that apply)
a sectPublic exhibition d BLoan or exchange programs b Scholarly research e Other
c Preservation for future generations
4 Provide a description of the organizations collections and explain how they further the organizations exempt purpose in Part XIII
5 During the year did the organization solicit or receive donations of art historical treasures or other similar assets D to be sold to raise funds rather than to be maintained as part of the organizations collection Yes
IRal~IYRI Escrow and Custodial Arrangemel1ts Complete if the organization answered Yes to Form 990 Part IV line 9 or reported an amount on Form 990 Part X line 21
1 a ~nt~~r~g~~~~~r~ ~~ ~~~~t~ trus~e~ ~u~t~~i~~ or ot~er int~~~~~~~~~ ~o~contnbu~i~~~ ~r ~~e~ ass~ts n~i~cI~~~d DYes
b If Yes explain the arrangement in Part XIII and complete the following table
Amount
c Beginning balance 1 c d Additions during the year d
e Distributions during the year 1 e f Ending balance 1f
2a Did the organization include an amount on Form 990 Part X line 21 UYes NOb If Yes explain the arrangement in Part XIII Check here if the explantion has been provided in Part Xlll D
fBaIM~1 Endowment Funds Complete if the or~anization answered Yes to Form 990 Part IV line 10 (a) Current (b) Prior year (e) Two years (d) Three years (e) Four years
1 a Beginning of year balance
b Contributions
c Net investment earnings gains and losses
d Grants or scholarships
e Other expenditures for facilities and programs
f Administrative expenses
9 End of year balance
2 PrOVide the estimated percentage of the current year end balance (line 1 g column (araquo held as
a Board designated or quasi-endowment b Permanent endowment c Temporarily restricted endowment
The percentages in lines 2a 2b and 2c should equal 10000
3 a Are there endowment funds not in the possession of the organization that are held and administered for the organization by Yes No (i) unrelated organizations 3a(i)
(ii) related organiZations 3a(ii)
b If Yes to 3a(ii) are the related organizations listed as required on Schedule R 3b I 4 Describe in Part XIII the intended uses of the organizations endowment funds
1 a Land
b Buildings
c Leasehold improvements
d Equipment
e Other
Total Add lines 1 a
BAA
(d) Book value
TEEt3302L 06e71 i 2
-------------------------
of security or rfpnlrl
name of secu (1) Financial derivatives
94-2460211
uation Cost or rket value
Page 3
~------------~--------------------------------------(2) Closely-held equity interests
~------------~--------------------------------------(3) Other ______________________ +----------f--------------------shyi~ __________________________1---_______-+____________________ (8)
iq __________________________~-----~---------------------------iD1_ - - - - - - - - - - - - - - - - - - - - - - -- -f------------+-------------------------------shy(E)- - - - - - - - - - - - - - - - - - - - - - - - - - - - ~-------------I---------------------------------------~~--------------------------f__----------+_-------------------------------iGl ______ -- _________ - _ - - - __ - - -f__----------l-----------------------------shy(H)- - - - - - - - - - - - - - - - - - - - - - - - - - - -- ~-------------+---------------------------------------J~ _____________________ _
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10) ----shy
(11)
Total (Column (b) must equal Form 990 Part X column (8) line 25) 2 FIN 48 CASe 740) Footnote In Part XIII provide the text of the footnote to the organizations financial statements that reports the organizations liability for uncertain tax positions under FIN 48 (ASe 740) Cherv here If the text of the footnote has been provided 11 Part XIII LJ BAA ____~_~__O~_ ~-~-~~~~--~~~-- --~T~-~middotA3303L- 122312 -- gt--~~-- Schedule 0 (Form 990) 2012
Page 4
2 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 XIII)
e Add lines 2a through 2d
3 Subtract line 2e from line 1 4 Amounts included on Form 990 Part VIII line 12 but not on line 1
a Investment expenses not included on Form 990 Part VIII line 7b
b Other (Describe in Part XII I)
c Add lines 4a and 4b
5 Total revenue Add lines 3 and 4c (This must equal Form 990 Part I line 72)
Total expenses and losses per audited financial statements
2 Amounts included on line 1 but not on Form 990 Part IX line 25
a Donated services and use of facilities 13 244 b Prior year adjustments c Other losses
d Other (Describe in Part XIII)
e Add lines 2a through 2d 3 Subtract line 2e from line 1
4 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 XIII) c Add lines 4a and 4b
must equal Form 990 Part I line 78)
Complete this part to provide the descriptions required for Part II lines 3 5 and 9 Part III lines 1a and 4 Part IV lines 1b and 2b Part V line 4 Part X line 2 Part XI lines 2d and 4b and Part XII lines 2d and 4b Also complete this part to provide any additional information
BAA Schedule 0 (Form 990) 2012
fEEA3304L 1
OMS No 1545middot0047
SCHEDULE G Supplemental Information Regarding (Form 990 or 990-EZ) Fundraising or Gaming Activities 2012
Complete if the organization answered Yes to Form 990 Part IV lines 17 18 or 19 or if the organization entered more than $15000 on Form 990-EZ line 6aDepartment of the Treasury
Internal Revenue Service ~ Attach to Form 990 or Form 990-EZ ~ See separate instructions
Name of Employer
94-2460211 InnInn ACtlVlllles Complete if the organization
___-c---cFo_r_m--- ~ filers are not required to complete this part
Indicate whether the organization raised funds through any of the following activities Check all that apply
a DMail solicitations e DSolicitation of non-government grants
b D Internet and email solicitations f DSolicitation of government grants
c D Phone solicitations g D Special fundraising events
d D Inmiddotperson solicitations
2 a 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 DYes ~No
b If Yes list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fund raiser is to be compensated at least $5000 by the organization
(i) Name and address of individual or entity (fund raiser)
(ii) Activity (iii) Did fund raiser have custod6or control
of contri utions
(iv) Gross receipts from activity
(v) Amount paid to (or retained by)
fundraiser listed in
(vi) Amount paid to (or retained by)
organization column (i)
Yes No
1
-- shy2
3 I
4 -----~--------
5
6
7 -__----shy
8
9
10
Total O bull -
3 List all states In which the organization IS reglslered or licensed to SOliCit contributions or has been notified It IS exempt from registration or licensing
- --~---~---~-- ~-~--~-~--~-~~-- ---
BAA for Paperwork Reduction Act Notice see the Instructions Form 990 or 990-EL Schedule G (runn 990 or 990-EZ) 2012 TEEA3701L 01107113
--
------
Schedule G (Form 990 or 990-EZ) 2012 Commun Br 94-2460211 Page 2
Fun ng Events Complete if the organization answered Yes to Form 990 Part IV ine 18 or reported more than $15000 of fundraising event contributions and gross income on Form 990-EZ lines 1 and 6b List events with gross receipts greater than $5000
(a) Event 1 (b) Event 2 (c) Other events (d) Total events (add column (a)
Italian Affair None through column (craquoR (event type) (event type) (total number) E V E N 1 Gross receipts 20186 20186 U E
2 Less Charitable contributions
3 Gross income (line 1 minus line 2) 20186 20186
4 Cash prizes
5 Noncash prizes D
R I
6 Rentfacility costs E C T 7 Food and beverages 5391 539l E x p 8 Entertainment E
N s 9 Other direct expenses 5822 5822E S
10 Direct expense summary Add lines 4 through 9 in column (d) 11213 11 Net income summary Combine line 3 column (d) and line 1 Q 8973
[Pifllll Gaming Complete if the o~ganization answered Yes to Form 990 Part IV line 19 or reported more than
(a) Bingo (b) Pull tabsllnstant (c) Other gaming (d) Total gaming R E bingoprogressive (add column (a) V bingo through column (eraquo E N U E Gross revenue
2 Cash prizes ~------------4---------------+--------------~--------------E
D X I P 3 Non-cash prizes R E E N C S T E
S 4 Rentfacility costs
5 Other direct expenses
Yes Yes Yes 6 Volunteer labor No No No
7 Direct expense summary Add lines 2 through 5 in column (d)
8 Net gaming income summary Combine lines 1 column (d) and line 7
9 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 0 Yes
b If No explain
lOa Were any of the organizations gaming licenses revoked suspended or terminated during the tax year 0 Yes b If Yes explain
BAA TFJ3]02L 010713 ScheclJle G (F (JIm 990 or 990 2012
------------
-----------
Schedule G (Form 990 or 990-EZ) 2012 Community Bridges 94-2460211 Page 3 11 Does the organization operate gaming activities with nonmembers DYes 12 Is the organization a grantor beneficiary or trustee of a trust or a member of a partnership or other entity formed to
administer charitable gaming DYes 13 Indicate the percentage of gaming activity operated in
a The organizations facility 13a ~13-b~------------~~b An outside facility
14 Enter the name and address of the person who prepares the organizations gamingspecial events books and records
Name
Address
15a Does the organization have a contact with a third party from whom the organization receives gaming revenue DYes b If Yes enter the amount of gaming revenue received by the organization $ and the amount
of gaming revenue retained by the third party $ c If Yes enter name and address of the third party
Name ---------------------------------------------~-----l
I Address I
16 Gaming manager information
Name
Gaming manager compensation $
Description of services provided
D Directorofficer DEmployee D independent contractor
17 Mandatory distributions
a Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the ~~egaminglicense ___________________________________________________________________ D~s ~No
b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the
organizations own exempt activities during the tax year $ lean~IlUI Supplemental Information Complete this part to provide the explanations required by Igtart I line 2b
columns (iii) and (v) and Part III lines 9 9b 1 ~b 15b 15c 16 and 17b as applicable Also complete this part to provide any additional information (see instructions)
----------------------- -------------------- ------ ----------------------------- __--shy
_ ---_ --------------- ---------------- ----- shy
BAA TEEA3703L 010113 Schedule G (Form 990 or 990middotEZ) 2012
--------------------------------------------------------- ---------
OMB No 1545-0047SCHEDULE 0 Supplemental Information to Form 990 or 990middotEZ (Form 990 or 990-EZ)
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information
Department of the Treasury ~ Attach to Form 990 or 990-EZInternal Revenue Service
Name of the
94-2460211
health care 4112-63012
BAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990-EZ TFEIA)IJIL 12812 Schedule 0 (Forrn 990 or 2012
Schedule 0 (Form 990 or 990-EZ) 2012 Page 2 Name of the organization Employer Identification number
Community Bridges 94-2460211
~ ~~Oy~~sjg1~~ge~~~e~~~~~ ~~~ ~ ~ ~~ ~~ ~_ ~~ ~ ~ ~~~~~~~ ~ ~ ~ ~ ~ ~~~~ ~ ~ ~~ ~ ~~~~~ ~ ~ ~ ~ _
Schedule (Form 990 or
TEEA4902L
2012
2012 Schedule 0 bull Supplemental Information Page 1
Community Bridges 94-2460211
Form 990 Part XI Line 9 Other Changes In Net Assets Or Fund Balances
Depreciation Grant Funded Assets $ -140124 Familia Net Assets 82104
Total $ -58020========
-------------------
OMS No 1545-0047
SCHEDULE R (Form 990) Related Organizations and Unrelated Partnerships 2012
Complete if the organization answered Yes to Fonn 990 Part IV line 33343536 or 37DqJ21rTrrent of the Treasury Internal Revenue Service Attach to Form 990 ~ See separate instructions Name of the organization
s 94-2460211Commu
rp~ Identification of Disregarded Entities (Complete if the organization answered Yes to Form 990 Part
(a) (b) (c) (e) (f) iiame address and EIN (if applicable) of disregarded entity Primary activity Legal domicile (state End-of-year assets Direct controlling
or foreiqn country) entity
=== === =_===== =_ ===== == ===__1 1-- -- -=-=1 TI ~~
FPafIIldentification 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)
(a) Name address and EIN of related organization
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Exempt Code
section
(e) Public charity status (if section 501 (c) (3raquo)
(f) Direct controlling
entity
(g)Sec 512(b)(13)
controlled entity
Yes No (1) FAMILIA CENTER
236SANTA-rnUZAVE----------- shy------------------------- shyAPTOS CA 95003770071589 - - shy - - - -- shy - - - -- shy - - shy BILINGUAL FAMILY
SERVICES CA I
501(C)3 PUBLIC
CHARITY COMMUNITY
BRIDGES X
---------------------- shy_shy --shy --------------------- shy - shy - -- -- shy - - shy - - shy - - - - - - - - - - - - - - -
- --
----------~--------------
-shy - shy --------------------- shy
-shy - shy - shy - shy shy -shy - - ---------------- shy- c--- shy
- - -- --- -- - - - - --- - - - - - - - - - - - - shy
- - -- - shy
- -- - --------------------- shy -=r_ I _ __ I
~-- I ------- - -- ----- --- --
BAt For Paperwork Reduction Act Notice see the Instructions for Form 990 TEEA5001 L 122812 Schedule R (Form 990) 2012
- -- ------
----- -
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 2
re~rtUI Iidentific~tion of Related Organizations T~xable 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)
me oddltl od EIN of I PIm~~cttyrelated organization
-+shy----shy
-_--shy -- -shy ~
(c) Legal
domicile (state or foreign country)
(d) Direct
controlling entity
(e) Predominant income (related unrelated excluded from tax
under sections 512-514)
(f) Share of total
income
(g) Share of
end-of-year assets
(h) Disproporshy
tionate allocations
Yes No
(i) Code V-UBI
amount in box 20 of Schedule
K-1 (Form 1065)
(j) General or managing partner
Yes No
(k) Percentage ownership
shy -shy --shy --shy -shy
-shy -__shy ---shy -shy
_ _ _____ ___ J~
-- -- -- - - - -- - -- shy
-
--T~ --=~ -- ~~==~=-
I
IPaHJVl Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered Yes to Form 990 Part IV L----_-l line 34 because it had one or more related organizations treated as a corporation or trust during the tax year)
(a) (b) I (c) (d) (e) I (f) (g) (h) I (i)iiame address and EIN of related organization Primary activity Legal domicile Direct Type of entity Share of Share of end-of- Percentage Sec S12(b)(13)
(state or foreign controlling (C corp S corp total income year assets ownership controlled entitycountry) entity or trust)
Yes I No
- - - - - - - - - -- - - - - - -- --I --------------------4
--==========1------~--------------~------------~------------~------------~--------------~--------------~--------~I----~------TEEA5002L 1228112 Schedule R (Form 990) 2012
---------
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 3
i])~ Transactions With Related Organizations (Complete if the organization answered Yes to Form 990 Part IV line 34 35b or 36)
Note Complete line 1 if any entity is listed in Parts II III or IV of this schedule During the lax year did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity b Gift grant or capital contribution to related organization(s)
Gift grant or capital contribution from related organization(s)
d Loans or loan guarantees to or for related organization(s)
e Loans or loan guarantees by related organization(s)
Dividends from related organization(s) 9 Sale of assets to related organization(s)
h Purchase of assets from related organization(s)
Exchange of assets with related organization(s)
Lease c[racilities equipment or other assets to related organization(s)
Lease of facilities equipment or other assets from related organization(s)
Performance of services or membership or fundraising solicitations for related organization(s)
Ferformance of services or membership or fundraising solicitations by related organization(s)
Sharing of facilities equipment mailing lists or other assets with related organization(s)
o Sharing of paid employees with related organization(s)
Reimbursement paid to related organization(s) for expenses
q Reimbursement paid by related organization(s) for expenses
r Other transfer of cash or property to related organization(s
5 Other transfer of cash or property from related organization(s)
If the answer to any of the above is Yes see the instructions for information on who must complete this line including covered relationships and transaction thresholds
(b) (c)N f h(a) d (2 lame 0 ot er organization Transaction Amount involved Metho of etermlnlng --~
type (a-s) amount involved
(1)
(2)
ltd ~ ~J
I I I
(5) ------------shy
(6) ~---------------------------------------------------------------------------~--------------~--------~~~~--~--~~~
TEEIS003L 1228112 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 4
e~~I1 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) I (b) (c) (d) (e) (f) (g) (h) (i) (j) I (k)Jame address and EIN of entity Primary activity Legal domicile Predominant Are all partners Share of Share of Dispropor- Code V-UBI General or Percentage
(state or foreign income section total income end-of-year tionate amount in box managing ownership country) (related unre- 501 (c)(3) assets allocations 20 of Schedule partner
lated excluded organizations i K- 1 from tax under ~---c--- Form (1065)
section 512-514) Yes I No Yes No Yes No----+----1
- --==~ ~ ~ ====== ~ I ~ --I------+--+----t--shy
(3)
--------------1
(6)
-____ __~__ - I I I SAl TEEAS004L 122812 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Page 5 _ Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions)
-r- I - lt-j005L middot22312 Schedule R (Forni
Schedule A (Form 990 or 990-EZ) 2012 Community Bridges 94-2460211 Page 2
_Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5 7 or 8 of Part I or if the organization failed to qualify under Part III If the organization fails to qualify under the tests listed below please complete Part III)
Section A Public Su rt Calendar year (or fiscal year beginning in) ~ (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts grants contributions and membership fees received ltpo not include any unusual grants ) 11700497 12531538 11914396 13085089 12897266 62 128 786
2 Tax revenues levied for the organizations benefit and either paid to or expended on its behalf o
3 The value of services or facilities furnished by a governmental unit to the organization without charge
4 Total Add lines 1 through 3 5 The portion of total
contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2 of the amount shown on line 11 column (f) o
6 786
Calendar year (or fiscal year beginning in) ~
7 Amounts from line 4
8 Gross income from interest dividends payments received on securities loans rents royalties and income from similar sources 7 754 3 403 5 421 244 51 392 68 214
9 Net income from unrelated business activities whether or not the business is regularly carried on o
10 Other income Do not include gain or loss from the sale of capital aS~~Se(Ep~fie irrV
13 First five years If the Form 990 is for the organizations first second third fourth or fifth tax year as a section 501 (c) (3) organization check this box and stop here ~ D
Section C Computation of Public Support Percentage 14 Public support percentage for 2012 (line 6 column (f) divided by line 11 column (f)) 9892 15 Public support percentage from 2011 Schedule A Part II line 14 9886
16a 33-13 support test - 2012 If the organization did not check the box on line 13 and the line 14 is 33-13 or more check this box and stop here The organization qualifies as a publicly supported organization ~ ~
b 33-13 support test - 2011 If the organization did not check a box on line 13 or 16a and line 15 is 33-13 or more check this box and stop here The organization qualifies as a publicly supported organization ~ D
17 a 1 O-facts-and-circumstances test - 2012 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-andmiddot circumstances test check this box and stop here Explain in Part IV how the organization meets the factsmiddotand-circumstances test The organization qualifies as a publicly supported organization ~ lJ
Part IV)
11 rh~~aJ9shu~8~~ ~dd Iin~s
612 273
12 Gross receipts from related activities etc (see instructions) L-__~~~~~~~
b 1 O-facts-and-circumstances test - 2011 If the organization did not check a box on line 13 16a 16b or 17a and line 15 is 10 or more and if the organization meets the facts-and-circumstances test check this box and stop here Explain in Part IV how the 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 o( l7b check this box and see instructions
Schedule A (rorm 990 or 990middot[2) 202
~EEA0402L 080912
Section A Public rt Calendar year (or fiscal yr beginning in)
1 Gifts grants contributions
Schedule A (Form 990 or 990middotEZ) 2012 Communi Br s 94-2460211 3 Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II If the organization fails to qualify under the tests listed below please complete Part II)
and membership fees received (Do not include any unusual grants)
2 Gross receipts from admisshysions merchandise sold or services performed or facilities furnished in any activity that is related to the organizations taxmiddotexempt purpose
3 Gross receipts from activities that are not an unrelated trade or business under section 513
4 Tax revenues levied for the organizations benefit and either paid to or expended on its behalf
5 The value of services or facilities furnished by a governmental unit to the organization without charge
6 Total Add lines 1 through 5 7 a Amounts included on lines 1
2 and 3 received from disqualified persons
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5000 or 1 of the amount on line 13 for the year
c Add lines 7a and 7b
8
Calendar year (or fiscal yr beginning in) (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (I) Total
9 Amounts from line 6 10 a Gross income from interest
dividends payments received on securities loans rents royalties and income from similar sources
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30 1975
c Add lines lOa and 1 Db Net income from unrelated business
activities not included in line lOb whether or not the business is regularly carried on
12 Other income Do not include gain or loss from the sale of capital assets (Explain in Part IV)
13 Total support (Add Ins9 10c 11 and 12) ~~~____~~~~____~~__~__-L__________ __~~~~~__~
14 First five years If the Form 990 is for the organizations first second third fourth or fifth tax year as a section 501 (c)(3)organization check this box and stop here
Section C Computation of Public Support Percentage shy15 Public support percentage for 2012 (line 8 column (I) divided by line 13 column (I)) 16 Public support percentage from 2011 Schedule A Part III line 15
Section D Computation of Investment Income Percentage 17 Investment income percentage for 2012 (line 10c column (I) divided by line 13 column (I)) 17
18 Investment income percentage from 2011 Schedule A Part III line 17 18 19a 33-13 support tests - 2012 If the organization did not check the box on IIn8 14 and line 15 is more than 33-13 and line 17
is not more than 33-13 check this box and stop here The organization qualifies as a publicly supported organization
b 33-13 support tests - 2011 If the organization did not check a box on line 14 or line 19a and line 16 is more than 33-13 and line 18 is not mOIe than 33-13 check this box and stop here The organization qualifies as a publicly supported organization
20 Private foundation If the organization did not check hox Orl line 14 19a or 19b check box and see instructions ~H -----o------~--- ------
BAA NJ403L 080912 Schedule A (Form 990 or 99QZ) 2012
4 Schedule A (Form 990 or 990-EZ) 2012 Communi s 94-2460211 Supplemental Information Complete this part to provide the explanations required by Part II line 10 Part II line 17a or 17b and Part III line 12 Also complete this part for any additional information (See instructions)
___~P~~t1~cJ~Cule_~dJltli9~lt ~~~lelTI_e~U~f9l1aiQf _______________________________ _
_ _cLeID1tu_g1_lzgti_ol)-PSlYlJ1~nL _ _ _ _ _ _ _ _ _ _ _ _ ________________________________ _
BAA
081012
2012 Schedule A Part IV - Supplemental Information PageS
Community Bridges 94-2460211
Part II Line 10 - Other Income
Nature and Source 2012 2011 2010 2009 2008
Other Income Total
$ 108645 $ 108645
$ 36333 $ 36333
$ 130009 $ 130009
$ 169710 $ 169710
$ $
167576 167576
------
---------------
OMB No 1545middot0047SCHEDULE C Political Campaign and Lobbying Activities (Form 990 or 990-EZ)
For Organizations Exempt From Income Tax Under section 501 (c) and section 527 2012 Complete if the organization is described below Attach to Form 990 or Form 990-EZ
Department of the Treasury Internal Revenue Service See separate instructions
If the organization answered Yes to Form 990 Part IV line 3 or Form 990-EZ Part V line 46 (Political Campaign Activities) then bull Section 501 (c)(3) organizations Complete Parts I-A and B Do not complete Part I-C bull Section 501 (c) (other than section 501 (c)(3raquo) organizations Complete Parts I-A and C below Do not complete Part I-B bull Section 527 organizations Complete Part I-A only
If the organization answered Yes to Form 990 Part IV line 4 or Form 990-EZ Part VI line 47 (Lobbying Activities) then bull Section 501 (c) (3) organizations that have filed Form 5768 (election under section 501 (h)) Complete Part II-A Do not complete Part II-B
bull Section 501 (c) (3) organizations that have NOT filed Form 5768 (election under section 501 (h)) Complete Part II-B Do not complete Part II-A
If the organization answered Yes to Form 990 Part IV line 5 (Proxy Tax) or Form 990-EZ Part V line 35a (Proxy Tax) then bull Section 501 (c)(4) (5) or (6) organizations Complete Part III
See Part IV 2 3 Volunteer hours bull w Complete if the organization is exempt under section 501 (c)(3) 1 Enter the amount of any excise tax incurred by the organization under section 4955
2 Enter the amount of any excise tax incurred by organization managers under section 4955
3 If the organization incurred a section 4955 tax did it file Form 4720 for this year DYes
4a Was a correction made middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotDYes b If Yes describe in Part IV
II~~~~~~~~~~~~--~~~~~~~--~~---------2 Enter the amount of the filing organizations funds contributed to other organizations for section 527 exempt
function activities $
3 Total exempt function expenditures Add lines 1 and 2 Enter here and on Form 1120-POL line 17b ~ $
4 Did the filing organization file Form 1120-POL for this year DYes
5 Enter the names addresses and employer identification number (EIN) of all section 527 political organizations to which the filing organization made payments For each organization listed enter the amount paid from the filing organizations funds Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization such as a separate segregated fund or a political action committee (PAC) If additional space is needed provide information in Part IV
(a) Name (b) Address (e) EIN (d) Amount paid from filing (e) Amount of political organizations funds If contributions received and
none enter-Omiddot promptly and directly delivered to a separate political organization If
none enter -0middot
(1) ~---------------~---
(2) ~------
(3) ~-
(4)
~~)~~~~~--~~~~--~-~---~~-~---~~~~~~~-~_-_~~~~-----~~~~~~-~~~~~~~~~~-~~~~~-~---------_-_--f------c_~~~_-middot_J_L~~--------+---~ -~ -shyBAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990middotEZ Schedule C (Form 990 or 990middotEZ) 2012
TEEA320 I L 217112
----
Schedule C(Form 990 or 990-EZ) 2012 Communi Bri s 4-2460211 Page 2
Complete if the organization is exempt under section 501 (c)(3) and filed Form 5768 (election under section 501 (hraquo
A Check ~ 0 if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group members name
address EIN expenses and share of excess lobbying expenditures)
B Check ~ 0 if the filing organization checked box A and limited control provisions apply
Limits on Lobbying Expenditures (a) Filing (b) Affiliated organizations totals group totals (The term expenditures means amounts paid or incurred)
1 a Total lobbying expenditures to influence public opinion (grass roots lobbying)
b Total lobbying expenditures to influen_ce a legislative body (direct lobbying)
c Total lobbying expenditures (add lines 1a and 1b)
d Other exempt purpose expenditures
e Total exempt purpose expenditures (add lines 1c and 1d)
f Lobbying nontaxable amount Enter the amount from the following table in both columns
g Grassroots nontaxable amount (enter 25 of line 1f)
h Subtract line 1g from line 1a If zero or less enter -0-
Subtract line 1f from line 1c If zero or less enter -0-
If there is an amount other than zero on either line 1h or line 1i did the organization file Form 4720 reporting section 4911 tax for this year DYes 0No
4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501 (h) election do not have to complete all of the five
columns below See the instructions for lines 2a through 2f)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total year beginning in)
13l7 524
2a Lobbying non-taxable amount 3 513 393
b Lobbying ceiling amount (150 of line 2a column (eraquo 5 270 090
c Total lobbying enditures 18 425
d Grassroots nontaxable amount 878 349
e Grassroots ceiling amount (150 of line 2d column
f Grassroots lobbying expenditures o
BAA Schedule C (Form 990 or 990-EZ) 2012
-EEA3202L 010713
3 Schedule C(Form 990 or 2012 Bri 94-2460211 Complete if the organization is exempt under se as NOT filed Form 5768 (election under section 501 (hraquo
For each Yesresponse to lines 7a through Ii below provide in Part IVa detailed description of the lobbying activity
During the year did the filing organization attempt to influence foreign national state or local legislation including any attempt to influence public opinion on a legislative matter or referendum through the use of
a Volunteers
b Paid staff or management (include compensation in expenses reported on lines 1 c through 1 i)
c Media advertisements
d Mailings to members legislators or the pUblic ~~---+--------------
e Publications or published or broadcast statements
f Grants to other organizations for lobbying purposes
9 Direct contact with legislators their staffs government ofFicials or a legislative body
h Rallies demonstrations seminars conventions speeches lectures or any similar means
i Other activities ~~~~--------
j Total Add lines 1c through 1 i ~lli~J~i01 ~2iJn
I----t---- shy
2 a Did the activities in line 1 cause the organization to be not described in section 501 (c)(3)
b If Yes enter the amount of any tax incurred under section 4912
c If Yes enter the amount of any tax incurred by organization managers under section 4912
d If the filing organization incurred a section 4912 tax did it file Form 4720 for this year
Complete if ization is exempt under section 501 (c)(4) section 501 (c)(5) or section 501
Were substantially all (90 or more) dues received nondeductible by members 1----+---1---shy
2 Did the organization make only inmiddothouse lobbying expenditures of $2000 or less f----j----j--- shy
3 Did the organization agree to carryover lobbying and political from the prior year
Complete if the organization is exempt under section 501 (c)(4) section 501 (c)(5) or section 501 (c) (6) and if either (a) BOTH Part III-A lines 1 and 2 are answered No OR (b) Part III-A line 3 is answered Yes
Dues assessments and similar amounts from members
2 Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid)
a Current year
b Carryover from last year
c Total
3 Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues
4 If notices were sent and the amount on line 2c exceeds the amount on line 3 what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year
I---~--------------5 Taxable amount of lobbying and political expenditures (see instructions)
Complete this part to provide the descriptions required for Part ImiddotA line 1 Part ImiddotB line 4 Part Imiddote line 5 Part IImiddotA (affiliated group list) Part IImiddotA line 2 and Part IImiddotB line 1 Also complete this part for any additional information
TEEA32031 OliO
Scheciu1e
-----------------
OMB I~o 1545-0047 SCHEDULE D (Form 990) Supplemental Financial Statements 2012
~ Complete if the organization answered Yes to Form 990 Part IV lines 6 7 8 9 10 l1a 11 b 1lc l1d l1e l1f 12a or 12b
~ Attach to Form 990 ~ See instructions
(a) Donor advised funds
1 Total number at end of year
2 Aggregate contributions to (during year
3 Aggregate grants from (during year) 4 Aggregate value at end of year
S Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organizations property subject to the organizations exclusive legal control DYes
6 Did the organization inform all grantees donors and donor advisors in writing that grant funds can be used only
impermissible private benefit for charitable purposes and not for the benefit of the donor or donor advisor or for any other purpose conferring
No
(b) Funds and other accounts
Purpose(s) of conservation easements held by the organization (check all that apply)
Preservation of land for public use (eg recreation or education) D Preservation of an historically important land area
Protection of natural habitat D Preservation of a certified historic structure
Preservation of open space ~
2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the iast day of the tax year
a Total number of conservation easements
b Total acreage restricted by conservation easements
c Number of conservation easements on a certified historic structure included in (a)
d Number of conservation easements included in (c) acquired after 81706 and not on a historic structure listed in the National Register 2 dL-__L-_________________________
3 Number of conservation easements modified transferred released extinguished or terminated by the organization during the tax year Igt
4 Number of states where property subject to conservation easement is located Igt
S Does the organization have a written policy regarding the periodic monitoring inspection handling of violations and enforcement of the conservation easements it holds DYes
6 Staff and volunteer hours devoted to monitoring inspecting and enforcing conservation easements during the year Igt
7 Amount of expenses incurred in monitoring inspecting and enforcing conservation easements during the year 1gt$
8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(8)(i) and section 170(h)(4)(8)(ii) DYes
9 In Part XIII describe how the organization reports conservation easements in its revenue and expense statement and balance sheet and include if applicable the text of the footnote to the organizations financial statements that describes the organizations accounting for conservation easements
tf~rtiml Organizations Maintaining Collections of Art Historical Treasures or Other Similar Assets Complete if the organization answered Yes to Form 990 Part IV line 8
1 a If the organization elected as permitted under SFAS 116 (ASC 958) 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 XIII the text of the footnote to its financial statements that describes these items
b If the organization elected as permitted under SFAS 116 (ASe 958) 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 VI I line 1 ~$
(ii) Assets included in Form 990 Part X 11gt-$
2 If the organization received or held works of art histOrical treasures or other similar assets for financial gaill provide the following amounts required to be reported under SFAS 116 (ASe 958) relating to these items
11gt-$ -~~-------
$ BAA For Paperwork Reduction Act Notice the Instructions for Form 990 991l) CJ12
~--~-------------------------
-----------------------------------------------
-------
e2
3 Using the organizations acquisition accession and other records check any of the following that are a significant use of its collection items (check all that apply)
a sectPublic exhibition d BLoan or exchange programs b Scholarly research e Other
c Preservation for future generations
4 Provide a description of the organizations collections and explain how they further the organizations exempt purpose in Part XIII
5 During the year did the organization solicit or receive donations of art historical treasures or other similar assets D to be sold to raise funds rather than to be maintained as part of the organizations collection Yes
IRal~IYRI Escrow and Custodial Arrangemel1ts Complete if the organization answered Yes to Form 990 Part IV line 9 or reported an amount on Form 990 Part X line 21
1 a ~nt~~r~g~~~~~r~ ~~ ~~~~t~ trus~e~ ~u~t~~i~~ or ot~er int~~~~~~~~~ ~o~contnbu~i~~~ ~r ~~e~ ass~ts n~i~cI~~~d DYes
b If Yes explain the arrangement in Part XIII and complete the following table
Amount
c Beginning balance 1 c d Additions during the year d
e Distributions during the year 1 e f Ending balance 1f
2a Did the organization include an amount on Form 990 Part X line 21 UYes NOb If Yes explain the arrangement in Part XIII Check here if the explantion has been provided in Part Xlll D
fBaIM~1 Endowment Funds Complete if the or~anization answered Yes to Form 990 Part IV line 10 (a) Current (b) Prior year (e) Two years (d) Three years (e) Four years
1 a Beginning of year balance
b Contributions
c Net investment earnings gains and losses
d Grants or scholarships
e Other expenditures for facilities and programs
f Administrative expenses
9 End of year balance
2 PrOVide the estimated percentage of the current year end balance (line 1 g column (araquo held as
a Board designated or quasi-endowment b Permanent endowment c Temporarily restricted endowment
The percentages in lines 2a 2b and 2c should equal 10000
3 a Are there endowment funds not in the possession of the organization that are held and administered for the organization by Yes No (i) unrelated organizations 3a(i)
(ii) related organiZations 3a(ii)
b If Yes to 3a(ii) are the related organizations listed as required on Schedule R 3b I 4 Describe in Part XIII the intended uses of the organizations endowment funds
1 a Land
b Buildings
c Leasehold improvements
d Equipment
e Other
Total Add lines 1 a
BAA
(d) Book value
TEEt3302L 06e71 i 2
-------------------------
of security or rfpnlrl
name of secu (1) Financial derivatives
94-2460211
uation Cost or rket value
Page 3
~------------~--------------------------------------(2) Closely-held equity interests
~------------~--------------------------------------(3) Other ______________________ +----------f--------------------shyi~ __________________________1---_______-+____________________ (8)
iq __________________________~-----~---------------------------iD1_ - - - - - - - - - - - - - - - - - - - - - - -- -f------------+-------------------------------shy(E)- - - - - - - - - - - - - - - - - - - - - - - - - - - - ~-------------I---------------------------------------~~--------------------------f__----------+_-------------------------------iGl ______ -- _________ - _ - - - __ - - -f__----------l-----------------------------shy(H)- - - - - - - - - - - - - - - - - - - - - - - - - - - -- ~-------------+---------------------------------------J~ _____________________ _
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10) ----shy
(11)
Total (Column (b) must equal Form 990 Part X column (8) line 25) 2 FIN 48 CASe 740) Footnote In Part XIII provide the text of the footnote to the organizations financial statements that reports the organizations liability for uncertain tax positions under FIN 48 (ASe 740) Cherv here If the text of the footnote has been provided 11 Part XIII LJ BAA ____~_~__O~_ ~-~-~~~~--~~~-- --~T~-~middotA3303L- 122312 -- gt--~~-- Schedule 0 (Form 990) 2012
Page 4
2 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 XIII)
e Add lines 2a through 2d
3 Subtract line 2e from line 1 4 Amounts included on Form 990 Part VIII line 12 but not on line 1
a Investment expenses not included on Form 990 Part VIII line 7b
b Other (Describe in Part XII I)
c Add lines 4a and 4b
5 Total revenue Add lines 3 and 4c (This must equal Form 990 Part I line 72)
Total expenses and losses per audited financial statements
2 Amounts included on line 1 but not on Form 990 Part IX line 25
a Donated services and use of facilities 13 244 b Prior year adjustments c Other losses
d Other (Describe in Part XIII)
e Add lines 2a through 2d 3 Subtract line 2e from line 1
4 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 XIII) c Add lines 4a and 4b
must equal Form 990 Part I line 78)
Complete this part to provide the descriptions required for Part II lines 3 5 and 9 Part III lines 1a and 4 Part IV lines 1b and 2b Part V line 4 Part X line 2 Part XI lines 2d and 4b and Part XII lines 2d and 4b Also complete this part to provide any additional information
BAA Schedule 0 (Form 990) 2012
fEEA3304L 1
OMS No 1545middot0047
SCHEDULE G Supplemental Information Regarding (Form 990 or 990-EZ) Fundraising or Gaming Activities 2012
Complete if the organization answered Yes to Form 990 Part IV lines 17 18 or 19 or if the organization entered more than $15000 on Form 990-EZ line 6aDepartment of the Treasury
Internal Revenue Service ~ Attach to Form 990 or Form 990-EZ ~ See separate instructions
Name of Employer
94-2460211 InnInn ACtlVlllles Complete if the organization
___-c---cFo_r_m--- ~ filers are not required to complete this part
Indicate whether the organization raised funds through any of the following activities Check all that apply
a DMail solicitations e DSolicitation of non-government grants
b D Internet and email solicitations f DSolicitation of government grants
c D Phone solicitations g D Special fundraising events
d D Inmiddotperson solicitations
2 a 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 DYes ~No
b If Yes list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fund raiser is to be compensated at least $5000 by the organization
(i) Name and address of individual or entity (fund raiser)
(ii) Activity (iii) Did fund raiser have custod6or control
of contri utions
(iv) Gross receipts from activity
(v) Amount paid to (or retained by)
fundraiser listed in
(vi) Amount paid to (or retained by)
organization column (i)
Yes No
1
-- shy2
3 I
4 -----~--------
5
6
7 -__----shy
8
9
10
Total O bull -
3 List all states In which the organization IS reglslered or licensed to SOliCit contributions or has been notified It IS exempt from registration or licensing
- --~---~---~-- ~-~--~-~--~-~~-- ---
BAA for Paperwork Reduction Act Notice see the Instructions Form 990 or 990-EL Schedule G (runn 990 or 990-EZ) 2012 TEEA3701L 01107113
--
------
Schedule G (Form 990 or 990-EZ) 2012 Commun Br 94-2460211 Page 2
Fun ng Events Complete if the organization answered Yes to Form 990 Part IV ine 18 or reported more than $15000 of fundraising event contributions and gross income on Form 990-EZ lines 1 and 6b List events with gross receipts greater than $5000
(a) Event 1 (b) Event 2 (c) Other events (d) Total events (add column (a)
Italian Affair None through column (craquoR (event type) (event type) (total number) E V E N 1 Gross receipts 20186 20186 U E
2 Less Charitable contributions
3 Gross income (line 1 minus line 2) 20186 20186
4 Cash prizes
5 Noncash prizes D
R I
6 Rentfacility costs E C T 7 Food and beverages 5391 539l E x p 8 Entertainment E
N s 9 Other direct expenses 5822 5822E S
10 Direct expense summary Add lines 4 through 9 in column (d) 11213 11 Net income summary Combine line 3 column (d) and line 1 Q 8973
[Pifllll Gaming Complete if the o~ganization answered Yes to Form 990 Part IV line 19 or reported more than
(a) Bingo (b) Pull tabsllnstant (c) Other gaming (d) Total gaming R E bingoprogressive (add column (a) V bingo through column (eraquo E N U E Gross revenue
2 Cash prizes ~------------4---------------+--------------~--------------E
D X I P 3 Non-cash prizes R E E N C S T E
S 4 Rentfacility costs
5 Other direct expenses
Yes Yes Yes 6 Volunteer labor No No No
7 Direct expense summary Add lines 2 through 5 in column (d)
8 Net gaming income summary Combine lines 1 column (d) and line 7
9 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 0 Yes
b If No explain
lOa Were any of the organizations gaming licenses revoked suspended or terminated during the tax year 0 Yes b If Yes explain
BAA TFJ3]02L 010713 ScheclJle G (F (JIm 990 or 990 2012
------------
-----------
Schedule G (Form 990 or 990-EZ) 2012 Community Bridges 94-2460211 Page 3 11 Does the organization operate gaming activities with nonmembers DYes 12 Is the organization a grantor beneficiary or trustee of a trust or a member of a partnership or other entity formed to
administer charitable gaming DYes 13 Indicate the percentage of gaming activity operated in
a The organizations facility 13a ~13-b~------------~~b An outside facility
14 Enter the name and address of the person who prepares the organizations gamingspecial events books and records
Name
Address
15a Does the organization have a contact with a third party from whom the organization receives gaming revenue DYes b If Yes enter the amount of gaming revenue received by the organization $ and the amount
of gaming revenue retained by the third party $ c If Yes enter name and address of the third party
Name ---------------------------------------------~-----l
I Address I
16 Gaming manager information
Name
Gaming manager compensation $
Description of services provided
D Directorofficer DEmployee D independent contractor
17 Mandatory distributions
a Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the ~~egaminglicense ___________________________________________________________________ D~s ~No
b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the
organizations own exempt activities during the tax year $ lean~IlUI Supplemental Information Complete this part to provide the explanations required by Igtart I line 2b
columns (iii) and (v) and Part III lines 9 9b 1 ~b 15b 15c 16 and 17b as applicable Also complete this part to provide any additional information (see instructions)
----------------------- -------------------- ------ ----------------------------- __--shy
_ ---_ --------------- ---------------- ----- shy
BAA TEEA3703L 010113 Schedule G (Form 990 or 990middotEZ) 2012
--------------------------------------------------------- ---------
OMB No 1545-0047SCHEDULE 0 Supplemental Information to Form 990 or 990middotEZ (Form 990 or 990-EZ)
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information
Department of the Treasury ~ Attach to Form 990 or 990-EZInternal Revenue Service
Name of the
94-2460211
health care 4112-63012
BAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990-EZ TFEIA)IJIL 12812 Schedule 0 (Forrn 990 or 2012
Schedule 0 (Form 990 or 990-EZ) 2012 Page 2 Name of the organization Employer Identification number
Community Bridges 94-2460211
~ ~~Oy~~sjg1~~ge~~~e~~~~~ ~~~ ~ ~ ~~ ~~ ~_ ~~ ~ ~ ~~~~~~~ ~ ~ ~ ~ ~ ~~~~ ~ ~ ~~ ~ ~~~~~ ~ ~ ~ ~ _
Schedule (Form 990 or
TEEA4902L
2012
2012 Schedule 0 bull Supplemental Information Page 1
Community Bridges 94-2460211
Form 990 Part XI Line 9 Other Changes In Net Assets Or Fund Balances
Depreciation Grant Funded Assets $ -140124 Familia Net Assets 82104
Total $ -58020========
-------------------
OMS No 1545-0047
SCHEDULE R (Form 990) Related Organizations and Unrelated Partnerships 2012
Complete if the organization answered Yes to Fonn 990 Part IV line 33343536 or 37DqJ21rTrrent of the Treasury Internal Revenue Service Attach to Form 990 ~ See separate instructions Name of the organization
s 94-2460211Commu
rp~ Identification of Disregarded Entities (Complete if the organization answered Yes to Form 990 Part
(a) (b) (c) (e) (f) iiame address and EIN (if applicable) of disregarded entity Primary activity Legal domicile (state End-of-year assets Direct controlling
or foreiqn country) entity
=== === =_===== =_ ===== == ===__1 1-- -- -=-=1 TI ~~
FPafIIldentification 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)
(a) Name address and EIN of related organization
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Exempt Code
section
(e) Public charity status (if section 501 (c) (3raquo)
(f) Direct controlling
entity
(g)Sec 512(b)(13)
controlled entity
Yes No (1) FAMILIA CENTER
236SANTA-rnUZAVE----------- shy------------------------- shyAPTOS CA 95003770071589 - - shy - - - -- shy - - - -- shy - - shy BILINGUAL FAMILY
SERVICES CA I
501(C)3 PUBLIC
CHARITY COMMUNITY
BRIDGES X
---------------------- shy_shy --shy --------------------- shy - shy - -- -- shy - - shy - - shy - - - - - - - - - - - - - - -
- --
----------~--------------
-shy - shy --------------------- shy
-shy - shy - shy - shy shy -shy - - ---------------- shy- c--- shy
- - -- --- -- - - - - --- - - - - - - - - - - - - shy
- - -- - shy
- -- - --------------------- shy -=r_ I _ __ I
~-- I ------- - -- ----- --- --
BAt For Paperwork Reduction Act Notice see the Instructions for Form 990 TEEA5001 L 122812 Schedule R (Form 990) 2012
- -- ------
----- -
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 2
re~rtUI Iidentific~tion of Related Organizations T~xable 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)
me oddltl od EIN of I PIm~~cttyrelated organization
-+shy----shy
-_--shy -- -shy ~
(c) Legal
domicile (state or foreign country)
(d) Direct
controlling entity
(e) Predominant income (related unrelated excluded from tax
under sections 512-514)
(f) Share of total
income
(g) Share of
end-of-year assets
(h) Disproporshy
tionate allocations
Yes No
(i) Code V-UBI
amount in box 20 of Schedule
K-1 (Form 1065)
(j) General or managing partner
Yes No
(k) Percentage ownership
shy -shy --shy --shy -shy
-shy -__shy ---shy -shy
_ _ _____ ___ J~
-- -- -- - - - -- - -- shy
-
--T~ --=~ -- ~~==~=-
I
IPaHJVl Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered Yes to Form 990 Part IV L----_-l line 34 because it had one or more related organizations treated as a corporation or trust during the tax year)
(a) (b) I (c) (d) (e) I (f) (g) (h) I (i)iiame address and EIN of related organization Primary activity Legal domicile Direct Type of entity Share of Share of end-of- Percentage Sec S12(b)(13)
(state or foreign controlling (C corp S corp total income year assets ownership controlled entitycountry) entity or trust)
Yes I No
- - - - - - - - - -- - - - - - -- --I --------------------4
--==========1------~--------------~------------~------------~------------~--------------~--------------~--------~I----~------TEEA5002L 1228112 Schedule R (Form 990) 2012
---------
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 3
i])~ Transactions With Related Organizations (Complete if the organization answered Yes to Form 990 Part IV line 34 35b or 36)
Note Complete line 1 if any entity is listed in Parts II III or IV of this schedule During the lax year did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity b Gift grant or capital contribution to related organization(s)
Gift grant or capital contribution from related organization(s)
d Loans or loan guarantees to or for related organization(s)
e Loans or loan guarantees by related organization(s)
Dividends from related organization(s) 9 Sale of assets to related organization(s)
h Purchase of assets from related organization(s)
Exchange of assets with related organization(s)
Lease c[racilities equipment or other assets to related organization(s)
Lease of facilities equipment or other assets from related organization(s)
Performance of services or membership or fundraising solicitations for related organization(s)
Ferformance of services or membership or fundraising solicitations by related organization(s)
Sharing of facilities equipment mailing lists or other assets with related organization(s)
o Sharing of paid employees with related organization(s)
Reimbursement paid to related organization(s) for expenses
q Reimbursement paid by related organization(s) for expenses
r Other transfer of cash or property to related organization(s
5 Other transfer of cash or property from related organization(s)
If the answer to any of the above is Yes see the instructions for information on who must complete this line including covered relationships and transaction thresholds
(b) (c)N f h(a) d (2 lame 0 ot er organization Transaction Amount involved Metho of etermlnlng --~
type (a-s) amount involved
(1)
(2)
ltd ~ ~J
I I I
(5) ------------shy
(6) ~---------------------------------------------------------------------------~--------------~--------~~~~--~--~~~
TEEIS003L 1228112 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 4
e~~I1 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) I (b) (c) (d) (e) (f) (g) (h) (i) (j) I (k)Jame address and EIN of entity Primary activity Legal domicile Predominant Are all partners Share of Share of Dispropor- Code V-UBI General or Percentage
(state or foreign income section total income end-of-year tionate amount in box managing ownership country) (related unre- 501 (c)(3) assets allocations 20 of Schedule partner
lated excluded organizations i K- 1 from tax under ~---c--- Form (1065)
section 512-514) Yes I No Yes No Yes No----+----1
- --==~ ~ ~ ====== ~ I ~ --I------+--+----t--shy
(3)
--------------1
(6)
-____ __~__ - I I I SAl TEEAS004L 122812 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Page 5 _ Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions)
-r- I - lt-j005L middot22312 Schedule R (Forni
Section A Public rt Calendar year (or fiscal yr beginning in)
1 Gifts grants contributions
Schedule A (Form 990 or 990middotEZ) 2012 Communi Br s 94-2460211 3 Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II If the organization fails to qualify under the tests listed below please complete Part II)
and membership fees received (Do not include any unusual grants)
2 Gross receipts from admisshysions merchandise sold or services performed or facilities furnished in any activity that is related to the organizations taxmiddotexempt purpose
3 Gross receipts from activities that are not an unrelated trade or business under section 513
4 Tax revenues levied for the organizations benefit and either paid to or expended on its behalf
5 The value of services or facilities furnished by a governmental unit to the organization without charge
6 Total Add lines 1 through 5 7 a Amounts included on lines 1
2 and 3 received from disqualified persons
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5000 or 1 of the amount on line 13 for the year
c Add lines 7a and 7b
8
Calendar year (or fiscal yr beginning in) (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (I) Total
9 Amounts from line 6 10 a Gross income from interest
dividends payments received on securities loans rents royalties and income from similar sources
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30 1975
c Add lines lOa and 1 Db Net income from unrelated business
activities not included in line lOb whether or not the business is regularly carried on
12 Other income Do not include gain or loss from the sale of capital assets (Explain in Part IV)
13 Total support (Add Ins9 10c 11 and 12) ~~~____~~~~____~~__~__-L__________ __~~~~~__~
14 First five years If the Form 990 is for the organizations first second third fourth or fifth tax year as a section 501 (c)(3)organization check this box and stop here
Section C Computation of Public Support Percentage shy15 Public support percentage for 2012 (line 8 column (I) divided by line 13 column (I)) 16 Public support percentage from 2011 Schedule A Part III line 15
Section D Computation of Investment Income Percentage 17 Investment income percentage for 2012 (line 10c column (I) divided by line 13 column (I)) 17
18 Investment income percentage from 2011 Schedule A Part III line 17 18 19a 33-13 support tests - 2012 If the organization did not check the box on IIn8 14 and line 15 is more than 33-13 and line 17
is not more than 33-13 check this box and stop here The organization qualifies as a publicly supported organization
b 33-13 support tests - 2011 If the organization did not check a box on line 14 or line 19a and line 16 is more than 33-13 and line 18 is not mOIe than 33-13 check this box and stop here The organization qualifies as a publicly supported organization
20 Private foundation If the organization did not check hox Orl line 14 19a or 19b check box and see instructions ~H -----o------~--- ------
BAA NJ403L 080912 Schedule A (Form 990 or 99QZ) 2012
4 Schedule A (Form 990 or 990-EZ) 2012 Communi s 94-2460211 Supplemental Information Complete this part to provide the explanations required by Part II line 10 Part II line 17a or 17b and Part III line 12 Also complete this part for any additional information (See instructions)
___~P~~t1~cJ~Cule_~dJltli9~lt ~~~lelTI_e~U~f9l1aiQf _______________________________ _
_ _cLeID1tu_g1_lzgti_ol)-PSlYlJ1~nL _ _ _ _ _ _ _ _ _ _ _ _ ________________________________ _
BAA
081012
2012 Schedule A Part IV - Supplemental Information PageS
Community Bridges 94-2460211
Part II Line 10 - Other Income
Nature and Source 2012 2011 2010 2009 2008
Other Income Total
$ 108645 $ 108645
$ 36333 $ 36333
$ 130009 $ 130009
$ 169710 $ 169710
$ $
167576 167576
------
---------------
OMB No 1545middot0047SCHEDULE C Political Campaign and Lobbying Activities (Form 990 or 990-EZ)
For Organizations Exempt From Income Tax Under section 501 (c) and section 527 2012 Complete if the organization is described below Attach to Form 990 or Form 990-EZ
Department of the Treasury Internal Revenue Service See separate instructions
If the organization answered Yes to Form 990 Part IV line 3 or Form 990-EZ Part V line 46 (Political Campaign Activities) then bull Section 501 (c)(3) organizations Complete Parts I-A and B Do not complete Part I-C bull Section 501 (c) (other than section 501 (c)(3raquo) organizations Complete Parts I-A and C below Do not complete Part I-B bull Section 527 organizations Complete Part I-A only
If the organization answered Yes to Form 990 Part IV line 4 or Form 990-EZ Part VI line 47 (Lobbying Activities) then bull Section 501 (c) (3) organizations that have filed Form 5768 (election under section 501 (h)) Complete Part II-A Do not complete Part II-B
bull Section 501 (c) (3) organizations that have NOT filed Form 5768 (election under section 501 (h)) Complete Part II-B Do not complete Part II-A
If the organization answered Yes to Form 990 Part IV line 5 (Proxy Tax) or Form 990-EZ Part V line 35a (Proxy Tax) then bull Section 501 (c)(4) (5) or (6) organizations Complete Part III
See Part IV 2 3 Volunteer hours bull w Complete if the organization is exempt under section 501 (c)(3) 1 Enter the amount of any excise tax incurred by the organization under section 4955
2 Enter the amount of any excise tax incurred by organization managers under section 4955
3 If the organization incurred a section 4955 tax did it file Form 4720 for this year DYes
4a Was a correction made middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotDYes b If Yes describe in Part IV
II~~~~~~~~~~~~--~~~~~~~--~~---------2 Enter the amount of the filing organizations funds contributed to other organizations for section 527 exempt
function activities $
3 Total exempt function expenditures Add lines 1 and 2 Enter here and on Form 1120-POL line 17b ~ $
4 Did the filing organization file Form 1120-POL for this year DYes
5 Enter the names addresses and employer identification number (EIN) of all section 527 political organizations to which the filing organization made payments For each organization listed enter the amount paid from the filing organizations funds Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization such as a separate segregated fund or a political action committee (PAC) If additional space is needed provide information in Part IV
(a) Name (b) Address (e) EIN (d) Amount paid from filing (e) Amount of political organizations funds If contributions received and
none enter-Omiddot promptly and directly delivered to a separate political organization If
none enter -0middot
(1) ~---------------~---
(2) ~------
(3) ~-
(4)
~~)~~~~~--~~~~--~-~---~~-~---~~~~~~~-~_-_~~~~-----~~~~~~-~~~~~~~~~~-~~~~~-~---------_-_--f------c_~~~_-middot_J_L~~--------+---~ -~ -shyBAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990middotEZ Schedule C (Form 990 or 990middotEZ) 2012
TEEA320 I L 217112
----
Schedule C(Form 990 or 990-EZ) 2012 Communi Bri s 4-2460211 Page 2
Complete if the organization is exempt under section 501 (c)(3) and filed Form 5768 (election under section 501 (hraquo
A Check ~ 0 if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group members name
address EIN expenses and share of excess lobbying expenditures)
B Check ~ 0 if the filing organization checked box A and limited control provisions apply
Limits on Lobbying Expenditures (a) Filing (b) Affiliated organizations totals group totals (The term expenditures means amounts paid or incurred)
1 a Total lobbying expenditures to influence public opinion (grass roots lobbying)
b Total lobbying expenditures to influen_ce a legislative body (direct lobbying)
c Total lobbying expenditures (add lines 1a and 1b)
d Other exempt purpose expenditures
e Total exempt purpose expenditures (add lines 1c and 1d)
f Lobbying nontaxable amount Enter the amount from the following table in both columns
g Grassroots nontaxable amount (enter 25 of line 1f)
h Subtract line 1g from line 1a If zero or less enter -0-
Subtract line 1f from line 1c If zero or less enter -0-
If there is an amount other than zero on either line 1h or line 1i did the organization file Form 4720 reporting section 4911 tax for this year DYes 0No
4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501 (h) election do not have to complete all of the five
columns below See the instructions for lines 2a through 2f)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total year beginning in)
13l7 524
2a Lobbying non-taxable amount 3 513 393
b Lobbying ceiling amount (150 of line 2a column (eraquo 5 270 090
c Total lobbying enditures 18 425
d Grassroots nontaxable amount 878 349
e Grassroots ceiling amount (150 of line 2d column
f Grassroots lobbying expenditures o
BAA Schedule C (Form 990 or 990-EZ) 2012
-EEA3202L 010713
3 Schedule C(Form 990 or 2012 Bri 94-2460211 Complete if the organization is exempt under se as NOT filed Form 5768 (election under section 501 (hraquo
For each Yesresponse to lines 7a through Ii below provide in Part IVa detailed description of the lobbying activity
During the year did the filing organization attempt to influence foreign national state or local legislation including any attempt to influence public opinion on a legislative matter or referendum through the use of
a Volunteers
b Paid staff or management (include compensation in expenses reported on lines 1 c through 1 i)
c Media advertisements
d Mailings to members legislators or the pUblic ~~---+--------------
e Publications or published or broadcast statements
f Grants to other organizations for lobbying purposes
9 Direct contact with legislators their staffs government ofFicials or a legislative body
h Rallies demonstrations seminars conventions speeches lectures or any similar means
i Other activities ~~~~--------
j Total Add lines 1c through 1 i ~lli~J~i01 ~2iJn
I----t---- shy
2 a Did the activities in line 1 cause the organization to be not described in section 501 (c)(3)
b If Yes enter the amount of any tax incurred under section 4912
c If Yes enter the amount of any tax incurred by organization managers under section 4912
d If the filing organization incurred a section 4912 tax did it file Form 4720 for this year
Complete if ization is exempt under section 501 (c)(4) section 501 (c)(5) or section 501
Were substantially all (90 or more) dues received nondeductible by members 1----+---1---shy
2 Did the organization make only inmiddothouse lobbying expenditures of $2000 or less f----j----j--- shy
3 Did the organization agree to carryover lobbying and political from the prior year
Complete if the organization is exempt under section 501 (c)(4) section 501 (c)(5) or section 501 (c) (6) and if either (a) BOTH Part III-A lines 1 and 2 are answered No OR (b) Part III-A line 3 is answered Yes
Dues assessments and similar amounts from members
2 Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid)
a Current year
b Carryover from last year
c Total
3 Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues
4 If notices were sent and the amount on line 2c exceeds the amount on line 3 what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year
I---~--------------5 Taxable amount of lobbying and political expenditures (see instructions)
Complete this part to provide the descriptions required for Part ImiddotA line 1 Part ImiddotB line 4 Part Imiddote line 5 Part IImiddotA (affiliated group list) Part IImiddotA line 2 and Part IImiddotB line 1 Also complete this part for any additional information
TEEA32031 OliO
Scheciu1e
-----------------
OMB I~o 1545-0047 SCHEDULE D (Form 990) Supplemental Financial Statements 2012
~ Complete if the organization answered Yes to Form 990 Part IV lines 6 7 8 9 10 l1a 11 b 1lc l1d l1e l1f 12a or 12b
~ Attach to Form 990 ~ See instructions
(a) Donor advised funds
1 Total number at end of year
2 Aggregate contributions to (during year
3 Aggregate grants from (during year) 4 Aggregate value at end of year
S Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organizations property subject to the organizations exclusive legal control DYes
6 Did the organization inform all grantees donors and donor advisors in writing that grant funds can be used only
impermissible private benefit for charitable purposes and not for the benefit of the donor or donor advisor or for any other purpose conferring
No
(b) Funds and other accounts
Purpose(s) of conservation easements held by the organization (check all that apply)
Preservation of land for public use (eg recreation or education) D Preservation of an historically important land area
Protection of natural habitat D Preservation of a certified historic structure
Preservation of open space ~
2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the iast day of the tax year
a Total number of conservation easements
b Total acreage restricted by conservation easements
c Number of conservation easements on a certified historic structure included in (a)
d Number of conservation easements included in (c) acquired after 81706 and not on a historic structure listed in the National Register 2 dL-__L-_________________________
3 Number of conservation easements modified transferred released extinguished or terminated by the organization during the tax year Igt
4 Number of states where property subject to conservation easement is located Igt
S Does the organization have a written policy regarding the periodic monitoring inspection handling of violations and enforcement of the conservation easements it holds DYes
6 Staff and volunteer hours devoted to monitoring inspecting and enforcing conservation easements during the year Igt
7 Amount of expenses incurred in monitoring inspecting and enforcing conservation easements during the year 1gt$
8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(8)(i) and section 170(h)(4)(8)(ii) DYes
9 In Part XIII describe how the organization reports conservation easements in its revenue and expense statement and balance sheet and include if applicable the text of the footnote to the organizations financial statements that describes the organizations accounting for conservation easements
tf~rtiml Organizations Maintaining Collections of Art Historical Treasures or Other Similar Assets Complete if the organization answered Yes to Form 990 Part IV line 8
1 a If the organization elected as permitted under SFAS 116 (ASC 958) 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 XIII the text of the footnote to its financial statements that describes these items
b If the organization elected as permitted under SFAS 116 (ASe 958) 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 VI I line 1 ~$
(ii) Assets included in Form 990 Part X 11gt-$
2 If the organization received or held works of art histOrical treasures or other similar assets for financial gaill provide the following amounts required to be reported under SFAS 116 (ASe 958) relating to these items
11gt-$ -~~-------
$ BAA For Paperwork Reduction Act Notice the Instructions for Form 990 991l) CJ12
~--~-------------------------
-----------------------------------------------
-------
e2
3 Using the organizations acquisition accession and other records check any of the following that are a significant use of its collection items (check all that apply)
a sectPublic exhibition d BLoan or exchange programs b Scholarly research e Other
c Preservation for future generations
4 Provide a description of the organizations collections and explain how they further the organizations exempt purpose in Part XIII
5 During the year did the organization solicit or receive donations of art historical treasures or other similar assets D to be sold to raise funds rather than to be maintained as part of the organizations collection Yes
IRal~IYRI Escrow and Custodial Arrangemel1ts Complete if the organization answered Yes to Form 990 Part IV line 9 or reported an amount on Form 990 Part X line 21
1 a ~nt~~r~g~~~~~r~ ~~ ~~~~t~ trus~e~ ~u~t~~i~~ or ot~er int~~~~~~~~~ ~o~contnbu~i~~~ ~r ~~e~ ass~ts n~i~cI~~~d DYes
b If Yes explain the arrangement in Part XIII and complete the following table
Amount
c Beginning balance 1 c d Additions during the year d
e Distributions during the year 1 e f Ending balance 1f
2a Did the organization include an amount on Form 990 Part X line 21 UYes NOb If Yes explain the arrangement in Part XIII Check here if the explantion has been provided in Part Xlll D
fBaIM~1 Endowment Funds Complete if the or~anization answered Yes to Form 990 Part IV line 10 (a) Current (b) Prior year (e) Two years (d) Three years (e) Four years
1 a Beginning of year balance
b Contributions
c Net investment earnings gains and losses
d Grants or scholarships
e Other expenditures for facilities and programs
f Administrative expenses
9 End of year balance
2 PrOVide the estimated percentage of the current year end balance (line 1 g column (araquo held as
a Board designated or quasi-endowment b Permanent endowment c Temporarily restricted endowment
The percentages in lines 2a 2b and 2c should equal 10000
3 a Are there endowment funds not in the possession of the organization that are held and administered for the organization by Yes No (i) unrelated organizations 3a(i)
(ii) related organiZations 3a(ii)
b If Yes to 3a(ii) are the related organizations listed as required on Schedule R 3b I 4 Describe in Part XIII the intended uses of the organizations endowment funds
1 a Land
b Buildings
c Leasehold improvements
d Equipment
e Other
Total Add lines 1 a
BAA
(d) Book value
TEEt3302L 06e71 i 2
-------------------------
of security or rfpnlrl
name of secu (1) Financial derivatives
94-2460211
uation Cost or rket value
Page 3
~------------~--------------------------------------(2) Closely-held equity interests
~------------~--------------------------------------(3) Other ______________________ +----------f--------------------shyi~ __________________________1---_______-+____________________ (8)
iq __________________________~-----~---------------------------iD1_ - - - - - - - - - - - - - - - - - - - - - - -- -f------------+-------------------------------shy(E)- - - - - - - - - - - - - - - - - - - - - - - - - - - - ~-------------I---------------------------------------~~--------------------------f__----------+_-------------------------------iGl ______ -- _________ - _ - - - __ - - -f__----------l-----------------------------shy(H)- - - - - - - - - - - - - - - - - - - - - - - - - - - -- ~-------------+---------------------------------------J~ _____________________ _
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10) ----shy
(11)
Total (Column (b) must equal Form 990 Part X column (8) line 25) 2 FIN 48 CASe 740) Footnote In Part XIII provide the text of the footnote to the organizations financial statements that reports the organizations liability for uncertain tax positions under FIN 48 (ASe 740) Cherv here If the text of the footnote has been provided 11 Part XIII LJ BAA ____~_~__O~_ ~-~-~~~~--~~~-- --~T~-~middotA3303L- 122312 -- gt--~~-- Schedule 0 (Form 990) 2012
Page 4
2 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 XIII)
e Add lines 2a through 2d
3 Subtract line 2e from line 1 4 Amounts included on Form 990 Part VIII line 12 but not on line 1
a Investment expenses not included on Form 990 Part VIII line 7b
b Other (Describe in Part XII I)
c Add lines 4a and 4b
5 Total revenue Add lines 3 and 4c (This must equal Form 990 Part I line 72)
Total expenses and losses per audited financial statements
2 Amounts included on line 1 but not on Form 990 Part IX line 25
a Donated services and use of facilities 13 244 b Prior year adjustments c Other losses
d Other (Describe in Part XIII)
e Add lines 2a through 2d 3 Subtract line 2e from line 1
4 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 XIII) c Add lines 4a and 4b
must equal Form 990 Part I line 78)
Complete this part to provide the descriptions required for Part II lines 3 5 and 9 Part III lines 1a and 4 Part IV lines 1b and 2b Part V line 4 Part X line 2 Part XI lines 2d and 4b and Part XII lines 2d and 4b Also complete this part to provide any additional information
BAA Schedule 0 (Form 990) 2012
fEEA3304L 1
OMS No 1545middot0047
SCHEDULE G Supplemental Information Regarding (Form 990 or 990-EZ) Fundraising or Gaming Activities 2012
Complete if the organization answered Yes to Form 990 Part IV lines 17 18 or 19 or if the organization entered more than $15000 on Form 990-EZ line 6aDepartment of the Treasury
Internal Revenue Service ~ Attach to Form 990 or Form 990-EZ ~ See separate instructions
Name of Employer
94-2460211 InnInn ACtlVlllles Complete if the organization
___-c---cFo_r_m--- ~ filers are not required to complete this part
Indicate whether the organization raised funds through any of the following activities Check all that apply
a DMail solicitations e DSolicitation of non-government grants
b D Internet and email solicitations f DSolicitation of government grants
c D Phone solicitations g D Special fundraising events
d D Inmiddotperson solicitations
2 a 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 DYes ~No
b If Yes list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fund raiser is to be compensated at least $5000 by the organization
(i) Name and address of individual or entity (fund raiser)
(ii) Activity (iii) Did fund raiser have custod6or control
of contri utions
(iv) Gross receipts from activity
(v) Amount paid to (or retained by)
fundraiser listed in
(vi) Amount paid to (or retained by)
organization column (i)
Yes No
1
-- shy2
3 I
4 -----~--------
5
6
7 -__----shy
8
9
10
Total O bull -
3 List all states In which the organization IS reglslered or licensed to SOliCit contributions or has been notified It IS exempt from registration or licensing
- --~---~---~-- ~-~--~-~--~-~~-- ---
BAA for Paperwork Reduction Act Notice see the Instructions Form 990 or 990-EL Schedule G (runn 990 or 990-EZ) 2012 TEEA3701L 01107113
--
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Schedule G (Form 990 or 990-EZ) 2012 Commun Br 94-2460211 Page 2
Fun ng Events Complete if the organization answered Yes to Form 990 Part IV ine 18 or reported more than $15000 of fundraising event contributions and gross income on Form 990-EZ lines 1 and 6b List events with gross receipts greater than $5000
(a) Event 1 (b) Event 2 (c) Other events (d) Total events (add column (a)
Italian Affair None through column (craquoR (event type) (event type) (total number) E V E N 1 Gross receipts 20186 20186 U E
2 Less Charitable contributions
3 Gross income (line 1 minus line 2) 20186 20186
4 Cash prizes
5 Noncash prizes D
R I
6 Rentfacility costs E C T 7 Food and beverages 5391 539l E x p 8 Entertainment E
N s 9 Other direct expenses 5822 5822E S
10 Direct expense summary Add lines 4 through 9 in column (d) 11213 11 Net income summary Combine line 3 column (d) and line 1 Q 8973
[Pifllll Gaming Complete if the o~ganization answered Yes to Form 990 Part IV line 19 or reported more than
(a) Bingo (b) Pull tabsllnstant (c) Other gaming (d) Total gaming R E bingoprogressive (add column (a) V bingo through column (eraquo E N U E Gross revenue
2 Cash prizes ~------------4---------------+--------------~--------------E
D X I P 3 Non-cash prizes R E E N C S T E
S 4 Rentfacility costs
5 Other direct expenses
Yes Yes Yes 6 Volunteer labor No No No
7 Direct expense summary Add lines 2 through 5 in column (d)
8 Net gaming income summary Combine lines 1 column (d) and line 7
9 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 0 Yes
b If No explain
lOa Were any of the organizations gaming licenses revoked suspended or terminated during the tax year 0 Yes b If Yes explain
BAA TFJ3]02L 010713 ScheclJle G (F (JIm 990 or 990 2012
------------
-----------
Schedule G (Form 990 or 990-EZ) 2012 Community Bridges 94-2460211 Page 3 11 Does the organization operate gaming activities with nonmembers DYes 12 Is the organization a grantor beneficiary or trustee of a trust or a member of a partnership or other entity formed to
administer charitable gaming DYes 13 Indicate the percentage of gaming activity operated in
a The organizations facility 13a ~13-b~------------~~b An outside facility
14 Enter the name and address of the person who prepares the organizations gamingspecial events books and records
Name
Address
15a Does the organization have a contact with a third party from whom the organization receives gaming revenue DYes b If Yes enter the amount of gaming revenue received by the organization $ and the amount
of gaming revenue retained by the third party $ c If Yes enter name and address of the third party
Name ---------------------------------------------~-----l
I Address I
16 Gaming manager information
Name
Gaming manager compensation $
Description of services provided
D Directorofficer DEmployee D independent contractor
17 Mandatory distributions
a Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the ~~egaminglicense ___________________________________________________________________ D~s ~No
b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the
organizations own exempt activities during the tax year $ lean~IlUI Supplemental Information Complete this part to provide the explanations required by Igtart I line 2b
columns (iii) and (v) and Part III lines 9 9b 1 ~b 15b 15c 16 and 17b as applicable Also complete this part to provide any additional information (see instructions)
----------------------- -------------------- ------ ----------------------------- __--shy
_ ---_ --------------- ---------------- ----- shy
BAA TEEA3703L 010113 Schedule G (Form 990 or 990middotEZ) 2012
--------------------------------------------------------- ---------
OMB No 1545-0047SCHEDULE 0 Supplemental Information to Form 990 or 990middotEZ (Form 990 or 990-EZ)
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information
Department of the Treasury ~ Attach to Form 990 or 990-EZInternal Revenue Service
Name of the
94-2460211
health care 4112-63012
BAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990-EZ TFEIA)IJIL 12812 Schedule 0 (Forrn 990 or 2012
Schedule 0 (Form 990 or 990-EZ) 2012 Page 2 Name of the organization Employer Identification number
Community Bridges 94-2460211
~ ~~Oy~~sjg1~~ge~~~e~~~~~ ~~~ ~ ~ ~~ ~~ ~_ ~~ ~ ~ ~~~~~~~ ~ ~ ~ ~ ~ ~~~~ ~ ~ ~~ ~ ~~~~~ ~ ~ ~ ~ _
Schedule (Form 990 or
TEEA4902L
2012
2012 Schedule 0 bull Supplemental Information Page 1
Community Bridges 94-2460211
Form 990 Part XI Line 9 Other Changes In Net Assets Or Fund Balances
Depreciation Grant Funded Assets $ -140124 Familia Net Assets 82104
Total $ -58020========
-------------------
OMS No 1545-0047
SCHEDULE R (Form 990) Related Organizations and Unrelated Partnerships 2012
Complete if the organization answered Yes to Fonn 990 Part IV line 33343536 or 37DqJ21rTrrent of the Treasury Internal Revenue Service Attach to Form 990 ~ See separate instructions Name of the organization
s 94-2460211Commu
rp~ Identification of Disregarded Entities (Complete if the organization answered Yes to Form 990 Part
(a) (b) (c) (e) (f) iiame address and EIN (if applicable) of disregarded entity Primary activity Legal domicile (state End-of-year assets Direct controlling
or foreiqn country) entity
=== === =_===== =_ ===== == ===__1 1-- -- -=-=1 TI ~~
FPafIIldentification 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)
(a) Name address and EIN of related organization
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Exempt Code
section
(e) Public charity status (if section 501 (c) (3raquo)
(f) Direct controlling
entity
(g)Sec 512(b)(13)
controlled entity
Yes No (1) FAMILIA CENTER
236SANTA-rnUZAVE----------- shy------------------------- shyAPTOS CA 95003770071589 - - shy - - - -- shy - - - -- shy - - shy BILINGUAL FAMILY
SERVICES CA I
501(C)3 PUBLIC
CHARITY COMMUNITY
BRIDGES X
---------------------- shy_shy --shy --------------------- shy - shy - -- -- shy - - shy - - shy - - - - - - - - - - - - - - -
- --
----------~--------------
-shy - shy --------------------- shy
-shy - shy - shy - shy shy -shy - - ---------------- shy- c--- shy
- - -- --- -- - - - - --- - - - - - - - - - - - - shy
- - -- - shy
- -- - --------------------- shy -=r_ I _ __ I
~-- I ------- - -- ----- --- --
BAt For Paperwork Reduction Act Notice see the Instructions for Form 990 TEEA5001 L 122812 Schedule R (Form 990) 2012
- -- ------
----- -
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 2
re~rtUI Iidentific~tion of Related Organizations T~xable 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)
me oddltl od EIN of I PIm~~cttyrelated organization
-+shy----shy
-_--shy -- -shy ~
(c) Legal
domicile (state or foreign country)
(d) Direct
controlling entity
(e) Predominant income (related unrelated excluded from tax
under sections 512-514)
(f) Share of total
income
(g) Share of
end-of-year assets
(h) Disproporshy
tionate allocations
Yes No
(i) Code V-UBI
amount in box 20 of Schedule
K-1 (Form 1065)
(j) General or managing partner
Yes No
(k) Percentage ownership
shy -shy --shy --shy -shy
-shy -__shy ---shy -shy
_ _ _____ ___ J~
-- -- -- - - - -- - -- shy
-
--T~ --=~ -- ~~==~=-
I
IPaHJVl Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered Yes to Form 990 Part IV L----_-l line 34 because it had one or more related organizations treated as a corporation or trust during the tax year)
(a) (b) I (c) (d) (e) I (f) (g) (h) I (i)iiame address and EIN of related organization Primary activity Legal domicile Direct Type of entity Share of Share of end-of- Percentage Sec S12(b)(13)
(state or foreign controlling (C corp S corp total income year assets ownership controlled entitycountry) entity or trust)
Yes I No
- - - - - - - - - -- - - - - - -- --I --------------------4
--==========1------~--------------~------------~------------~------------~--------------~--------------~--------~I----~------TEEA5002L 1228112 Schedule R (Form 990) 2012
---------
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 3
i])~ Transactions With Related Organizations (Complete if the organization answered Yes to Form 990 Part IV line 34 35b or 36)
Note Complete line 1 if any entity is listed in Parts II III or IV of this schedule During the lax year did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity b Gift grant or capital contribution to related organization(s)
Gift grant or capital contribution from related organization(s)
d Loans or loan guarantees to or for related organization(s)
e Loans or loan guarantees by related organization(s)
Dividends from related organization(s) 9 Sale of assets to related organization(s)
h Purchase of assets from related organization(s)
Exchange of assets with related organization(s)
Lease c[racilities equipment or other assets to related organization(s)
Lease of facilities equipment or other assets from related organization(s)
Performance of services or membership or fundraising solicitations for related organization(s)
Ferformance of services or membership or fundraising solicitations by related organization(s)
Sharing of facilities equipment mailing lists or other assets with related organization(s)
o Sharing of paid employees with related organization(s)
Reimbursement paid to related organization(s) for expenses
q Reimbursement paid by related organization(s) for expenses
r Other transfer of cash or property to related organization(s
5 Other transfer of cash or property from related organization(s)
If the answer to any of the above is Yes see the instructions for information on who must complete this line including covered relationships and transaction thresholds
(b) (c)N f h(a) d (2 lame 0 ot er organization Transaction Amount involved Metho of etermlnlng --~
type (a-s) amount involved
(1)
(2)
ltd ~ ~J
I I I
(5) ------------shy
(6) ~---------------------------------------------------------------------------~--------------~--------~~~~--~--~~~
TEEIS003L 1228112 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 4
e~~I1 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) I (b) (c) (d) (e) (f) (g) (h) (i) (j) I (k)Jame address and EIN of entity Primary activity Legal domicile Predominant Are all partners Share of Share of Dispropor- Code V-UBI General or Percentage
(state or foreign income section total income end-of-year tionate amount in box managing ownership country) (related unre- 501 (c)(3) assets allocations 20 of Schedule partner
lated excluded organizations i K- 1 from tax under ~---c--- Form (1065)
section 512-514) Yes I No Yes No Yes No----+----1
- --==~ ~ ~ ====== ~ I ~ --I------+--+----t--shy
(3)
--------------1
(6)
-____ __~__ - I I I SAl TEEAS004L 122812 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Page 5 _ Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions)
-r- I - lt-j005L middot22312 Schedule R (Forni
4 Schedule A (Form 990 or 990-EZ) 2012 Communi s 94-2460211 Supplemental Information Complete this part to provide the explanations required by Part II line 10 Part II line 17a or 17b and Part III line 12 Also complete this part for any additional information (See instructions)
___~P~~t1~cJ~Cule_~dJltli9~lt ~~~lelTI_e~U~f9l1aiQf _______________________________ _
_ _cLeID1tu_g1_lzgti_ol)-PSlYlJ1~nL _ _ _ _ _ _ _ _ _ _ _ _ ________________________________ _
BAA
081012
2012 Schedule A Part IV - Supplemental Information PageS
Community Bridges 94-2460211
Part II Line 10 - Other Income
Nature and Source 2012 2011 2010 2009 2008
Other Income Total
$ 108645 $ 108645
$ 36333 $ 36333
$ 130009 $ 130009
$ 169710 $ 169710
$ $
167576 167576
------
---------------
OMB No 1545middot0047SCHEDULE C Political Campaign and Lobbying Activities (Form 990 or 990-EZ)
For Organizations Exempt From Income Tax Under section 501 (c) and section 527 2012 Complete if the organization is described below Attach to Form 990 or Form 990-EZ
Department of the Treasury Internal Revenue Service See separate instructions
If the organization answered Yes to Form 990 Part IV line 3 or Form 990-EZ Part V line 46 (Political Campaign Activities) then bull Section 501 (c)(3) organizations Complete Parts I-A and B Do not complete Part I-C bull Section 501 (c) (other than section 501 (c)(3raquo) organizations Complete Parts I-A and C below Do not complete Part I-B bull Section 527 organizations Complete Part I-A only
If the organization answered Yes to Form 990 Part IV line 4 or Form 990-EZ Part VI line 47 (Lobbying Activities) then bull Section 501 (c) (3) organizations that have filed Form 5768 (election under section 501 (h)) Complete Part II-A Do not complete Part II-B
bull Section 501 (c) (3) organizations that have NOT filed Form 5768 (election under section 501 (h)) Complete Part II-B Do not complete Part II-A
If the organization answered Yes to Form 990 Part IV line 5 (Proxy Tax) or Form 990-EZ Part V line 35a (Proxy Tax) then bull Section 501 (c)(4) (5) or (6) organizations Complete Part III
See Part IV 2 3 Volunteer hours bull w Complete if the organization is exempt under section 501 (c)(3) 1 Enter the amount of any excise tax incurred by the organization under section 4955
2 Enter the amount of any excise tax incurred by organization managers under section 4955
3 If the organization incurred a section 4955 tax did it file Form 4720 for this year DYes
4a Was a correction made middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotDYes b If Yes describe in Part IV
II~~~~~~~~~~~~--~~~~~~~--~~---------2 Enter the amount of the filing organizations funds contributed to other organizations for section 527 exempt
function activities $
3 Total exempt function expenditures Add lines 1 and 2 Enter here and on Form 1120-POL line 17b ~ $
4 Did the filing organization file Form 1120-POL for this year DYes
5 Enter the names addresses and employer identification number (EIN) of all section 527 political organizations to which the filing organization made payments For each organization listed enter the amount paid from the filing organizations funds Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization such as a separate segregated fund or a political action committee (PAC) If additional space is needed provide information in Part IV
(a) Name (b) Address (e) EIN (d) Amount paid from filing (e) Amount of political organizations funds If contributions received and
none enter-Omiddot promptly and directly delivered to a separate political organization If
none enter -0middot
(1) ~---------------~---
(2) ~------
(3) ~-
(4)
~~)~~~~~--~~~~--~-~---~~-~---~~~~~~~-~_-_~~~~-----~~~~~~-~~~~~~~~~~-~~~~~-~---------_-_--f------c_~~~_-middot_J_L~~--------+---~ -~ -shyBAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990middotEZ Schedule C (Form 990 or 990middotEZ) 2012
TEEA320 I L 217112
----
Schedule C(Form 990 or 990-EZ) 2012 Communi Bri s 4-2460211 Page 2
Complete if the organization is exempt under section 501 (c)(3) and filed Form 5768 (election under section 501 (hraquo
A Check ~ 0 if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group members name
address EIN expenses and share of excess lobbying expenditures)
B Check ~ 0 if the filing organization checked box A and limited control provisions apply
Limits on Lobbying Expenditures (a) Filing (b) Affiliated organizations totals group totals (The term expenditures means amounts paid or incurred)
1 a Total lobbying expenditures to influence public opinion (grass roots lobbying)
b Total lobbying expenditures to influen_ce a legislative body (direct lobbying)
c Total lobbying expenditures (add lines 1a and 1b)
d Other exempt purpose expenditures
e Total exempt purpose expenditures (add lines 1c and 1d)
f Lobbying nontaxable amount Enter the amount from the following table in both columns
g Grassroots nontaxable amount (enter 25 of line 1f)
h Subtract line 1g from line 1a If zero or less enter -0-
Subtract line 1f from line 1c If zero or less enter -0-
If there is an amount other than zero on either line 1h or line 1i did the organization file Form 4720 reporting section 4911 tax for this year DYes 0No
4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501 (h) election do not have to complete all of the five
columns below See the instructions for lines 2a through 2f)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total year beginning in)
13l7 524
2a Lobbying non-taxable amount 3 513 393
b Lobbying ceiling amount (150 of line 2a column (eraquo 5 270 090
c Total lobbying enditures 18 425
d Grassroots nontaxable amount 878 349
e Grassroots ceiling amount (150 of line 2d column
f Grassroots lobbying expenditures o
BAA Schedule C (Form 990 or 990-EZ) 2012
-EEA3202L 010713
3 Schedule C(Form 990 or 2012 Bri 94-2460211 Complete if the organization is exempt under se as NOT filed Form 5768 (election under section 501 (hraquo
For each Yesresponse to lines 7a through Ii below provide in Part IVa detailed description of the lobbying activity
During the year did the filing organization attempt to influence foreign national state or local legislation including any attempt to influence public opinion on a legislative matter or referendum through the use of
a Volunteers
b Paid staff or management (include compensation in expenses reported on lines 1 c through 1 i)
c Media advertisements
d Mailings to members legislators or the pUblic ~~---+--------------
e Publications or published or broadcast statements
f Grants to other organizations for lobbying purposes
9 Direct contact with legislators their staffs government ofFicials or a legislative body
h Rallies demonstrations seminars conventions speeches lectures or any similar means
i Other activities ~~~~--------
j Total Add lines 1c through 1 i ~lli~J~i01 ~2iJn
I----t---- shy
2 a Did the activities in line 1 cause the organization to be not described in section 501 (c)(3)
b If Yes enter the amount of any tax incurred under section 4912
c If Yes enter the amount of any tax incurred by organization managers under section 4912
d If the filing organization incurred a section 4912 tax did it file Form 4720 for this year
Complete if ization is exempt under section 501 (c)(4) section 501 (c)(5) or section 501
Were substantially all (90 or more) dues received nondeductible by members 1----+---1---shy
2 Did the organization make only inmiddothouse lobbying expenditures of $2000 or less f----j----j--- shy
3 Did the organization agree to carryover lobbying and political from the prior year
Complete if the organization is exempt under section 501 (c)(4) section 501 (c)(5) or section 501 (c) (6) and if either (a) BOTH Part III-A lines 1 and 2 are answered No OR (b) Part III-A line 3 is answered Yes
Dues assessments and similar amounts from members
2 Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid)
a Current year
b Carryover from last year
c Total
3 Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues
4 If notices were sent and the amount on line 2c exceeds the amount on line 3 what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year
I---~--------------5 Taxable amount of lobbying and political expenditures (see instructions)
Complete this part to provide the descriptions required for Part ImiddotA line 1 Part ImiddotB line 4 Part Imiddote line 5 Part IImiddotA (affiliated group list) Part IImiddotA line 2 and Part IImiddotB line 1 Also complete this part for any additional information
TEEA32031 OliO
Scheciu1e
-----------------
OMB I~o 1545-0047 SCHEDULE D (Form 990) Supplemental Financial Statements 2012
~ Complete if the organization answered Yes to Form 990 Part IV lines 6 7 8 9 10 l1a 11 b 1lc l1d l1e l1f 12a or 12b
~ Attach to Form 990 ~ See instructions
(a) Donor advised funds
1 Total number at end of year
2 Aggregate contributions to (during year
3 Aggregate grants from (during year) 4 Aggregate value at end of year
S Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organizations property subject to the organizations exclusive legal control DYes
6 Did the organization inform all grantees donors and donor advisors in writing that grant funds can be used only
impermissible private benefit for charitable purposes and not for the benefit of the donor or donor advisor or for any other purpose conferring
No
(b) Funds and other accounts
Purpose(s) of conservation easements held by the organization (check all that apply)
Preservation of land for public use (eg recreation or education) D Preservation of an historically important land area
Protection of natural habitat D Preservation of a certified historic structure
Preservation of open space ~
2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the iast day of the tax year
a Total number of conservation easements
b Total acreage restricted by conservation easements
c Number of conservation easements on a certified historic structure included in (a)
d Number of conservation easements included in (c) acquired after 81706 and not on a historic structure listed in the National Register 2 dL-__L-_________________________
3 Number of conservation easements modified transferred released extinguished or terminated by the organization during the tax year Igt
4 Number of states where property subject to conservation easement is located Igt
S Does the organization have a written policy regarding the periodic monitoring inspection handling of violations and enforcement of the conservation easements it holds DYes
6 Staff and volunteer hours devoted to monitoring inspecting and enforcing conservation easements during the year Igt
7 Amount of expenses incurred in monitoring inspecting and enforcing conservation easements during the year 1gt$
8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(8)(i) and section 170(h)(4)(8)(ii) DYes
9 In Part XIII describe how the organization reports conservation easements in its revenue and expense statement and balance sheet and include if applicable the text of the footnote to the organizations financial statements that describes the organizations accounting for conservation easements
tf~rtiml Organizations Maintaining Collections of Art Historical Treasures or Other Similar Assets Complete if the organization answered Yes to Form 990 Part IV line 8
1 a If the organization elected as permitted under SFAS 116 (ASC 958) 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 XIII the text of the footnote to its financial statements that describes these items
b If the organization elected as permitted under SFAS 116 (ASe 958) 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 VI I line 1 ~$
(ii) Assets included in Form 990 Part X 11gt-$
2 If the organization received or held works of art histOrical treasures or other similar assets for financial gaill provide the following amounts required to be reported under SFAS 116 (ASe 958) relating to these items
11gt-$ -~~-------
$ BAA For Paperwork Reduction Act Notice the Instructions for Form 990 991l) CJ12
~--~-------------------------
-----------------------------------------------
-------
e2
3 Using the organizations acquisition accession and other records check any of the following that are a significant use of its collection items (check all that apply)
a sectPublic exhibition d BLoan or exchange programs b Scholarly research e Other
c Preservation for future generations
4 Provide a description of the organizations collections and explain how they further the organizations exempt purpose in Part XIII
5 During the year did the organization solicit or receive donations of art historical treasures or other similar assets D to be sold to raise funds rather than to be maintained as part of the organizations collection Yes
IRal~IYRI Escrow and Custodial Arrangemel1ts Complete if the organization answered Yes to Form 990 Part IV line 9 or reported an amount on Form 990 Part X line 21
1 a ~nt~~r~g~~~~~r~ ~~ ~~~~t~ trus~e~ ~u~t~~i~~ or ot~er int~~~~~~~~~ ~o~contnbu~i~~~ ~r ~~e~ ass~ts n~i~cI~~~d DYes
b If Yes explain the arrangement in Part XIII and complete the following table
Amount
c Beginning balance 1 c d Additions during the year d
e Distributions during the year 1 e f Ending balance 1f
2a Did the organization include an amount on Form 990 Part X line 21 UYes NOb If Yes explain the arrangement in Part XIII Check here if the explantion has been provided in Part Xlll D
fBaIM~1 Endowment Funds Complete if the or~anization answered Yes to Form 990 Part IV line 10 (a) Current (b) Prior year (e) Two years (d) Three years (e) Four years
1 a Beginning of year balance
b Contributions
c Net investment earnings gains and losses
d Grants or scholarships
e Other expenditures for facilities and programs
f Administrative expenses
9 End of year balance
2 PrOVide the estimated percentage of the current year end balance (line 1 g column (araquo held as
a Board designated or quasi-endowment b Permanent endowment c Temporarily restricted endowment
The percentages in lines 2a 2b and 2c should equal 10000
3 a Are there endowment funds not in the possession of the organization that are held and administered for the organization by Yes No (i) unrelated organizations 3a(i)
(ii) related organiZations 3a(ii)
b If Yes to 3a(ii) are the related organizations listed as required on Schedule R 3b I 4 Describe in Part XIII the intended uses of the organizations endowment funds
1 a Land
b Buildings
c Leasehold improvements
d Equipment
e Other
Total Add lines 1 a
BAA
(d) Book value
TEEt3302L 06e71 i 2
-------------------------
of security or rfpnlrl
name of secu (1) Financial derivatives
94-2460211
uation Cost or rket value
Page 3
~------------~--------------------------------------(2) Closely-held equity interests
~------------~--------------------------------------(3) Other ______________________ +----------f--------------------shyi~ __________________________1---_______-+____________________ (8)
iq __________________________~-----~---------------------------iD1_ - - - - - - - - - - - - - - - - - - - - - - -- -f------------+-------------------------------shy(E)- - - - - - - - - - - - - - - - - - - - - - - - - - - - ~-------------I---------------------------------------~~--------------------------f__----------+_-------------------------------iGl ______ -- _________ - _ - - - __ - - -f__----------l-----------------------------shy(H)- - - - - - - - - - - - - - - - - - - - - - - - - - - -- ~-------------+---------------------------------------J~ _____________________ _
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10) ----shy
(11)
Total (Column (b) must equal Form 990 Part X column (8) line 25) 2 FIN 48 CASe 740) Footnote In Part XIII provide the text of the footnote to the organizations financial statements that reports the organizations liability for uncertain tax positions under FIN 48 (ASe 740) Cherv here If the text of the footnote has been provided 11 Part XIII LJ BAA ____~_~__O~_ ~-~-~~~~--~~~-- --~T~-~middotA3303L- 122312 -- gt--~~-- Schedule 0 (Form 990) 2012
Page 4
2 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 XIII)
e Add lines 2a through 2d
3 Subtract line 2e from line 1 4 Amounts included on Form 990 Part VIII line 12 but not on line 1
a Investment expenses not included on Form 990 Part VIII line 7b
b Other (Describe in Part XII I)
c Add lines 4a and 4b
5 Total revenue Add lines 3 and 4c (This must equal Form 990 Part I line 72)
Total expenses and losses per audited financial statements
2 Amounts included on line 1 but not on Form 990 Part IX line 25
a Donated services and use of facilities 13 244 b Prior year adjustments c Other losses
d Other (Describe in Part XIII)
e Add lines 2a through 2d 3 Subtract line 2e from line 1
4 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 XIII) c Add lines 4a and 4b
must equal Form 990 Part I line 78)
Complete this part to provide the descriptions required for Part II lines 3 5 and 9 Part III lines 1a and 4 Part IV lines 1b and 2b Part V line 4 Part X line 2 Part XI lines 2d and 4b and Part XII lines 2d and 4b Also complete this part to provide any additional information
BAA Schedule 0 (Form 990) 2012
fEEA3304L 1
OMS No 1545middot0047
SCHEDULE G Supplemental Information Regarding (Form 990 or 990-EZ) Fundraising or Gaming Activities 2012
Complete if the organization answered Yes to Form 990 Part IV lines 17 18 or 19 or if the organization entered more than $15000 on Form 990-EZ line 6aDepartment of the Treasury
Internal Revenue Service ~ Attach to Form 990 or Form 990-EZ ~ See separate instructions
Name of Employer
94-2460211 InnInn ACtlVlllles Complete if the organization
___-c---cFo_r_m--- ~ filers are not required to complete this part
Indicate whether the organization raised funds through any of the following activities Check all that apply
a DMail solicitations e DSolicitation of non-government grants
b D Internet and email solicitations f DSolicitation of government grants
c D Phone solicitations g D Special fundraising events
d D Inmiddotperson solicitations
2 a 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 DYes ~No
b If Yes list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fund raiser is to be compensated at least $5000 by the organization
(i) Name and address of individual or entity (fund raiser)
(ii) Activity (iii) Did fund raiser have custod6or control
of contri utions
(iv) Gross receipts from activity
(v) Amount paid to (or retained by)
fundraiser listed in
(vi) Amount paid to (or retained by)
organization column (i)
Yes No
1
-- shy2
3 I
4 -----~--------
5
6
7 -__----shy
8
9
10
Total O bull -
3 List all states In which the organization IS reglslered or licensed to SOliCit contributions or has been notified It IS exempt from registration or licensing
- --~---~---~-- ~-~--~-~--~-~~-- ---
BAA for Paperwork Reduction Act Notice see the Instructions Form 990 or 990-EL Schedule G (runn 990 or 990-EZ) 2012 TEEA3701L 01107113
--
------
Schedule G (Form 990 or 990-EZ) 2012 Commun Br 94-2460211 Page 2
Fun ng Events Complete if the organization answered Yes to Form 990 Part IV ine 18 or reported more than $15000 of fundraising event contributions and gross income on Form 990-EZ lines 1 and 6b List events with gross receipts greater than $5000
(a) Event 1 (b) Event 2 (c) Other events (d) Total events (add column (a)
Italian Affair None through column (craquoR (event type) (event type) (total number) E V E N 1 Gross receipts 20186 20186 U E
2 Less Charitable contributions
3 Gross income (line 1 minus line 2) 20186 20186
4 Cash prizes
5 Noncash prizes D
R I
6 Rentfacility costs E C T 7 Food and beverages 5391 539l E x p 8 Entertainment E
N s 9 Other direct expenses 5822 5822E S
10 Direct expense summary Add lines 4 through 9 in column (d) 11213 11 Net income summary Combine line 3 column (d) and line 1 Q 8973
[Pifllll Gaming Complete if the o~ganization answered Yes to Form 990 Part IV line 19 or reported more than
(a) Bingo (b) Pull tabsllnstant (c) Other gaming (d) Total gaming R E bingoprogressive (add column (a) V bingo through column (eraquo E N U E Gross revenue
2 Cash prizes ~------------4---------------+--------------~--------------E
D X I P 3 Non-cash prizes R E E N C S T E
S 4 Rentfacility costs
5 Other direct expenses
Yes Yes Yes 6 Volunteer labor No No No
7 Direct expense summary Add lines 2 through 5 in column (d)
8 Net gaming income summary Combine lines 1 column (d) and line 7
9 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 0 Yes
b If No explain
lOa Were any of the organizations gaming licenses revoked suspended or terminated during the tax year 0 Yes b If Yes explain
BAA TFJ3]02L 010713 ScheclJle G (F (JIm 990 or 990 2012
------------
-----------
Schedule G (Form 990 or 990-EZ) 2012 Community Bridges 94-2460211 Page 3 11 Does the organization operate gaming activities with nonmembers DYes 12 Is the organization a grantor beneficiary or trustee of a trust or a member of a partnership or other entity formed to
administer charitable gaming DYes 13 Indicate the percentage of gaming activity operated in
a The organizations facility 13a ~13-b~------------~~b An outside facility
14 Enter the name and address of the person who prepares the organizations gamingspecial events books and records
Name
Address
15a Does the organization have a contact with a third party from whom the organization receives gaming revenue DYes b If Yes enter the amount of gaming revenue received by the organization $ and the amount
of gaming revenue retained by the third party $ c If Yes enter name and address of the third party
Name ---------------------------------------------~-----l
I Address I
16 Gaming manager information
Name
Gaming manager compensation $
Description of services provided
D Directorofficer DEmployee D independent contractor
17 Mandatory distributions
a Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the ~~egaminglicense ___________________________________________________________________ D~s ~No
b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the
organizations own exempt activities during the tax year $ lean~IlUI Supplemental Information Complete this part to provide the explanations required by Igtart I line 2b
columns (iii) and (v) and Part III lines 9 9b 1 ~b 15b 15c 16 and 17b as applicable Also complete this part to provide any additional information (see instructions)
----------------------- -------------------- ------ ----------------------------- __--shy
_ ---_ --------------- ---------------- ----- shy
BAA TEEA3703L 010113 Schedule G (Form 990 or 990middotEZ) 2012
--------------------------------------------------------- ---------
OMB No 1545-0047SCHEDULE 0 Supplemental Information to Form 990 or 990middotEZ (Form 990 or 990-EZ)
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information
Department of the Treasury ~ Attach to Form 990 or 990-EZInternal Revenue Service
Name of the
94-2460211
health care 4112-63012
BAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990-EZ TFEIA)IJIL 12812 Schedule 0 (Forrn 990 or 2012
Schedule 0 (Form 990 or 990-EZ) 2012 Page 2 Name of the organization Employer Identification number
Community Bridges 94-2460211
~ ~~Oy~~sjg1~~ge~~~e~~~~~ ~~~ ~ ~ ~~ ~~ ~_ ~~ ~ ~ ~~~~~~~ ~ ~ ~ ~ ~ ~~~~ ~ ~ ~~ ~ ~~~~~ ~ ~ ~ ~ _
Schedule (Form 990 or
TEEA4902L
2012
2012 Schedule 0 bull Supplemental Information Page 1
Community Bridges 94-2460211
Form 990 Part XI Line 9 Other Changes In Net Assets Or Fund Balances
Depreciation Grant Funded Assets $ -140124 Familia Net Assets 82104
Total $ -58020========
-------------------
OMS No 1545-0047
SCHEDULE R (Form 990) Related Organizations and Unrelated Partnerships 2012
Complete if the organization answered Yes to Fonn 990 Part IV line 33343536 or 37DqJ21rTrrent of the Treasury Internal Revenue Service Attach to Form 990 ~ See separate instructions Name of the organization
s 94-2460211Commu
rp~ Identification of Disregarded Entities (Complete if the organization answered Yes to Form 990 Part
(a) (b) (c) (e) (f) iiame address and EIN (if applicable) of disregarded entity Primary activity Legal domicile (state End-of-year assets Direct controlling
or foreiqn country) entity
=== === =_===== =_ ===== == ===__1 1-- -- -=-=1 TI ~~
FPafIIldentification 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)
(a) Name address and EIN of related organization
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Exempt Code
section
(e) Public charity status (if section 501 (c) (3raquo)
(f) Direct controlling
entity
(g)Sec 512(b)(13)
controlled entity
Yes No (1) FAMILIA CENTER
236SANTA-rnUZAVE----------- shy------------------------- shyAPTOS CA 95003770071589 - - shy - - - -- shy - - - -- shy - - shy BILINGUAL FAMILY
SERVICES CA I
501(C)3 PUBLIC
CHARITY COMMUNITY
BRIDGES X
---------------------- shy_shy --shy --------------------- shy - shy - -- -- shy - - shy - - shy - - - - - - - - - - - - - - -
- --
----------~--------------
-shy - shy --------------------- shy
-shy - shy - shy - shy shy -shy - - ---------------- shy- c--- shy
- - -- --- -- - - - - --- - - - - - - - - - - - - shy
- - -- - shy
- -- - --------------------- shy -=r_ I _ __ I
~-- I ------- - -- ----- --- --
BAt For Paperwork Reduction Act Notice see the Instructions for Form 990 TEEA5001 L 122812 Schedule R (Form 990) 2012
- -- ------
----- -
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 2
re~rtUI Iidentific~tion of Related Organizations T~xable 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)
me oddltl od EIN of I PIm~~cttyrelated organization
-+shy----shy
-_--shy -- -shy ~
(c) Legal
domicile (state or foreign country)
(d) Direct
controlling entity
(e) Predominant income (related unrelated excluded from tax
under sections 512-514)
(f) Share of total
income
(g) Share of
end-of-year assets
(h) Disproporshy
tionate allocations
Yes No
(i) Code V-UBI
amount in box 20 of Schedule
K-1 (Form 1065)
(j) General or managing partner
Yes No
(k) Percentage ownership
shy -shy --shy --shy -shy
-shy -__shy ---shy -shy
_ _ _____ ___ J~
-- -- -- - - - -- - -- shy
-
--T~ --=~ -- ~~==~=-
I
IPaHJVl Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered Yes to Form 990 Part IV L----_-l line 34 because it had one or more related organizations treated as a corporation or trust during the tax year)
(a) (b) I (c) (d) (e) I (f) (g) (h) I (i)iiame address and EIN of related organization Primary activity Legal domicile Direct Type of entity Share of Share of end-of- Percentage Sec S12(b)(13)
(state or foreign controlling (C corp S corp total income year assets ownership controlled entitycountry) entity or trust)
Yes I No
- - - - - - - - - -- - - - - - -- --I --------------------4
--==========1------~--------------~------------~------------~------------~--------------~--------------~--------~I----~------TEEA5002L 1228112 Schedule R (Form 990) 2012
---------
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 3
i])~ Transactions With Related Organizations (Complete if the organization answered Yes to Form 990 Part IV line 34 35b or 36)
Note Complete line 1 if any entity is listed in Parts II III or IV of this schedule During the lax year did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity b Gift grant or capital contribution to related organization(s)
Gift grant or capital contribution from related organization(s)
d Loans or loan guarantees to or for related organization(s)
e Loans or loan guarantees by related organization(s)
Dividends from related organization(s) 9 Sale of assets to related organization(s)
h Purchase of assets from related organization(s)
Exchange of assets with related organization(s)
Lease c[racilities equipment or other assets to related organization(s)
Lease of facilities equipment or other assets from related organization(s)
Performance of services or membership or fundraising solicitations for related organization(s)
Ferformance of services or membership or fundraising solicitations by related organization(s)
Sharing of facilities equipment mailing lists or other assets with related organization(s)
o Sharing of paid employees with related organization(s)
Reimbursement paid to related organization(s) for expenses
q Reimbursement paid by related organization(s) for expenses
r Other transfer of cash or property to related organization(s
5 Other transfer of cash or property from related organization(s)
If the answer to any of the above is Yes see the instructions for information on who must complete this line including covered relationships and transaction thresholds
(b) (c)N f h(a) d (2 lame 0 ot er organization Transaction Amount involved Metho of etermlnlng --~
type (a-s) amount involved
(1)
(2)
ltd ~ ~J
I I I
(5) ------------shy
(6) ~---------------------------------------------------------------------------~--------------~--------~~~~--~--~~~
TEEIS003L 1228112 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 4
e~~I1 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) I (b) (c) (d) (e) (f) (g) (h) (i) (j) I (k)Jame address and EIN of entity Primary activity Legal domicile Predominant Are all partners Share of Share of Dispropor- Code V-UBI General or Percentage
(state or foreign income section total income end-of-year tionate amount in box managing ownership country) (related unre- 501 (c)(3) assets allocations 20 of Schedule partner
lated excluded organizations i K- 1 from tax under ~---c--- Form (1065)
section 512-514) Yes I No Yes No Yes No----+----1
- --==~ ~ ~ ====== ~ I ~ --I------+--+----t--shy
(3)
--------------1
(6)
-____ __~__ - I I I SAl TEEAS004L 122812 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Page 5 _ Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions)
-r- I - lt-j005L middot22312 Schedule R (Forni
2012 Schedule A Part IV - Supplemental Information PageS
Community Bridges 94-2460211
Part II Line 10 - Other Income
Nature and Source 2012 2011 2010 2009 2008
Other Income Total
$ 108645 $ 108645
$ 36333 $ 36333
$ 130009 $ 130009
$ 169710 $ 169710
$ $
167576 167576
------
---------------
OMB No 1545middot0047SCHEDULE C Political Campaign and Lobbying Activities (Form 990 or 990-EZ)
For Organizations Exempt From Income Tax Under section 501 (c) and section 527 2012 Complete if the organization is described below Attach to Form 990 or Form 990-EZ
Department of the Treasury Internal Revenue Service See separate instructions
If the organization answered Yes to Form 990 Part IV line 3 or Form 990-EZ Part V line 46 (Political Campaign Activities) then bull Section 501 (c)(3) organizations Complete Parts I-A and B Do not complete Part I-C bull Section 501 (c) (other than section 501 (c)(3raquo) organizations Complete Parts I-A and C below Do not complete Part I-B bull Section 527 organizations Complete Part I-A only
If the organization answered Yes to Form 990 Part IV line 4 or Form 990-EZ Part VI line 47 (Lobbying Activities) then bull Section 501 (c) (3) organizations that have filed Form 5768 (election under section 501 (h)) Complete Part II-A Do not complete Part II-B
bull Section 501 (c) (3) organizations that have NOT filed Form 5768 (election under section 501 (h)) Complete Part II-B Do not complete Part II-A
If the organization answered Yes to Form 990 Part IV line 5 (Proxy Tax) or Form 990-EZ Part V line 35a (Proxy Tax) then bull Section 501 (c)(4) (5) or (6) organizations Complete Part III
See Part IV 2 3 Volunteer hours bull w Complete if the organization is exempt under section 501 (c)(3) 1 Enter the amount of any excise tax incurred by the organization under section 4955
2 Enter the amount of any excise tax incurred by organization managers under section 4955
3 If the organization incurred a section 4955 tax did it file Form 4720 for this year DYes
4a Was a correction made middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotDYes b If Yes describe in Part IV
II~~~~~~~~~~~~--~~~~~~~--~~---------2 Enter the amount of the filing organizations funds contributed to other organizations for section 527 exempt
function activities $
3 Total exempt function expenditures Add lines 1 and 2 Enter here and on Form 1120-POL line 17b ~ $
4 Did the filing organization file Form 1120-POL for this year DYes
5 Enter the names addresses and employer identification number (EIN) of all section 527 political organizations to which the filing organization made payments For each organization listed enter the amount paid from the filing organizations funds Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization such as a separate segregated fund or a political action committee (PAC) If additional space is needed provide information in Part IV
(a) Name (b) Address (e) EIN (d) Amount paid from filing (e) Amount of political organizations funds If contributions received and
none enter-Omiddot promptly and directly delivered to a separate political organization If
none enter -0middot
(1) ~---------------~---
(2) ~------
(3) ~-
(4)
~~)~~~~~--~~~~--~-~---~~-~---~~~~~~~-~_-_~~~~-----~~~~~~-~~~~~~~~~~-~~~~~-~---------_-_--f------c_~~~_-middot_J_L~~--------+---~ -~ -shyBAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990middotEZ Schedule C (Form 990 or 990middotEZ) 2012
TEEA320 I L 217112
----
Schedule C(Form 990 or 990-EZ) 2012 Communi Bri s 4-2460211 Page 2
Complete if the organization is exempt under section 501 (c)(3) and filed Form 5768 (election under section 501 (hraquo
A Check ~ 0 if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group members name
address EIN expenses and share of excess lobbying expenditures)
B Check ~ 0 if the filing organization checked box A and limited control provisions apply
Limits on Lobbying Expenditures (a) Filing (b) Affiliated organizations totals group totals (The term expenditures means amounts paid or incurred)
1 a Total lobbying expenditures to influence public opinion (grass roots lobbying)
b Total lobbying expenditures to influen_ce a legislative body (direct lobbying)
c Total lobbying expenditures (add lines 1a and 1b)
d Other exempt purpose expenditures
e Total exempt purpose expenditures (add lines 1c and 1d)
f Lobbying nontaxable amount Enter the amount from the following table in both columns
g Grassroots nontaxable amount (enter 25 of line 1f)
h Subtract line 1g from line 1a If zero or less enter -0-
Subtract line 1f from line 1c If zero or less enter -0-
If there is an amount other than zero on either line 1h or line 1i did the organization file Form 4720 reporting section 4911 tax for this year DYes 0No
4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501 (h) election do not have to complete all of the five
columns below See the instructions for lines 2a through 2f)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total year beginning in)
13l7 524
2a Lobbying non-taxable amount 3 513 393
b Lobbying ceiling amount (150 of line 2a column (eraquo 5 270 090
c Total lobbying enditures 18 425
d Grassroots nontaxable amount 878 349
e Grassroots ceiling amount (150 of line 2d column
f Grassroots lobbying expenditures o
BAA Schedule C (Form 990 or 990-EZ) 2012
-EEA3202L 010713
3 Schedule C(Form 990 or 2012 Bri 94-2460211 Complete if the organization is exempt under se as NOT filed Form 5768 (election under section 501 (hraquo
For each Yesresponse to lines 7a through Ii below provide in Part IVa detailed description of the lobbying activity
During the year did the filing organization attempt to influence foreign national state or local legislation including any attempt to influence public opinion on a legislative matter or referendum through the use of
a Volunteers
b Paid staff or management (include compensation in expenses reported on lines 1 c through 1 i)
c Media advertisements
d Mailings to members legislators or the pUblic ~~---+--------------
e Publications or published or broadcast statements
f Grants to other organizations for lobbying purposes
9 Direct contact with legislators their staffs government ofFicials or a legislative body
h Rallies demonstrations seminars conventions speeches lectures or any similar means
i Other activities ~~~~--------
j Total Add lines 1c through 1 i ~lli~J~i01 ~2iJn
I----t---- shy
2 a Did the activities in line 1 cause the organization to be not described in section 501 (c)(3)
b If Yes enter the amount of any tax incurred under section 4912
c If Yes enter the amount of any tax incurred by organization managers under section 4912
d If the filing organization incurred a section 4912 tax did it file Form 4720 for this year
Complete if ization is exempt under section 501 (c)(4) section 501 (c)(5) or section 501
Were substantially all (90 or more) dues received nondeductible by members 1----+---1---shy
2 Did the organization make only inmiddothouse lobbying expenditures of $2000 or less f----j----j--- shy
3 Did the organization agree to carryover lobbying and political from the prior year
Complete if the organization is exempt under section 501 (c)(4) section 501 (c)(5) or section 501 (c) (6) and if either (a) BOTH Part III-A lines 1 and 2 are answered No OR (b) Part III-A line 3 is answered Yes
Dues assessments and similar amounts from members
2 Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid)
a Current year
b Carryover from last year
c Total
3 Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues
4 If notices were sent and the amount on line 2c exceeds the amount on line 3 what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year
I---~--------------5 Taxable amount of lobbying and political expenditures (see instructions)
Complete this part to provide the descriptions required for Part ImiddotA line 1 Part ImiddotB line 4 Part Imiddote line 5 Part IImiddotA (affiliated group list) Part IImiddotA line 2 and Part IImiddotB line 1 Also complete this part for any additional information
TEEA32031 OliO
Scheciu1e
-----------------
OMB I~o 1545-0047 SCHEDULE D (Form 990) Supplemental Financial Statements 2012
~ Complete if the organization answered Yes to Form 990 Part IV lines 6 7 8 9 10 l1a 11 b 1lc l1d l1e l1f 12a or 12b
~ Attach to Form 990 ~ See instructions
(a) Donor advised funds
1 Total number at end of year
2 Aggregate contributions to (during year
3 Aggregate grants from (during year) 4 Aggregate value at end of year
S Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organizations property subject to the organizations exclusive legal control DYes
6 Did the organization inform all grantees donors and donor advisors in writing that grant funds can be used only
impermissible private benefit for charitable purposes and not for the benefit of the donor or donor advisor or for any other purpose conferring
No
(b) Funds and other accounts
Purpose(s) of conservation easements held by the organization (check all that apply)
Preservation of land for public use (eg recreation or education) D Preservation of an historically important land area
Protection of natural habitat D Preservation of a certified historic structure
Preservation of open space ~
2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the iast day of the tax year
a Total number of conservation easements
b Total acreage restricted by conservation easements
c Number of conservation easements on a certified historic structure included in (a)
d Number of conservation easements included in (c) acquired after 81706 and not on a historic structure listed in the National Register 2 dL-__L-_________________________
3 Number of conservation easements modified transferred released extinguished or terminated by the organization during the tax year Igt
4 Number of states where property subject to conservation easement is located Igt
S Does the organization have a written policy regarding the periodic monitoring inspection handling of violations and enforcement of the conservation easements it holds DYes
6 Staff and volunteer hours devoted to monitoring inspecting and enforcing conservation easements during the year Igt
7 Amount of expenses incurred in monitoring inspecting and enforcing conservation easements during the year 1gt$
8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(8)(i) and section 170(h)(4)(8)(ii) DYes
9 In Part XIII describe how the organization reports conservation easements in its revenue and expense statement and balance sheet and include if applicable the text of the footnote to the organizations financial statements that describes the organizations accounting for conservation easements
tf~rtiml Organizations Maintaining Collections of Art Historical Treasures or Other Similar Assets Complete if the organization answered Yes to Form 990 Part IV line 8
1 a If the organization elected as permitted under SFAS 116 (ASC 958) 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 XIII the text of the footnote to its financial statements that describes these items
b If the organization elected as permitted under SFAS 116 (ASe 958) 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 VI I line 1 ~$
(ii) Assets included in Form 990 Part X 11gt-$
2 If the organization received or held works of art histOrical treasures or other similar assets for financial gaill provide the following amounts required to be reported under SFAS 116 (ASe 958) relating to these items
11gt-$ -~~-------
$ BAA For Paperwork Reduction Act Notice the Instructions for Form 990 991l) CJ12
~--~-------------------------
-----------------------------------------------
-------
e2
3 Using the organizations acquisition accession and other records check any of the following that are a significant use of its collection items (check all that apply)
a sectPublic exhibition d BLoan or exchange programs b Scholarly research e Other
c Preservation for future generations
4 Provide a description of the organizations collections and explain how they further the organizations exempt purpose in Part XIII
5 During the year did the organization solicit or receive donations of art historical treasures or other similar assets D to be sold to raise funds rather than to be maintained as part of the organizations collection Yes
IRal~IYRI Escrow and Custodial Arrangemel1ts Complete if the organization answered Yes to Form 990 Part IV line 9 or reported an amount on Form 990 Part X line 21
1 a ~nt~~r~g~~~~~r~ ~~ ~~~~t~ trus~e~ ~u~t~~i~~ or ot~er int~~~~~~~~~ ~o~contnbu~i~~~ ~r ~~e~ ass~ts n~i~cI~~~d DYes
b If Yes explain the arrangement in Part XIII and complete the following table
Amount
c Beginning balance 1 c d Additions during the year d
e Distributions during the year 1 e f Ending balance 1f
2a Did the organization include an amount on Form 990 Part X line 21 UYes NOb If Yes explain the arrangement in Part XIII Check here if the explantion has been provided in Part Xlll D
fBaIM~1 Endowment Funds Complete if the or~anization answered Yes to Form 990 Part IV line 10 (a) Current (b) Prior year (e) Two years (d) Three years (e) Four years
1 a Beginning of year balance
b Contributions
c Net investment earnings gains and losses
d Grants or scholarships
e Other expenditures for facilities and programs
f Administrative expenses
9 End of year balance
2 PrOVide the estimated percentage of the current year end balance (line 1 g column (araquo held as
a Board designated or quasi-endowment b Permanent endowment c Temporarily restricted endowment
The percentages in lines 2a 2b and 2c should equal 10000
3 a Are there endowment funds not in the possession of the organization that are held and administered for the organization by Yes No (i) unrelated organizations 3a(i)
(ii) related organiZations 3a(ii)
b If Yes to 3a(ii) are the related organizations listed as required on Schedule R 3b I 4 Describe in Part XIII the intended uses of the organizations endowment funds
1 a Land
b Buildings
c Leasehold improvements
d Equipment
e Other
Total Add lines 1 a
BAA
(d) Book value
TEEt3302L 06e71 i 2
-------------------------
of security or rfpnlrl
name of secu (1) Financial derivatives
94-2460211
uation Cost or rket value
Page 3
~------------~--------------------------------------(2) Closely-held equity interests
~------------~--------------------------------------(3) Other ______________________ +----------f--------------------shyi~ __________________________1---_______-+____________________ (8)
iq __________________________~-----~---------------------------iD1_ - - - - - - - - - - - - - - - - - - - - - - -- -f------------+-------------------------------shy(E)- - - - - - - - - - - - - - - - - - - - - - - - - - - - ~-------------I---------------------------------------~~--------------------------f__----------+_-------------------------------iGl ______ -- _________ - _ - - - __ - - -f__----------l-----------------------------shy(H)- - - - - - - - - - - - - - - - - - - - - - - - - - - -- ~-------------+---------------------------------------J~ _____________________ _
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10) ----shy
(11)
Total (Column (b) must equal Form 990 Part X column (8) line 25) 2 FIN 48 CASe 740) Footnote In Part XIII provide the text of the footnote to the organizations financial statements that reports the organizations liability for uncertain tax positions under FIN 48 (ASe 740) Cherv here If the text of the footnote has been provided 11 Part XIII LJ BAA ____~_~__O~_ ~-~-~~~~--~~~-- --~T~-~middotA3303L- 122312 -- gt--~~-- Schedule 0 (Form 990) 2012
Page 4
2 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 XIII)
e Add lines 2a through 2d
3 Subtract line 2e from line 1 4 Amounts included on Form 990 Part VIII line 12 but not on line 1
a Investment expenses not included on Form 990 Part VIII line 7b
b Other (Describe in Part XII I)
c Add lines 4a and 4b
5 Total revenue Add lines 3 and 4c (This must equal Form 990 Part I line 72)
Total expenses and losses per audited financial statements
2 Amounts included on line 1 but not on Form 990 Part IX line 25
a Donated services and use of facilities 13 244 b Prior year adjustments c Other losses
d Other (Describe in Part XIII)
e Add lines 2a through 2d 3 Subtract line 2e from line 1
4 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 XIII) c Add lines 4a and 4b
must equal Form 990 Part I line 78)
Complete this part to provide the descriptions required for Part II lines 3 5 and 9 Part III lines 1a and 4 Part IV lines 1b and 2b Part V line 4 Part X line 2 Part XI lines 2d and 4b and Part XII lines 2d and 4b Also complete this part to provide any additional information
BAA Schedule 0 (Form 990) 2012
fEEA3304L 1
OMS No 1545middot0047
SCHEDULE G Supplemental Information Regarding (Form 990 or 990-EZ) Fundraising or Gaming Activities 2012
Complete if the organization answered Yes to Form 990 Part IV lines 17 18 or 19 or if the organization entered more than $15000 on Form 990-EZ line 6aDepartment of the Treasury
Internal Revenue Service ~ Attach to Form 990 or Form 990-EZ ~ See separate instructions
Name of Employer
94-2460211 InnInn ACtlVlllles Complete if the organization
___-c---cFo_r_m--- ~ filers are not required to complete this part
Indicate whether the organization raised funds through any of the following activities Check all that apply
a DMail solicitations e DSolicitation of non-government grants
b D Internet and email solicitations f DSolicitation of government grants
c D Phone solicitations g D Special fundraising events
d D Inmiddotperson solicitations
2 a 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 DYes ~No
b If Yes list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fund raiser is to be compensated at least $5000 by the organization
(i) Name and address of individual or entity (fund raiser)
(ii) Activity (iii) Did fund raiser have custod6or control
of contri utions
(iv) Gross receipts from activity
(v) Amount paid to (or retained by)
fundraiser listed in
(vi) Amount paid to (or retained by)
organization column (i)
Yes No
1
-- shy2
3 I
4 -----~--------
5
6
7 -__----shy
8
9
10
Total O bull -
3 List all states In which the organization IS reglslered or licensed to SOliCit contributions or has been notified It IS exempt from registration or licensing
- --~---~---~-- ~-~--~-~--~-~~-- ---
BAA for Paperwork Reduction Act Notice see the Instructions Form 990 or 990-EL Schedule G (runn 990 or 990-EZ) 2012 TEEA3701L 01107113
--
------
Schedule G (Form 990 or 990-EZ) 2012 Commun Br 94-2460211 Page 2
Fun ng Events Complete if the organization answered Yes to Form 990 Part IV ine 18 or reported more than $15000 of fundraising event contributions and gross income on Form 990-EZ lines 1 and 6b List events with gross receipts greater than $5000
(a) Event 1 (b) Event 2 (c) Other events (d) Total events (add column (a)
Italian Affair None through column (craquoR (event type) (event type) (total number) E V E N 1 Gross receipts 20186 20186 U E
2 Less Charitable contributions
3 Gross income (line 1 minus line 2) 20186 20186
4 Cash prizes
5 Noncash prizes D
R I
6 Rentfacility costs E C T 7 Food and beverages 5391 539l E x p 8 Entertainment E
N s 9 Other direct expenses 5822 5822E S
10 Direct expense summary Add lines 4 through 9 in column (d) 11213 11 Net income summary Combine line 3 column (d) and line 1 Q 8973
[Pifllll Gaming Complete if the o~ganization answered Yes to Form 990 Part IV line 19 or reported more than
(a) Bingo (b) Pull tabsllnstant (c) Other gaming (d) Total gaming R E bingoprogressive (add column (a) V bingo through column (eraquo E N U E Gross revenue
2 Cash prizes ~------------4---------------+--------------~--------------E
D X I P 3 Non-cash prizes R E E N C S T E
S 4 Rentfacility costs
5 Other direct expenses
Yes Yes Yes 6 Volunteer labor No No No
7 Direct expense summary Add lines 2 through 5 in column (d)
8 Net gaming income summary Combine lines 1 column (d) and line 7
9 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 0 Yes
b If No explain
lOa Were any of the organizations gaming licenses revoked suspended or terminated during the tax year 0 Yes b If Yes explain
BAA TFJ3]02L 010713 ScheclJle G (F (JIm 990 or 990 2012
------------
-----------
Schedule G (Form 990 or 990-EZ) 2012 Community Bridges 94-2460211 Page 3 11 Does the organization operate gaming activities with nonmembers DYes 12 Is the organization a grantor beneficiary or trustee of a trust or a member of a partnership or other entity formed to
administer charitable gaming DYes 13 Indicate the percentage of gaming activity operated in
a The organizations facility 13a ~13-b~------------~~b An outside facility
14 Enter the name and address of the person who prepares the organizations gamingspecial events books and records
Name
Address
15a Does the organization have a contact with a third party from whom the organization receives gaming revenue DYes b If Yes enter the amount of gaming revenue received by the organization $ and the amount
of gaming revenue retained by the third party $ c If Yes enter name and address of the third party
Name ---------------------------------------------~-----l
I Address I
16 Gaming manager information
Name
Gaming manager compensation $
Description of services provided
D Directorofficer DEmployee D independent contractor
17 Mandatory distributions
a Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the ~~egaminglicense ___________________________________________________________________ D~s ~No
b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the
organizations own exempt activities during the tax year $ lean~IlUI Supplemental Information Complete this part to provide the explanations required by Igtart I line 2b
columns (iii) and (v) and Part III lines 9 9b 1 ~b 15b 15c 16 and 17b as applicable Also complete this part to provide any additional information (see instructions)
----------------------- -------------------- ------ ----------------------------- __--shy
_ ---_ --------------- ---------------- ----- shy
BAA TEEA3703L 010113 Schedule G (Form 990 or 990middotEZ) 2012
--------------------------------------------------------- ---------
OMB No 1545-0047SCHEDULE 0 Supplemental Information to Form 990 or 990middotEZ (Form 990 or 990-EZ)
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information
Department of the Treasury ~ Attach to Form 990 or 990-EZInternal Revenue Service
Name of the
94-2460211
health care 4112-63012
BAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990-EZ TFEIA)IJIL 12812 Schedule 0 (Forrn 990 or 2012
Schedule 0 (Form 990 or 990-EZ) 2012 Page 2 Name of the organization Employer Identification number
Community Bridges 94-2460211
~ ~~Oy~~sjg1~~ge~~~e~~~~~ ~~~ ~ ~ ~~ ~~ ~_ ~~ ~ ~ ~~~~~~~ ~ ~ ~ ~ ~ ~~~~ ~ ~ ~~ ~ ~~~~~ ~ ~ ~ ~ _
Schedule (Form 990 or
TEEA4902L
2012
2012 Schedule 0 bull Supplemental Information Page 1
Community Bridges 94-2460211
Form 990 Part XI Line 9 Other Changes In Net Assets Or Fund Balances
Depreciation Grant Funded Assets $ -140124 Familia Net Assets 82104
Total $ -58020========
-------------------
OMS No 1545-0047
SCHEDULE R (Form 990) Related Organizations and Unrelated Partnerships 2012
Complete if the organization answered Yes to Fonn 990 Part IV line 33343536 or 37DqJ21rTrrent of the Treasury Internal Revenue Service Attach to Form 990 ~ See separate instructions Name of the organization
s 94-2460211Commu
rp~ Identification of Disregarded Entities (Complete if the organization answered Yes to Form 990 Part
(a) (b) (c) (e) (f) iiame address and EIN (if applicable) of disregarded entity Primary activity Legal domicile (state End-of-year assets Direct controlling
or foreiqn country) entity
=== === =_===== =_ ===== == ===__1 1-- -- -=-=1 TI ~~
FPafIIldentification 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)
(a) Name address and EIN of related organization
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Exempt Code
section
(e) Public charity status (if section 501 (c) (3raquo)
(f) Direct controlling
entity
(g)Sec 512(b)(13)
controlled entity
Yes No (1) FAMILIA CENTER
236SANTA-rnUZAVE----------- shy------------------------- shyAPTOS CA 95003770071589 - - shy - - - -- shy - - - -- shy - - shy BILINGUAL FAMILY
SERVICES CA I
501(C)3 PUBLIC
CHARITY COMMUNITY
BRIDGES X
---------------------- shy_shy --shy --------------------- shy - shy - -- -- shy - - shy - - shy - - - - - - - - - - - - - - -
- --
----------~--------------
-shy - shy --------------------- shy
-shy - shy - shy - shy shy -shy - - ---------------- shy- c--- shy
- - -- --- -- - - - - --- - - - - - - - - - - - - shy
- - -- - shy
- -- - --------------------- shy -=r_ I _ __ I
~-- I ------- - -- ----- --- --
BAt For Paperwork Reduction Act Notice see the Instructions for Form 990 TEEA5001 L 122812 Schedule R (Form 990) 2012
- -- ------
----- -
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 2
re~rtUI Iidentific~tion of Related Organizations T~xable 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)
me oddltl od EIN of I PIm~~cttyrelated organization
-+shy----shy
-_--shy -- -shy ~
(c) Legal
domicile (state or foreign country)
(d) Direct
controlling entity
(e) Predominant income (related unrelated excluded from tax
under sections 512-514)
(f) Share of total
income
(g) Share of
end-of-year assets
(h) Disproporshy
tionate allocations
Yes No
(i) Code V-UBI
amount in box 20 of Schedule
K-1 (Form 1065)
(j) General or managing partner
Yes No
(k) Percentage ownership
shy -shy --shy --shy -shy
-shy -__shy ---shy -shy
_ _ _____ ___ J~
-- -- -- - - - -- - -- shy
-
--T~ --=~ -- ~~==~=-
I
IPaHJVl Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered Yes to Form 990 Part IV L----_-l line 34 because it had one or more related organizations treated as a corporation or trust during the tax year)
(a) (b) I (c) (d) (e) I (f) (g) (h) I (i)iiame address and EIN of related organization Primary activity Legal domicile Direct Type of entity Share of Share of end-of- Percentage Sec S12(b)(13)
(state or foreign controlling (C corp S corp total income year assets ownership controlled entitycountry) entity or trust)
Yes I No
- - - - - - - - - -- - - - - - -- --I --------------------4
--==========1------~--------------~------------~------------~------------~--------------~--------------~--------~I----~------TEEA5002L 1228112 Schedule R (Form 990) 2012
---------
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 3
i])~ Transactions With Related Organizations (Complete if the organization answered Yes to Form 990 Part IV line 34 35b or 36)
Note Complete line 1 if any entity is listed in Parts II III or IV of this schedule During the lax year did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity b Gift grant or capital contribution to related organization(s)
Gift grant or capital contribution from related organization(s)
d Loans or loan guarantees to or for related organization(s)
e Loans or loan guarantees by related organization(s)
Dividends from related organization(s) 9 Sale of assets to related organization(s)
h Purchase of assets from related organization(s)
Exchange of assets with related organization(s)
Lease c[racilities equipment or other assets to related organization(s)
Lease of facilities equipment or other assets from related organization(s)
Performance of services or membership or fundraising solicitations for related organization(s)
Ferformance of services or membership or fundraising solicitations by related organization(s)
Sharing of facilities equipment mailing lists or other assets with related organization(s)
o Sharing of paid employees with related organization(s)
Reimbursement paid to related organization(s) for expenses
q Reimbursement paid by related organization(s) for expenses
r Other transfer of cash or property to related organization(s
5 Other transfer of cash or property from related organization(s)
If the answer to any of the above is Yes see the instructions for information on who must complete this line including covered relationships and transaction thresholds
(b) (c)N f h(a) d (2 lame 0 ot er organization Transaction Amount involved Metho of etermlnlng --~
type (a-s) amount involved
(1)
(2)
ltd ~ ~J
I I I
(5) ------------shy
(6) ~---------------------------------------------------------------------------~--------------~--------~~~~--~--~~~
TEEIS003L 1228112 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 4
e~~I1 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) I (b) (c) (d) (e) (f) (g) (h) (i) (j) I (k)Jame address and EIN of entity Primary activity Legal domicile Predominant Are all partners Share of Share of Dispropor- Code V-UBI General or Percentage
(state or foreign income section total income end-of-year tionate amount in box managing ownership country) (related unre- 501 (c)(3) assets allocations 20 of Schedule partner
lated excluded organizations i K- 1 from tax under ~---c--- Form (1065)
section 512-514) Yes I No Yes No Yes No----+----1
- --==~ ~ ~ ====== ~ I ~ --I------+--+----t--shy
(3)
--------------1
(6)
-____ __~__ - I I I SAl TEEAS004L 122812 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Page 5 _ Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions)
-r- I - lt-j005L middot22312 Schedule R (Forni
------
---------------
OMB No 1545middot0047SCHEDULE C Political Campaign and Lobbying Activities (Form 990 or 990-EZ)
For Organizations Exempt From Income Tax Under section 501 (c) and section 527 2012 Complete if the organization is described below Attach to Form 990 or Form 990-EZ
Department of the Treasury Internal Revenue Service See separate instructions
If the organization answered Yes to Form 990 Part IV line 3 or Form 990-EZ Part V line 46 (Political Campaign Activities) then bull Section 501 (c)(3) organizations Complete Parts I-A and B Do not complete Part I-C bull Section 501 (c) (other than section 501 (c)(3raquo) organizations Complete Parts I-A and C below Do not complete Part I-B bull Section 527 organizations Complete Part I-A only
If the organization answered Yes to Form 990 Part IV line 4 or Form 990-EZ Part VI line 47 (Lobbying Activities) then bull Section 501 (c) (3) organizations that have filed Form 5768 (election under section 501 (h)) Complete Part II-A Do not complete Part II-B
bull Section 501 (c) (3) organizations that have NOT filed Form 5768 (election under section 501 (h)) Complete Part II-B Do not complete Part II-A
If the organization answered Yes to Form 990 Part IV line 5 (Proxy Tax) or Form 990-EZ Part V line 35a (Proxy Tax) then bull Section 501 (c)(4) (5) or (6) organizations Complete Part III
See Part IV 2 3 Volunteer hours bull w Complete if the organization is exempt under section 501 (c)(3) 1 Enter the amount of any excise tax incurred by the organization under section 4955
2 Enter the amount of any excise tax incurred by organization managers under section 4955
3 If the organization incurred a section 4955 tax did it file Form 4720 for this year DYes
4a Was a correction made middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotDYes b If Yes describe in Part IV
II~~~~~~~~~~~~--~~~~~~~--~~---------2 Enter the amount of the filing organizations funds contributed to other organizations for section 527 exempt
function activities $
3 Total exempt function expenditures Add lines 1 and 2 Enter here and on Form 1120-POL line 17b ~ $
4 Did the filing organization file Form 1120-POL for this year DYes
5 Enter the names addresses and employer identification number (EIN) of all section 527 political organizations to which the filing organization made payments For each organization listed enter the amount paid from the filing organizations funds Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization such as a separate segregated fund or a political action committee (PAC) If additional space is needed provide information in Part IV
(a) Name (b) Address (e) EIN (d) Amount paid from filing (e) Amount of political organizations funds If contributions received and
none enter-Omiddot promptly and directly delivered to a separate political organization If
none enter -0middot
(1) ~---------------~---
(2) ~------
(3) ~-
(4)
~~)~~~~~--~~~~--~-~---~~-~---~~~~~~~-~_-_~~~~-----~~~~~~-~~~~~~~~~~-~~~~~-~---------_-_--f------c_~~~_-middot_J_L~~--------+---~ -~ -shyBAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990middotEZ Schedule C (Form 990 or 990middotEZ) 2012
TEEA320 I L 217112
----
Schedule C(Form 990 or 990-EZ) 2012 Communi Bri s 4-2460211 Page 2
Complete if the organization is exempt under section 501 (c)(3) and filed Form 5768 (election under section 501 (hraquo
A Check ~ 0 if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group members name
address EIN expenses and share of excess lobbying expenditures)
B Check ~ 0 if the filing organization checked box A and limited control provisions apply
Limits on Lobbying Expenditures (a) Filing (b) Affiliated organizations totals group totals (The term expenditures means amounts paid or incurred)
1 a Total lobbying expenditures to influence public opinion (grass roots lobbying)
b Total lobbying expenditures to influen_ce a legislative body (direct lobbying)
c Total lobbying expenditures (add lines 1a and 1b)
d Other exempt purpose expenditures
e Total exempt purpose expenditures (add lines 1c and 1d)
f Lobbying nontaxable amount Enter the amount from the following table in both columns
g Grassroots nontaxable amount (enter 25 of line 1f)
h Subtract line 1g from line 1a If zero or less enter -0-
Subtract line 1f from line 1c If zero or less enter -0-
If there is an amount other than zero on either line 1h or line 1i did the organization file Form 4720 reporting section 4911 tax for this year DYes 0No
4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501 (h) election do not have to complete all of the five
columns below See the instructions for lines 2a through 2f)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total year beginning in)
13l7 524
2a Lobbying non-taxable amount 3 513 393
b Lobbying ceiling amount (150 of line 2a column (eraquo 5 270 090
c Total lobbying enditures 18 425
d Grassroots nontaxable amount 878 349
e Grassroots ceiling amount (150 of line 2d column
f Grassroots lobbying expenditures o
BAA Schedule C (Form 990 or 990-EZ) 2012
-EEA3202L 010713
3 Schedule C(Form 990 or 2012 Bri 94-2460211 Complete if the organization is exempt under se as NOT filed Form 5768 (election under section 501 (hraquo
For each Yesresponse to lines 7a through Ii below provide in Part IVa detailed description of the lobbying activity
During the year did the filing organization attempt to influence foreign national state or local legislation including any attempt to influence public opinion on a legislative matter or referendum through the use of
a Volunteers
b Paid staff or management (include compensation in expenses reported on lines 1 c through 1 i)
c Media advertisements
d Mailings to members legislators or the pUblic ~~---+--------------
e Publications or published or broadcast statements
f Grants to other organizations for lobbying purposes
9 Direct contact with legislators their staffs government ofFicials or a legislative body
h Rallies demonstrations seminars conventions speeches lectures or any similar means
i Other activities ~~~~--------
j Total Add lines 1c through 1 i ~lli~J~i01 ~2iJn
I----t---- shy
2 a Did the activities in line 1 cause the organization to be not described in section 501 (c)(3)
b If Yes enter the amount of any tax incurred under section 4912
c If Yes enter the amount of any tax incurred by organization managers under section 4912
d If the filing organization incurred a section 4912 tax did it file Form 4720 for this year
Complete if ization is exempt under section 501 (c)(4) section 501 (c)(5) or section 501
Were substantially all (90 or more) dues received nondeductible by members 1----+---1---shy
2 Did the organization make only inmiddothouse lobbying expenditures of $2000 or less f----j----j--- shy
3 Did the organization agree to carryover lobbying and political from the prior year
Complete if the organization is exempt under section 501 (c)(4) section 501 (c)(5) or section 501 (c) (6) and if either (a) BOTH Part III-A lines 1 and 2 are answered No OR (b) Part III-A line 3 is answered Yes
Dues assessments and similar amounts from members
2 Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid)
a Current year
b Carryover from last year
c Total
3 Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues
4 If notices were sent and the amount on line 2c exceeds the amount on line 3 what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year
I---~--------------5 Taxable amount of lobbying and political expenditures (see instructions)
Complete this part to provide the descriptions required for Part ImiddotA line 1 Part ImiddotB line 4 Part Imiddote line 5 Part IImiddotA (affiliated group list) Part IImiddotA line 2 and Part IImiddotB line 1 Also complete this part for any additional information
TEEA32031 OliO
Scheciu1e
-----------------
OMB I~o 1545-0047 SCHEDULE D (Form 990) Supplemental Financial Statements 2012
~ Complete if the organization answered Yes to Form 990 Part IV lines 6 7 8 9 10 l1a 11 b 1lc l1d l1e l1f 12a or 12b
~ Attach to Form 990 ~ See instructions
(a) Donor advised funds
1 Total number at end of year
2 Aggregate contributions to (during year
3 Aggregate grants from (during year) 4 Aggregate value at end of year
S Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organizations property subject to the organizations exclusive legal control DYes
6 Did the organization inform all grantees donors and donor advisors in writing that grant funds can be used only
impermissible private benefit for charitable purposes and not for the benefit of the donor or donor advisor or for any other purpose conferring
No
(b) Funds and other accounts
Purpose(s) of conservation easements held by the organization (check all that apply)
Preservation of land for public use (eg recreation or education) D Preservation of an historically important land area
Protection of natural habitat D Preservation of a certified historic structure
Preservation of open space ~
2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the iast day of the tax year
a Total number of conservation easements
b Total acreage restricted by conservation easements
c Number of conservation easements on a certified historic structure included in (a)
d Number of conservation easements included in (c) acquired after 81706 and not on a historic structure listed in the National Register 2 dL-__L-_________________________
3 Number of conservation easements modified transferred released extinguished or terminated by the organization during the tax year Igt
4 Number of states where property subject to conservation easement is located Igt
S Does the organization have a written policy regarding the periodic monitoring inspection handling of violations and enforcement of the conservation easements it holds DYes
6 Staff and volunteer hours devoted to monitoring inspecting and enforcing conservation easements during the year Igt
7 Amount of expenses incurred in monitoring inspecting and enforcing conservation easements during the year 1gt$
8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(8)(i) and section 170(h)(4)(8)(ii) DYes
9 In Part XIII describe how the organization reports conservation easements in its revenue and expense statement and balance sheet and include if applicable the text of the footnote to the organizations financial statements that describes the organizations accounting for conservation easements
tf~rtiml Organizations Maintaining Collections of Art Historical Treasures or Other Similar Assets Complete if the organization answered Yes to Form 990 Part IV line 8
1 a If the organization elected as permitted under SFAS 116 (ASC 958) 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 XIII the text of the footnote to its financial statements that describes these items
b If the organization elected as permitted under SFAS 116 (ASe 958) 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 VI I line 1 ~$
(ii) Assets included in Form 990 Part X 11gt-$
2 If the organization received or held works of art histOrical treasures or other similar assets for financial gaill provide the following amounts required to be reported under SFAS 116 (ASe 958) relating to these items
11gt-$ -~~-------
$ BAA For Paperwork Reduction Act Notice the Instructions for Form 990 991l) CJ12
~--~-------------------------
-----------------------------------------------
-------
e2
3 Using the organizations acquisition accession and other records check any of the following that are a significant use of its collection items (check all that apply)
a sectPublic exhibition d BLoan or exchange programs b Scholarly research e Other
c Preservation for future generations
4 Provide a description of the organizations collections and explain how they further the organizations exempt purpose in Part XIII
5 During the year did the organization solicit or receive donations of art historical treasures or other similar assets D to be sold to raise funds rather than to be maintained as part of the organizations collection Yes
IRal~IYRI Escrow and Custodial Arrangemel1ts Complete if the organization answered Yes to Form 990 Part IV line 9 or reported an amount on Form 990 Part X line 21
1 a ~nt~~r~g~~~~~r~ ~~ ~~~~t~ trus~e~ ~u~t~~i~~ or ot~er int~~~~~~~~~ ~o~contnbu~i~~~ ~r ~~e~ ass~ts n~i~cI~~~d DYes
b If Yes explain the arrangement in Part XIII and complete the following table
Amount
c Beginning balance 1 c d Additions during the year d
e Distributions during the year 1 e f Ending balance 1f
2a Did the organization include an amount on Form 990 Part X line 21 UYes NOb If Yes explain the arrangement in Part XIII Check here if the explantion has been provided in Part Xlll D
fBaIM~1 Endowment Funds Complete if the or~anization answered Yes to Form 990 Part IV line 10 (a) Current (b) Prior year (e) Two years (d) Three years (e) Four years
1 a Beginning of year balance
b Contributions
c Net investment earnings gains and losses
d Grants or scholarships
e Other expenditures for facilities and programs
f Administrative expenses
9 End of year balance
2 PrOVide the estimated percentage of the current year end balance (line 1 g column (araquo held as
a Board designated or quasi-endowment b Permanent endowment c Temporarily restricted endowment
The percentages in lines 2a 2b and 2c should equal 10000
3 a Are there endowment funds not in the possession of the organization that are held and administered for the organization by Yes No (i) unrelated organizations 3a(i)
(ii) related organiZations 3a(ii)
b If Yes to 3a(ii) are the related organizations listed as required on Schedule R 3b I 4 Describe in Part XIII the intended uses of the organizations endowment funds
1 a Land
b Buildings
c Leasehold improvements
d Equipment
e Other
Total Add lines 1 a
BAA
(d) Book value
TEEt3302L 06e71 i 2
-------------------------
of security or rfpnlrl
name of secu (1) Financial derivatives
94-2460211
uation Cost or rket value
Page 3
~------------~--------------------------------------(2) Closely-held equity interests
~------------~--------------------------------------(3) Other ______________________ +----------f--------------------shyi~ __________________________1---_______-+____________________ (8)
iq __________________________~-----~---------------------------iD1_ - - - - - - - - - - - - - - - - - - - - - - -- -f------------+-------------------------------shy(E)- - - - - - - - - - - - - - - - - - - - - - - - - - - - ~-------------I---------------------------------------~~--------------------------f__----------+_-------------------------------iGl ______ -- _________ - _ - - - __ - - -f__----------l-----------------------------shy(H)- - - - - - - - - - - - - - - - - - - - - - - - - - - -- ~-------------+---------------------------------------J~ _____________________ _
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10) ----shy
(11)
Total (Column (b) must equal Form 990 Part X column (8) line 25) 2 FIN 48 CASe 740) Footnote In Part XIII provide the text of the footnote to the organizations financial statements that reports the organizations liability for uncertain tax positions under FIN 48 (ASe 740) Cherv here If the text of the footnote has been provided 11 Part XIII LJ BAA ____~_~__O~_ ~-~-~~~~--~~~-- --~T~-~middotA3303L- 122312 -- gt--~~-- Schedule 0 (Form 990) 2012
Page 4
2 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 XIII)
e Add lines 2a through 2d
3 Subtract line 2e from line 1 4 Amounts included on Form 990 Part VIII line 12 but not on line 1
a Investment expenses not included on Form 990 Part VIII line 7b
b Other (Describe in Part XII I)
c Add lines 4a and 4b
5 Total revenue Add lines 3 and 4c (This must equal Form 990 Part I line 72)
Total expenses and losses per audited financial statements
2 Amounts included on line 1 but not on Form 990 Part IX line 25
a Donated services and use of facilities 13 244 b Prior year adjustments c Other losses
d Other (Describe in Part XIII)
e Add lines 2a through 2d 3 Subtract line 2e from line 1
4 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 XIII) c Add lines 4a and 4b
must equal Form 990 Part I line 78)
Complete this part to provide the descriptions required for Part II lines 3 5 and 9 Part III lines 1a and 4 Part IV lines 1b and 2b Part V line 4 Part X line 2 Part XI lines 2d and 4b and Part XII lines 2d and 4b Also complete this part to provide any additional information
BAA Schedule 0 (Form 990) 2012
fEEA3304L 1
OMS No 1545middot0047
SCHEDULE G Supplemental Information Regarding (Form 990 or 990-EZ) Fundraising or Gaming Activities 2012
Complete if the organization answered Yes to Form 990 Part IV lines 17 18 or 19 or if the organization entered more than $15000 on Form 990-EZ line 6aDepartment of the Treasury
Internal Revenue Service ~ Attach to Form 990 or Form 990-EZ ~ See separate instructions
Name of Employer
94-2460211 InnInn ACtlVlllles Complete if the organization
___-c---cFo_r_m--- ~ filers are not required to complete this part
Indicate whether the organization raised funds through any of the following activities Check all that apply
a DMail solicitations e DSolicitation of non-government grants
b D Internet and email solicitations f DSolicitation of government grants
c D Phone solicitations g D Special fundraising events
d D Inmiddotperson solicitations
2 a 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 DYes ~No
b If Yes list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fund raiser is to be compensated at least $5000 by the organization
(i) Name and address of individual or entity (fund raiser)
(ii) Activity (iii) Did fund raiser have custod6or control
of contri utions
(iv) Gross receipts from activity
(v) Amount paid to (or retained by)
fundraiser listed in
(vi) Amount paid to (or retained by)
organization column (i)
Yes No
1
-- shy2
3 I
4 -----~--------
5
6
7 -__----shy
8
9
10
Total O bull -
3 List all states In which the organization IS reglslered or licensed to SOliCit contributions or has been notified It IS exempt from registration or licensing
- --~---~---~-- ~-~--~-~--~-~~-- ---
BAA for Paperwork Reduction Act Notice see the Instructions Form 990 or 990-EL Schedule G (runn 990 or 990-EZ) 2012 TEEA3701L 01107113
--
------
Schedule G (Form 990 or 990-EZ) 2012 Commun Br 94-2460211 Page 2
Fun ng Events Complete if the organization answered Yes to Form 990 Part IV ine 18 or reported more than $15000 of fundraising event contributions and gross income on Form 990-EZ lines 1 and 6b List events with gross receipts greater than $5000
(a) Event 1 (b) Event 2 (c) Other events (d) Total events (add column (a)
Italian Affair None through column (craquoR (event type) (event type) (total number) E V E N 1 Gross receipts 20186 20186 U E
2 Less Charitable contributions
3 Gross income (line 1 minus line 2) 20186 20186
4 Cash prizes
5 Noncash prizes D
R I
6 Rentfacility costs E C T 7 Food and beverages 5391 539l E x p 8 Entertainment E
N s 9 Other direct expenses 5822 5822E S
10 Direct expense summary Add lines 4 through 9 in column (d) 11213 11 Net income summary Combine line 3 column (d) and line 1 Q 8973
[Pifllll Gaming Complete if the o~ganization answered Yes to Form 990 Part IV line 19 or reported more than
(a) Bingo (b) Pull tabsllnstant (c) Other gaming (d) Total gaming R E bingoprogressive (add column (a) V bingo through column (eraquo E N U E Gross revenue
2 Cash prizes ~------------4---------------+--------------~--------------E
D X I P 3 Non-cash prizes R E E N C S T E
S 4 Rentfacility costs
5 Other direct expenses
Yes Yes Yes 6 Volunteer labor No No No
7 Direct expense summary Add lines 2 through 5 in column (d)
8 Net gaming income summary Combine lines 1 column (d) and line 7
9 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 0 Yes
b If No explain
lOa Were any of the organizations gaming licenses revoked suspended or terminated during the tax year 0 Yes b If Yes explain
BAA TFJ3]02L 010713 ScheclJle G (F (JIm 990 or 990 2012
------------
-----------
Schedule G (Form 990 or 990-EZ) 2012 Community Bridges 94-2460211 Page 3 11 Does the organization operate gaming activities with nonmembers DYes 12 Is the organization a grantor beneficiary or trustee of a trust or a member of a partnership or other entity formed to
administer charitable gaming DYes 13 Indicate the percentage of gaming activity operated in
a The organizations facility 13a ~13-b~------------~~b An outside facility
14 Enter the name and address of the person who prepares the organizations gamingspecial events books and records
Name
Address
15a Does the organization have a contact with a third party from whom the organization receives gaming revenue DYes b If Yes enter the amount of gaming revenue received by the organization $ and the amount
of gaming revenue retained by the third party $ c If Yes enter name and address of the third party
Name ---------------------------------------------~-----l
I Address I
16 Gaming manager information
Name
Gaming manager compensation $
Description of services provided
D Directorofficer DEmployee D independent contractor
17 Mandatory distributions
a Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the ~~egaminglicense ___________________________________________________________________ D~s ~No
b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the
organizations own exempt activities during the tax year $ lean~IlUI Supplemental Information Complete this part to provide the explanations required by Igtart I line 2b
columns (iii) and (v) and Part III lines 9 9b 1 ~b 15b 15c 16 and 17b as applicable Also complete this part to provide any additional information (see instructions)
----------------------- -------------------- ------ ----------------------------- __--shy
_ ---_ --------------- ---------------- ----- shy
BAA TEEA3703L 010113 Schedule G (Form 990 or 990middotEZ) 2012
--------------------------------------------------------- ---------
OMB No 1545-0047SCHEDULE 0 Supplemental Information to Form 990 or 990middotEZ (Form 990 or 990-EZ)
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information
Department of the Treasury ~ Attach to Form 990 or 990-EZInternal Revenue Service
Name of the
94-2460211
health care 4112-63012
BAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990-EZ TFEIA)IJIL 12812 Schedule 0 (Forrn 990 or 2012
Schedule 0 (Form 990 or 990-EZ) 2012 Page 2 Name of the organization Employer Identification number
Community Bridges 94-2460211
~ ~~Oy~~sjg1~~ge~~~e~~~~~ ~~~ ~ ~ ~~ ~~ ~_ ~~ ~ ~ ~~~~~~~ ~ ~ ~ ~ ~ ~~~~ ~ ~ ~~ ~ ~~~~~ ~ ~ ~ ~ _
Schedule (Form 990 or
TEEA4902L
2012
2012 Schedule 0 bull Supplemental Information Page 1
Community Bridges 94-2460211
Form 990 Part XI Line 9 Other Changes In Net Assets Or Fund Balances
Depreciation Grant Funded Assets $ -140124 Familia Net Assets 82104
Total $ -58020========
-------------------
OMS No 1545-0047
SCHEDULE R (Form 990) Related Organizations and Unrelated Partnerships 2012
Complete if the organization answered Yes to Fonn 990 Part IV line 33343536 or 37DqJ21rTrrent of the Treasury Internal Revenue Service Attach to Form 990 ~ See separate instructions Name of the organization
s 94-2460211Commu
rp~ Identification of Disregarded Entities (Complete if the organization answered Yes to Form 990 Part
(a) (b) (c) (e) (f) iiame address and EIN (if applicable) of disregarded entity Primary activity Legal domicile (state End-of-year assets Direct controlling
or foreiqn country) entity
=== === =_===== =_ ===== == ===__1 1-- -- -=-=1 TI ~~
FPafIIldentification 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)
(a) Name address and EIN of related organization
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Exempt Code
section
(e) Public charity status (if section 501 (c) (3raquo)
(f) Direct controlling
entity
(g)Sec 512(b)(13)
controlled entity
Yes No (1) FAMILIA CENTER
236SANTA-rnUZAVE----------- shy------------------------- shyAPTOS CA 95003770071589 - - shy - - - -- shy - - - -- shy - - shy BILINGUAL FAMILY
SERVICES CA I
501(C)3 PUBLIC
CHARITY COMMUNITY
BRIDGES X
---------------------- shy_shy --shy --------------------- shy - shy - -- -- shy - - shy - - shy - - - - - - - - - - - - - - -
- --
----------~--------------
-shy - shy --------------------- shy
-shy - shy - shy - shy shy -shy - - ---------------- shy- c--- shy
- - -- --- -- - - - - --- - - - - - - - - - - - - shy
- - -- - shy
- -- - --------------------- shy -=r_ I _ __ I
~-- I ------- - -- ----- --- --
BAt For Paperwork Reduction Act Notice see the Instructions for Form 990 TEEA5001 L 122812 Schedule R (Form 990) 2012
- -- ------
----- -
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 2
re~rtUI Iidentific~tion of Related Organizations T~xable 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)
me oddltl od EIN of I PIm~~cttyrelated organization
-+shy----shy
-_--shy -- -shy ~
(c) Legal
domicile (state or foreign country)
(d) Direct
controlling entity
(e) Predominant income (related unrelated excluded from tax
under sections 512-514)
(f) Share of total
income
(g) Share of
end-of-year assets
(h) Disproporshy
tionate allocations
Yes No
(i) Code V-UBI
amount in box 20 of Schedule
K-1 (Form 1065)
(j) General or managing partner
Yes No
(k) Percentage ownership
shy -shy --shy --shy -shy
-shy -__shy ---shy -shy
_ _ _____ ___ J~
-- -- -- - - - -- - -- shy
-
--T~ --=~ -- ~~==~=-
I
IPaHJVl Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered Yes to Form 990 Part IV L----_-l line 34 because it had one or more related organizations treated as a corporation or trust during the tax year)
(a) (b) I (c) (d) (e) I (f) (g) (h) I (i)iiame address and EIN of related organization Primary activity Legal domicile Direct Type of entity Share of Share of end-of- Percentage Sec S12(b)(13)
(state or foreign controlling (C corp S corp total income year assets ownership controlled entitycountry) entity or trust)
Yes I No
- - - - - - - - - -- - - - - - -- --I --------------------4
--==========1------~--------------~------------~------------~------------~--------------~--------------~--------~I----~------TEEA5002L 1228112 Schedule R (Form 990) 2012
---------
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 3
i])~ Transactions With Related Organizations (Complete if the organization answered Yes to Form 990 Part IV line 34 35b or 36)
Note Complete line 1 if any entity is listed in Parts II III or IV of this schedule During the lax year did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity b Gift grant or capital contribution to related organization(s)
Gift grant or capital contribution from related organization(s)
d Loans or loan guarantees to or for related organization(s)
e Loans or loan guarantees by related organization(s)
Dividends from related organization(s) 9 Sale of assets to related organization(s)
h Purchase of assets from related organization(s)
Exchange of assets with related organization(s)
Lease c[racilities equipment or other assets to related organization(s)
Lease of facilities equipment or other assets from related organization(s)
Performance of services or membership or fundraising solicitations for related organization(s)
Ferformance of services or membership or fundraising solicitations by related organization(s)
Sharing of facilities equipment mailing lists or other assets with related organization(s)
o Sharing of paid employees with related organization(s)
Reimbursement paid to related organization(s) for expenses
q Reimbursement paid by related organization(s) for expenses
r Other transfer of cash or property to related organization(s
5 Other transfer of cash or property from related organization(s)
If the answer to any of the above is Yes see the instructions for information on who must complete this line including covered relationships and transaction thresholds
(b) (c)N f h(a) d (2 lame 0 ot er organization Transaction Amount involved Metho of etermlnlng --~
type (a-s) amount involved
(1)
(2)
ltd ~ ~J
I I I
(5) ------------shy
(6) ~---------------------------------------------------------------------------~--------------~--------~~~~--~--~~~
TEEIS003L 1228112 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 4
e~~I1 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) I (b) (c) (d) (e) (f) (g) (h) (i) (j) I (k)Jame address and EIN of entity Primary activity Legal domicile Predominant Are all partners Share of Share of Dispropor- Code V-UBI General or Percentage
(state or foreign income section total income end-of-year tionate amount in box managing ownership country) (related unre- 501 (c)(3) assets allocations 20 of Schedule partner
lated excluded organizations i K- 1 from tax under ~---c--- Form (1065)
section 512-514) Yes I No Yes No Yes No----+----1
- --==~ ~ ~ ====== ~ I ~ --I------+--+----t--shy
(3)
--------------1
(6)
-____ __~__ - I I I SAl TEEAS004L 122812 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Page 5 _ Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions)
-r- I - lt-j005L middot22312 Schedule R (Forni
----
Schedule C(Form 990 or 990-EZ) 2012 Communi Bri s 4-2460211 Page 2
Complete if the organization is exempt under section 501 (c)(3) and filed Form 5768 (election under section 501 (hraquo
A Check ~ 0 if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group members name
address EIN expenses and share of excess lobbying expenditures)
B Check ~ 0 if the filing organization checked box A and limited control provisions apply
Limits on Lobbying Expenditures (a) Filing (b) Affiliated organizations totals group totals (The term expenditures means amounts paid or incurred)
1 a Total lobbying expenditures to influence public opinion (grass roots lobbying)
b Total lobbying expenditures to influen_ce a legislative body (direct lobbying)
c Total lobbying expenditures (add lines 1a and 1b)
d Other exempt purpose expenditures
e Total exempt purpose expenditures (add lines 1c and 1d)
f Lobbying nontaxable amount Enter the amount from the following table in both columns
g Grassroots nontaxable amount (enter 25 of line 1f)
h Subtract line 1g from line 1a If zero or less enter -0-
Subtract line 1f from line 1c If zero or less enter -0-
If there is an amount other than zero on either line 1h or line 1i did the organization file Form 4720 reporting section 4911 tax for this year DYes 0No
4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501 (h) election do not have to complete all of the five
columns below See the instructions for lines 2a through 2f)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total year beginning in)
13l7 524
2a Lobbying non-taxable amount 3 513 393
b Lobbying ceiling amount (150 of line 2a column (eraquo 5 270 090
c Total lobbying enditures 18 425
d Grassroots nontaxable amount 878 349
e Grassroots ceiling amount (150 of line 2d column
f Grassroots lobbying expenditures o
BAA Schedule C (Form 990 or 990-EZ) 2012
-EEA3202L 010713
3 Schedule C(Form 990 or 2012 Bri 94-2460211 Complete if the organization is exempt under se as NOT filed Form 5768 (election under section 501 (hraquo
For each Yesresponse to lines 7a through Ii below provide in Part IVa detailed description of the lobbying activity
During the year did the filing organization attempt to influence foreign national state or local legislation including any attempt to influence public opinion on a legislative matter or referendum through the use of
a Volunteers
b Paid staff or management (include compensation in expenses reported on lines 1 c through 1 i)
c Media advertisements
d Mailings to members legislators or the pUblic ~~---+--------------
e Publications or published or broadcast statements
f Grants to other organizations for lobbying purposes
9 Direct contact with legislators their staffs government ofFicials or a legislative body
h Rallies demonstrations seminars conventions speeches lectures or any similar means
i Other activities ~~~~--------
j Total Add lines 1c through 1 i ~lli~J~i01 ~2iJn
I----t---- shy
2 a Did the activities in line 1 cause the organization to be not described in section 501 (c)(3)
b If Yes enter the amount of any tax incurred under section 4912
c If Yes enter the amount of any tax incurred by organization managers under section 4912
d If the filing organization incurred a section 4912 tax did it file Form 4720 for this year
Complete if ization is exempt under section 501 (c)(4) section 501 (c)(5) or section 501
Were substantially all (90 or more) dues received nondeductible by members 1----+---1---shy
2 Did the organization make only inmiddothouse lobbying expenditures of $2000 or less f----j----j--- shy
3 Did the organization agree to carryover lobbying and political from the prior year
Complete if the organization is exempt under section 501 (c)(4) section 501 (c)(5) or section 501 (c) (6) and if either (a) BOTH Part III-A lines 1 and 2 are answered No OR (b) Part III-A line 3 is answered Yes
Dues assessments and similar amounts from members
2 Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid)
a Current year
b Carryover from last year
c Total
3 Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues
4 If notices were sent and the amount on line 2c exceeds the amount on line 3 what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year
I---~--------------5 Taxable amount of lobbying and political expenditures (see instructions)
Complete this part to provide the descriptions required for Part ImiddotA line 1 Part ImiddotB line 4 Part Imiddote line 5 Part IImiddotA (affiliated group list) Part IImiddotA line 2 and Part IImiddotB line 1 Also complete this part for any additional information
TEEA32031 OliO
Scheciu1e
-----------------
OMB I~o 1545-0047 SCHEDULE D (Form 990) Supplemental Financial Statements 2012
~ Complete if the organization answered Yes to Form 990 Part IV lines 6 7 8 9 10 l1a 11 b 1lc l1d l1e l1f 12a or 12b
~ Attach to Form 990 ~ See instructions
(a) Donor advised funds
1 Total number at end of year
2 Aggregate contributions to (during year
3 Aggregate grants from (during year) 4 Aggregate value at end of year
S Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organizations property subject to the organizations exclusive legal control DYes
6 Did the organization inform all grantees donors and donor advisors in writing that grant funds can be used only
impermissible private benefit for charitable purposes and not for the benefit of the donor or donor advisor or for any other purpose conferring
No
(b) Funds and other accounts
Purpose(s) of conservation easements held by the organization (check all that apply)
Preservation of land for public use (eg recreation or education) D Preservation of an historically important land area
Protection of natural habitat D Preservation of a certified historic structure
Preservation of open space ~
2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the iast day of the tax year
a Total number of conservation easements
b Total acreage restricted by conservation easements
c Number of conservation easements on a certified historic structure included in (a)
d Number of conservation easements included in (c) acquired after 81706 and not on a historic structure listed in the National Register 2 dL-__L-_________________________
3 Number of conservation easements modified transferred released extinguished or terminated by the organization during the tax year Igt
4 Number of states where property subject to conservation easement is located Igt
S Does the organization have a written policy regarding the periodic monitoring inspection handling of violations and enforcement of the conservation easements it holds DYes
6 Staff and volunteer hours devoted to monitoring inspecting and enforcing conservation easements during the year Igt
7 Amount of expenses incurred in monitoring inspecting and enforcing conservation easements during the year 1gt$
8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(8)(i) and section 170(h)(4)(8)(ii) DYes
9 In Part XIII describe how the organization reports conservation easements in its revenue and expense statement and balance sheet and include if applicable the text of the footnote to the organizations financial statements that describes the organizations accounting for conservation easements
tf~rtiml Organizations Maintaining Collections of Art Historical Treasures or Other Similar Assets Complete if the organization answered Yes to Form 990 Part IV line 8
1 a If the organization elected as permitted under SFAS 116 (ASC 958) 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 XIII the text of the footnote to its financial statements that describes these items
b If the organization elected as permitted under SFAS 116 (ASe 958) 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 VI I line 1 ~$
(ii) Assets included in Form 990 Part X 11gt-$
2 If the organization received or held works of art histOrical treasures or other similar assets for financial gaill provide the following amounts required to be reported under SFAS 116 (ASe 958) relating to these items
11gt-$ -~~-------
$ BAA For Paperwork Reduction Act Notice the Instructions for Form 990 991l) CJ12
~--~-------------------------
-----------------------------------------------
-------
e2
3 Using the organizations acquisition accession and other records check any of the following that are a significant use of its collection items (check all that apply)
a sectPublic exhibition d BLoan or exchange programs b Scholarly research e Other
c Preservation for future generations
4 Provide a description of the organizations collections and explain how they further the organizations exempt purpose in Part XIII
5 During the year did the organization solicit or receive donations of art historical treasures or other similar assets D to be sold to raise funds rather than to be maintained as part of the organizations collection Yes
IRal~IYRI Escrow and Custodial Arrangemel1ts Complete if the organization answered Yes to Form 990 Part IV line 9 or reported an amount on Form 990 Part X line 21
1 a ~nt~~r~g~~~~~r~ ~~ ~~~~t~ trus~e~ ~u~t~~i~~ or ot~er int~~~~~~~~~ ~o~contnbu~i~~~ ~r ~~e~ ass~ts n~i~cI~~~d DYes
b If Yes explain the arrangement in Part XIII and complete the following table
Amount
c Beginning balance 1 c d Additions during the year d
e Distributions during the year 1 e f Ending balance 1f
2a Did the organization include an amount on Form 990 Part X line 21 UYes NOb If Yes explain the arrangement in Part XIII Check here if the explantion has been provided in Part Xlll D
fBaIM~1 Endowment Funds Complete if the or~anization answered Yes to Form 990 Part IV line 10 (a) Current (b) Prior year (e) Two years (d) Three years (e) Four years
1 a Beginning of year balance
b Contributions
c Net investment earnings gains and losses
d Grants or scholarships
e Other expenditures for facilities and programs
f Administrative expenses
9 End of year balance
2 PrOVide the estimated percentage of the current year end balance (line 1 g column (araquo held as
a Board designated or quasi-endowment b Permanent endowment c Temporarily restricted endowment
The percentages in lines 2a 2b and 2c should equal 10000
3 a Are there endowment funds not in the possession of the organization that are held and administered for the organization by Yes No (i) unrelated organizations 3a(i)
(ii) related organiZations 3a(ii)
b If Yes to 3a(ii) are the related organizations listed as required on Schedule R 3b I 4 Describe in Part XIII the intended uses of the organizations endowment funds
1 a Land
b Buildings
c Leasehold improvements
d Equipment
e Other
Total Add lines 1 a
BAA
(d) Book value
TEEt3302L 06e71 i 2
-------------------------
of security or rfpnlrl
name of secu (1) Financial derivatives
94-2460211
uation Cost or rket value
Page 3
~------------~--------------------------------------(2) Closely-held equity interests
~------------~--------------------------------------(3) Other ______________________ +----------f--------------------shyi~ __________________________1---_______-+____________________ (8)
iq __________________________~-----~---------------------------iD1_ - - - - - - - - - - - - - - - - - - - - - - -- -f------------+-------------------------------shy(E)- - - - - - - - - - - - - - - - - - - - - - - - - - - - ~-------------I---------------------------------------~~--------------------------f__----------+_-------------------------------iGl ______ -- _________ - _ - - - __ - - -f__----------l-----------------------------shy(H)- - - - - - - - - - - - - - - - - - - - - - - - - - - -- ~-------------+---------------------------------------J~ _____________________ _
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10) ----shy
(11)
Total (Column (b) must equal Form 990 Part X column (8) line 25) 2 FIN 48 CASe 740) Footnote In Part XIII provide the text of the footnote to the organizations financial statements that reports the organizations liability for uncertain tax positions under FIN 48 (ASe 740) Cherv here If the text of the footnote has been provided 11 Part XIII LJ BAA ____~_~__O~_ ~-~-~~~~--~~~-- --~T~-~middotA3303L- 122312 -- gt--~~-- Schedule 0 (Form 990) 2012
Page 4
2 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 XIII)
e Add lines 2a through 2d
3 Subtract line 2e from line 1 4 Amounts included on Form 990 Part VIII line 12 but not on line 1
a Investment expenses not included on Form 990 Part VIII line 7b
b Other (Describe in Part XII I)
c Add lines 4a and 4b
5 Total revenue Add lines 3 and 4c (This must equal Form 990 Part I line 72)
Total expenses and losses per audited financial statements
2 Amounts included on line 1 but not on Form 990 Part IX line 25
a Donated services and use of facilities 13 244 b Prior year adjustments c Other losses
d Other (Describe in Part XIII)
e Add lines 2a through 2d 3 Subtract line 2e from line 1
4 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 XIII) c Add lines 4a and 4b
must equal Form 990 Part I line 78)
Complete this part to provide the descriptions required for Part II lines 3 5 and 9 Part III lines 1a and 4 Part IV lines 1b and 2b Part V line 4 Part X line 2 Part XI lines 2d and 4b and Part XII lines 2d and 4b Also complete this part to provide any additional information
BAA Schedule 0 (Form 990) 2012
fEEA3304L 1
OMS No 1545middot0047
SCHEDULE G Supplemental Information Regarding (Form 990 or 990-EZ) Fundraising or Gaming Activities 2012
Complete if the organization answered Yes to Form 990 Part IV lines 17 18 or 19 or if the organization entered more than $15000 on Form 990-EZ line 6aDepartment of the Treasury
Internal Revenue Service ~ Attach to Form 990 or Form 990-EZ ~ See separate instructions
Name of Employer
94-2460211 InnInn ACtlVlllles Complete if the organization
___-c---cFo_r_m--- ~ filers are not required to complete this part
Indicate whether the organization raised funds through any of the following activities Check all that apply
a DMail solicitations e DSolicitation of non-government grants
b D Internet and email solicitations f DSolicitation of government grants
c D Phone solicitations g D Special fundraising events
d D Inmiddotperson solicitations
2 a 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 DYes ~No
b If Yes list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fund raiser is to be compensated at least $5000 by the organization
(i) Name and address of individual or entity (fund raiser)
(ii) Activity (iii) Did fund raiser have custod6or control
of contri utions
(iv) Gross receipts from activity
(v) Amount paid to (or retained by)
fundraiser listed in
(vi) Amount paid to (or retained by)
organization column (i)
Yes No
1
-- shy2
3 I
4 -----~--------
5
6
7 -__----shy
8
9
10
Total O bull -
3 List all states In which the organization IS reglslered or licensed to SOliCit contributions or has been notified It IS exempt from registration or licensing
- --~---~---~-- ~-~--~-~--~-~~-- ---
BAA for Paperwork Reduction Act Notice see the Instructions Form 990 or 990-EL Schedule G (runn 990 or 990-EZ) 2012 TEEA3701L 01107113
--
------
Schedule G (Form 990 or 990-EZ) 2012 Commun Br 94-2460211 Page 2
Fun ng Events Complete if the organization answered Yes to Form 990 Part IV ine 18 or reported more than $15000 of fundraising event contributions and gross income on Form 990-EZ lines 1 and 6b List events with gross receipts greater than $5000
(a) Event 1 (b) Event 2 (c) Other events (d) Total events (add column (a)
Italian Affair None through column (craquoR (event type) (event type) (total number) E V E N 1 Gross receipts 20186 20186 U E
2 Less Charitable contributions
3 Gross income (line 1 minus line 2) 20186 20186
4 Cash prizes
5 Noncash prizes D
R I
6 Rentfacility costs E C T 7 Food and beverages 5391 539l E x p 8 Entertainment E
N s 9 Other direct expenses 5822 5822E S
10 Direct expense summary Add lines 4 through 9 in column (d) 11213 11 Net income summary Combine line 3 column (d) and line 1 Q 8973
[Pifllll Gaming Complete if the o~ganization answered Yes to Form 990 Part IV line 19 or reported more than
(a) Bingo (b) Pull tabsllnstant (c) Other gaming (d) Total gaming R E bingoprogressive (add column (a) V bingo through column (eraquo E N U E Gross revenue
2 Cash prizes ~------------4---------------+--------------~--------------E
D X I P 3 Non-cash prizes R E E N C S T E
S 4 Rentfacility costs
5 Other direct expenses
Yes Yes Yes 6 Volunteer labor No No No
7 Direct expense summary Add lines 2 through 5 in column (d)
8 Net gaming income summary Combine lines 1 column (d) and line 7
9 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 0 Yes
b If No explain
lOa Were any of the organizations gaming licenses revoked suspended or terminated during the tax year 0 Yes b If Yes explain
BAA TFJ3]02L 010713 ScheclJle G (F (JIm 990 or 990 2012
------------
-----------
Schedule G (Form 990 or 990-EZ) 2012 Community Bridges 94-2460211 Page 3 11 Does the organization operate gaming activities with nonmembers DYes 12 Is the organization a grantor beneficiary or trustee of a trust or a member of a partnership or other entity formed to
administer charitable gaming DYes 13 Indicate the percentage of gaming activity operated in
a The organizations facility 13a ~13-b~------------~~b An outside facility
14 Enter the name and address of the person who prepares the organizations gamingspecial events books and records
Name
Address
15a Does the organization have a contact with a third party from whom the organization receives gaming revenue DYes b If Yes enter the amount of gaming revenue received by the organization $ and the amount
of gaming revenue retained by the third party $ c If Yes enter name and address of the third party
Name ---------------------------------------------~-----l
I Address I
16 Gaming manager information
Name
Gaming manager compensation $
Description of services provided
D Directorofficer DEmployee D independent contractor
17 Mandatory distributions
a Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the ~~egaminglicense ___________________________________________________________________ D~s ~No
b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the
organizations own exempt activities during the tax year $ lean~IlUI Supplemental Information Complete this part to provide the explanations required by Igtart I line 2b
columns (iii) and (v) and Part III lines 9 9b 1 ~b 15b 15c 16 and 17b as applicable Also complete this part to provide any additional information (see instructions)
----------------------- -------------------- ------ ----------------------------- __--shy
_ ---_ --------------- ---------------- ----- shy
BAA TEEA3703L 010113 Schedule G (Form 990 or 990middotEZ) 2012
--------------------------------------------------------- ---------
OMB No 1545-0047SCHEDULE 0 Supplemental Information to Form 990 or 990middotEZ (Form 990 or 990-EZ)
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information
Department of the Treasury ~ Attach to Form 990 or 990-EZInternal Revenue Service
Name of the
94-2460211
health care 4112-63012
BAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990-EZ TFEIA)IJIL 12812 Schedule 0 (Forrn 990 or 2012
Schedule 0 (Form 990 or 990-EZ) 2012 Page 2 Name of the organization Employer Identification number
Community Bridges 94-2460211
~ ~~Oy~~sjg1~~ge~~~e~~~~~ ~~~ ~ ~ ~~ ~~ ~_ ~~ ~ ~ ~~~~~~~ ~ ~ ~ ~ ~ ~~~~ ~ ~ ~~ ~ ~~~~~ ~ ~ ~ ~ _
Schedule (Form 990 or
TEEA4902L
2012
2012 Schedule 0 bull Supplemental Information Page 1
Community Bridges 94-2460211
Form 990 Part XI Line 9 Other Changes In Net Assets Or Fund Balances
Depreciation Grant Funded Assets $ -140124 Familia Net Assets 82104
Total $ -58020========
-------------------
OMS No 1545-0047
SCHEDULE R (Form 990) Related Organizations and Unrelated Partnerships 2012
Complete if the organization answered Yes to Fonn 990 Part IV line 33343536 or 37DqJ21rTrrent of the Treasury Internal Revenue Service Attach to Form 990 ~ See separate instructions Name of the organization
s 94-2460211Commu
rp~ Identification of Disregarded Entities (Complete if the organization answered Yes to Form 990 Part
(a) (b) (c) (e) (f) iiame address and EIN (if applicable) of disregarded entity Primary activity Legal domicile (state End-of-year assets Direct controlling
or foreiqn country) entity
=== === =_===== =_ ===== == ===__1 1-- -- -=-=1 TI ~~
FPafIIldentification 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)
(a) Name address and EIN of related organization
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Exempt Code
section
(e) Public charity status (if section 501 (c) (3raquo)
(f) Direct controlling
entity
(g)Sec 512(b)(13)
controlled entity
Yes No (1) FAMILIA CENTER
236SANTA-rnUZAVE----------- shy------------------------- shyAPTOS CA 95003770071589 - - shy - - - -- shy - - - -- shy - - shy BILINGUAL FAMILY
SERVICES CA I
501(C)3 PUBLIC
CHARITY COMMUNITY
BRIDGES X
---------------------- shy_shy --shy --------------------- shy - shy - -- -- shy - - shy - - shy - - - - - - - - - - - - - - -
- --
----------~--------------
-shy - shy --------------------- shy
-shy - shy - shy - shy shy -shy - - ---------------- shy- c--- shy
- - -- --- -- - - - - --- - - - - - - - - - - - - shy
- - -- - shy
- -- - --------------------- shy -=r_ I _ __ I
~-- I ------- - -- ----- --- --
BAt For Paperwork Reduction Act Notice see the Instructions for Form 990 TEEA5001 L 122812 Schedule R (Form 990) 2012
- -- ------
----- -
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 2
re~rtUI Iidentific~tion of Related Organizations T~xable 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)
me oddltl od EIN of I PIm~~cttyrelated organization
-+shy----shy
-_--shy -- -shy ~
(c) Legal
domicile (state or foreign country)
(d) Direct
controlling entity
(e) Predominant income (related unrelated excluded from tax
under sections 512-514)
(f) Share of total
income
(g) Share of
end-of-year assets
(h) Disproporshy
tionate allocations
Yes No
(i) Code V-UBI
amount in box 20 of Schedule
K-1 (Form 1065)
(j) General or managing partner
Yes No
(k) Percentage ownership
shy -shy --shy --shy -shy
-shy -__shy ---shy -shy
_ _ _____ ___ J~
-- -- -- - - - -- - -- shy
-
--T~ --=~ -- ~~==~=-
I
IPaHJVl Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered Yes to Form 990 Part IV L----_-l line 34 because it had one or more related organizations treated as a corporation or trust during the tax year)
(a) (b) I (c) (d) (e) I (f) (g) (h) I (i)iiame address and EIN of related organization Primary activity Legal domicile Direct Type of entity Share of Share of end-of- Percentage Sec S12(b)(13)
(state or foreign controlling (C corp S corp total income year assets ownership controlled entitycountry) entity or trust)
Yes I No
- - - - - - - - - -- - - - - - -- --I --------------------4
--==========1------~--------------~------------~------------~------------~--------------~--------------~--------~I----~------TEEA5002L 1228112 Schedule R (Form 990) 2012
---------
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 3
i])~ Transactions With Related Organizations (Complete if the organization answered Yes to Form 990 Part IV line 34 35b or 36)
Note Complete line 1 if any entity is listed in Parts II III or IV of this schedule During the lax year did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity b Gift grant or capital contribution to related organization(s)
Gift grant or capital contribution from related organization(s)
d Loans or loan guarantees to or for related organization(s)
e Loans or loan guarantees by related organization(s)
Dividends from related organization(s) 9 Sale of assets to related organization(s)
h Purchase of assets from related organization(s)
Exchange of assets with related organization(s)
Lease c[racilities equipment or other assets to related organization(s)
Lease of facilities equipment or other assets from related organization(s)
Performance of services or membership or fundraising solicitations for related organization(s)
Ferformance of services or membership or fundraising solicitations by related organization(s)
Sharing of facilities equipment mailing lists or other assets with related organization(s)
o Sharing of paid employees with related organization(s)
Reimbursement paid to related organization(s) for expenses
q Reimbursement paid by related organization(s) for expenses
r Other transfer of cash or property to related organization(s
5 Other transfer of cash or property from related organization(s)
If the answer to any of the above is Yes see the instructions for information on who must complete this line including covered relationships and transaction thresholds
(b) (c)N f h(a) d (2 lame 0 ot er organization Transaction Amount involved Metho of etermlnlng --~
type (a-s) amount involved
(1)
(2)
ltd ~ ~J
I I I
(5) ------------shy
(6) ~---------------------------------------------------------------------------~--------------~--------~~~~--~--~~~
TEEIS003L 1228112 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 4
e~~I1 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) I (b) (c) (d) (e) (f) (g) (h) (i) (j) I (k)Jame address and EIN of entity Primary activity Legal domicile Predominant Are all partners Share of Share of Dispropor- Code V-UBI General or Percentage
(state or foreign income section total income end-of-year tionate amount in box managing ownership country) (related unre- 501 (c)(3) assets allocations 20 of Schedule partner
lated excluded organizations i K- 1 from tax under ~---c--- Form (1065)
section 512-514) Yes I No Yes No Yes No----+----1
- --==~ ~ ~ ====== ~ I ~ --I------+--+----t--shy
(3)
--------------1
(6)
-____ __~__ - I I I SAl TEEAS004L 122812 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Page 5 _ Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions)
-r- I - lt-j005L middot22312 Schedule R (Forni
3 Schedule C(Form 990 or 2012 Bri 94-2460211 Complete if the organization is exempt under se as NOT filed Form 5768 (election under section 501 (hraquo
For each Yesresponse to lines 7a through Ii below provide in Part IVa detailed description of the lobbying activity
During the year did the filing organization attempt to influence foreign national state or local legislation including any attempt to influence public opinion on a legislative matter or referendum through the use of
a Volunteers
b Paid staff or management (include compensation in expenses reported on lines 1 c through 1 i)
c Media advertisements
d Mailings to members legislators or the pUblic ~~---+--------------
e Publications or published or broadcast statements
f Grants to other organizations for lobbying purposes
9 Direct contact with legislators their staffs government ofFicials or a legislative body
h Rallies demonstrations seminars conventions speeches lectures or any similar means
i Other activities ~~~~--------
j Total Add lines 1c through 1 i ~lli~J~i01 ~2iJn
I----t---- shy
2 a Did the activities in line 1 cause the organization to be not described in section 501 (c)(3)
b If Yes enter the amount of any tax incurred under section 4912
c If Yes enter the amount of any tax incurred by organization managers under section 4912
d If the filing organization incurred a section 4912 tax did it file Form 4720 for this year
Complete if ization is exempt under section 501 (c)(4) section 501 (c)(5) or section 501
Were substantially all (90 or more) dues received nondeductible by members 1----+---1---shy
2 Did the organization make only inmiddothouse lobbying expenditures of $2000 or less f----j----j--- shy
3 Did the organization agree to carryover lobbying and political from the prior year
Complete if the organization is exempt under section 501 (c)(4) section 501 (c)(5) or section 501 (c) (6) and if either (a) BOTH Part III-A lines 1 and 2 are answered No OR (b) Part III-A line 3 is answered Yes
Dues assessments and similar amounts from members
2 Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid)
a Current year
b Carryover from last year
c Total
3 Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues
4 If notices were sent and the amount on line 2c exceeds the amount on line 3 what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year
I---~--------------5 Taxable amount of lobbying and political expenditures (see instructions)
Complete this part to provide the descriptions required for Part ImiddotA line 1 Part ImiddotB line 4 Part Imiddote line 5 Part IImiddotA (affiliated group list) Part IImiddotA line 2 and Part IImiddotB line 1 Also complete this part for any additional information
TEEA32031 OliO
Scheciu1e
-----------------
OMB I~o 1545-0047 SCHEDULE D (Form 990) Supplemental Financial Statements 2012
~ Complete if the organization answered Yes to Form 990 Part IV lines 6 7 8 9 10 l1a 11 b 1lc l1d l1e l1f 12a or 12b
~ Attach to Form 990 ~ See instructions
(a) Donor advised funds
1 Total number at end of year
2 Aggregate contributions to (during year
3 Aggregate grants from (during year) 4 Aggregate value at end of year
S Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organizations property subject to the organizations exclusive legal control DYes
6 Did the organization inform all grantees donors and donor advisors in writing that grant funds can be used only
impermissible private benefit for charitable purposes and not for the benefit of the donor or donor advisor or for any other purpose conferring
No
(b) Funds and other accounts
Purpose(s) of conservation easements held by the organization (check all that apply)
Preservation of land for public use (eg recreation or education) D Preservation of an historically important land area
Protection of natural habitat D Preservation of a certified historic structure
Preservation of open space ~
2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the iast day of the tax year
a Total number of conservation easements
b Total acreage restricted by conservation easements
c Number of conservation easements on a certified historic structure included in (a)
d Number of conservation easements included in (c) acquired after 81706 and not on a historic structure listed in the National Register 2 dL-__L-_________________________
3 Number of conservation easements modified transferred released extinguished or terminated by the organization during the tax year Igt
4 Number of states where property subject to conservation easement is located Igt
S Does the organization have a written policy regarding the periodic monitoring inspection handling of violations and enforcement of the conservation easements it holds DYes
6 Staff and volunteer hours devoted to monitoring inspecting and enforcing conservation easements during the year Igt
7 Amount of expenses incurred in monitoring inspecting and enforcing conservation easements during the year 1gt$
8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(8)(i) and section 170(h)(4)(8)(ii) DYes
9 In Part XIII describe how the organization reports conservation easements in its revenue and expense statement and balance sheet and include if applicable the text of the footnote to the organizations financial statements that describes the organizations accounting for conservation easements
tf~rtiml Organizations Maintaining Collections of Art Historical Treasures or Other Similar Assets Complete if the organization answered Yes to Form 990 Part IV line 8
1 a If the organization elected as permitted under SFAS 116 (ASC 958) 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 XIII the text of the footnote to its financial statements that describes these items
b If the organization elected as permitted under SFAS 116 (ASe 958) 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 VI I line 1 ~$
(ii) Assets included in Form 990 Part X 11gt-$
2 If the organization received or held works of art histOrical treasures or other similar assets for financial gaill provide the following amounts required to be reported under SFAS 116 (ASe 958) relating to these items
11gt-$ -~~-------
$ BAA For Paperwork Reduction Act Notice the Instructions for Form 990 991l) CJ12
~--~-------------------------
-----------------------------------------------
-------
e2
3 Using the organizations acquisition accession and other records check any of the following that are a significant use of its collection items (check all that apply)
a sectPublic exhibition d BLoan or exchange programs b Scholarly research e Other
c Preservation for future generations
4 Provide a description of the organizations collections and explain how they further the organizations exempt purpose in Part XIII
5 During the year did the organization solicit or receive donations of art historical treasures or other similar assets D to be sold to raise funds rather than to be maintained as part of the organizations collection Yes
IRal~IYRI Escrow and Custodial Arrangemel1ts Complete if the organization answered Yes to Form 990 Part IV line 9 or reported an amount on Form 990 Part X line 21
1 a ~nt~~r~g~~~~~r~ ~~ ~~~~t~ trus~e~ ~u~t~~i~~ or ot~er int~~~~~~~~~ ~o~contnbu~i~~~ ~r ~~e~ ass~ts n~i~cI~~~d DYes
b If Yes explain the arrangement in Part XIII and complete the following table
Amount
c Beginning balance 1 c d Additions during the year d
e Distributions during the year 1 e f Ending balance 1f
2a Did the organization include an amount on Form 990 Part X line 21 UYes NOb If Yes explain the arrangement in Part XIII Check here if the explantion has been provided in Part Xlll D
fBaIM~1 Endowment Funds Complete if the or~anization answered Yes to Form 990 Part IV line 10 (a) Current (b) Prior year (e) Two years (d) Three years (e) Four years
1 a Beginning of year balance
b Contributions
c Net investment earnings gains and losses
d Grants or scholarships
e Other expenditures for facilities and programs
f Administrative expenses
9 End of year balance
2 PrOVide the estimated percentage of the current year end balance (line 1 g column (araquo held as
a Board designated or quasi-endowment b Permanent endowment c Temporarily restricted endowment
The percentages in lines 2a 2b and 2c should equal 10000
3 a Are there endowment funds not in the possession of the organization that are held and administered for the organization by Yes No (i) unrelated organizations 3a(i)
(ii) related organiZations 3a(ii)
b If Yes to 3a(ii) are the related organizations listed as required on Schedule R 3b I 4 Describe in Part XIII the intended uses of the organizations endowment funds
1 a Land
b Buildings
c Leasehold improvements
d Equipment
e Other
Total Add lines 1 a
BAA
(d) Book value
TEEt3302L 06e71 i 2
-------------------------
of security or rfpnlrl
name of secu (1) Financial derivatives
94-2460211
uation Cost or rket value
Page 3
~------------~--------------------------------------(2) Closely-held equity interests
~------------~--------------------------------------(3) Other ______________________ +----------f--------------------shyi~ __________________________1---_______-+____________________ (8)
iq __________________________~-----~---------------------------iD1_ - - - - - - - - - - - - - - - - - - - - - - -- -f------------+-------------------------------shy(E)- - - - - - - - - - - - - - - - - - - - - - - - - - - - ~-------------I---------------------------------------~~--------------------------f__----------+_-------------------------------iGl ______ -- _________ - _ - - - __ - - -f__----------l-----------------------------shy(H)- - - - - - - - - - - - - - - - - - - - - - - - - - - -- ~-------------+---------------------------------------J~ _____________________ _
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10) ----shy
(11)
Total (Column (b) must equal Form 990 Part X column (8) line 25) 2 FIN 48 CASe 740) Footnote In Part XIII provide the text of the footnote to the organizations financial statements that reports the organizations liability for uncertain tax positions under FIN 48 (ASe 740) Cherv here If the text of the footnote has been provided 11 Part XIII LJ BAA ____~_~__O~_ ~-~-~~~~--~~~-- --~T~-~middotA3303L- 122312 -- gt--~~-- Schedule 0 (Form 990) 2012
Page 4
2 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 XIII)
e Add lines 2a through 2d
3 Subtract line 2e from line 1 4 Amounts included on Form 990 Part VIII line 12 but not on line 1
a Investment expenses not included on Form 990 Part VIII line 7b
b Other (Describe in Part XII I)
c Add lines 4a and 4b
5 Total revenue Add lines 3 and 4c (This must equal Form 990 Part I line 72)
Total expenses and losses per audited financial statements
2 Amounts included on line 1 but not on Form 990 Part IX line 25
a Donated services and use of facilities 13 244 b Prior year adjustments c Other losses
d Other (Describe in Part XIII)
e Add lines 2a through 2d 3 Subtract line 2e from line 1
4 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 XIII) c Add lines 4a and 4b
must equal Form 990 Part I line 78)
Complete this part to provide the descriptions required for Part II lines 3 5 and 9 Part III lines 1a and 4 Part IV lines 1b and 2b Part V line 4 Part X line 2 Part XI lines 2d and 4b and Part XII lines 2d and 4b Also complete this part to provide any additional information
BAA Schedule 0 (Form 990) 2012
fEEA3304L 1
OMS No 1545middot0047
SCHEDULE G Supplemental Information Regarding (Form 990 or 990-EZ) Fundraising or Gaming Activities 2012
Complete if the organization answered Yes to Form 990 Part IV lines 17 18 or 19 or if the organization entered more than $15000 on Form 990-EZ line 6aDepartment of the Treasury
Internal Revenue Service ~ Attach to Form 990 or Form 990-EZ ~ See separate instructions
Name of Employer
94-2460211 InnInn ACtlVlllles Complete if the organization
___-c---cFo_r_m--- ~ filers are not required to complete this part
Indicate whether the organization raised funds through any of the following activities Check all that apply
a DMail solicitations e DSolicitation of non-government grants
b D Internet and email solicitations f DSolicitation of government grants
c D Phone solicitations g D Special fundraising events
d D Inmiddotperson solicitations
2 a 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 DYes ~No
b If Yes list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fund raiser is to be compensated at least $5000 by the organization
(i) Name and address of individual or entity (fund raiser)
(ii) Activity (iii) Did fund raiser have custod6or control
of contri utions
(iv) Gross receipts from activity
(v) Amount paid to (or retained by)
fundraiser listed in
(vi) Amount paid to (or retained by)
organization column (i)
Yes No
1
-- shy2
3 I
4 -----~--------
5
6
7 -__----shy
8
9
10
Total O bull -
3 List all states In which the organization IS reglslered or licensed to SOliCit contributions or has been notified It IS exempt from registration or licensing
- --~---~---~-- ~-~--~-~--~-~~-- ---
BAA for Paperwork Reduction Act Notice see the Instructions Form 990 or 990-EL Schedule G (runn 990 or 990-EZ) 2012 TEEA3701L 01107113
--
------
Schedule G (Form 990 or 990-EZ) 2012 Commun Br 94-2460211 Page 2
Fun ng Events Complete if the organization answered Yes to Form 990 Part IV ine 18 or reported more than $15000 of fundraising event contributions and gross income on Form 990-EZ lines 1 and 6b List events with gross receipts greater than $5000
(a) Event 1 (b) Event 2 (c) Other events (d) Total events (add column (a)
Italian Affair None through column (craquoR (event type) (event type) (total number) E V E N 1 Gross receipts 20186 20186 U E
2 Less Charitable contributions
3 Gross income (line 1 minus line 2) 20186 20186
4 Cash prizes
5 Noncash prizes D
R I
6 Rentfacility costs E C T 7 Food and beverages 5391 539l E x p 8 Entertainment E
N s 9 Other direct expenses 5822 5822E S
10 Direct expense summary Add lines 4 through 9 in column (d) 11213 11 Net income summary Combine line 3 column (d) and line 1 Q 8973
[Pifllll Gaming Complete if the o~ganization answered Yes to Form 990 Part IV line 19 or reported more than
(a) Bingo (b) Pull tabsllnstant (c) Other gaming (d) Total gaming R E bingoprogressive (add column (a) V bingo through column (eraquo E N U E Gross revenue
2 Cash prizes ~------------4---------------+--------------~--------------E
D X I P 3 Non-cash prizes R E E N C S T E
S 4 Rentfacility costs
5 Other direct expenses
Yes Yes Yes 6 Volunteer labor No No No
7 Direct expense summary Add lines 2 through 5 in column (d)
8 Net gaming income summary Combine lines 1 column (d) and line 7
9 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 0 Yes
b If No explain
lOa Were any of the organizations gaming licenses revoked suspended or terminated during the tax year 0 Yes b If Yes explain
BAA TFJ3]02L 010713 ScheclJle G (F (JIm 990 or 990 2012
------------
-----------
Schedule G (Form 990 or 990-EZ) 2012 Community Bridges 94-2460211 Page 3 11 Does the organization operate gaming activities with nonmembers DYes 12 Is the organization a grantor beneficiary or trustee of a trust or a member of a partnership or other entity formed to
administer charitable gaming DYes 13 Indicate the percentage of gaming activity operated in
a The organizations facility 13a ~13-b~------------~~b An outside facility
14 Enter the name and address of the person who prepares the organizations gamingspecial events books and records
Name
Address
15a Does the organization have a contact with a third party from whom the organization receives gaming revenue DYes b If Yes enter the amount of gaming revenue received by the organization $ and the amount
of gaming revenue retained by the third party $ c If Yes enter name and address of the third party
Name ---------------------------------------------~-----l
I Address I
16 Gaming manager information
Name
Gaming manager compensation $
Description of services provided
D Directorofficer DEmployee D independent contractor
17 Mandatory distributions
a Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the ~~egaminglicense ___________________________________________________________________ D~s ~No
b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the
organizations own exempt activities during the tax year $ lean~IlUI Supplemental Information Complete this part to provide the explanations required by Igtart I line 2b
columns (iii) and (v) and Part III lines 9 9b 1 ~b 15b 15c 16 and 17b as applicable Also complete this part to provide any additional information (see instructions)
----------------------- -------------------- ------ ----------------------------- __--shy
_ ---_ --------------- ---------------- ----- shy
BAA TEEA3703L 010113 Schedule G (Form 990 or 990middotEZ) 2012
--------------------------------------------------------- ---------
OMB No 1545-0047SCHEDULE 0 Supplemental Information to Form 990 or 990middotEZ (Form 990 or 990-EZ)
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information
Department of the Treasury ~ Attach to Form 990 or 990-EZInternal Revenue Service
Name of the
94-2460211
health care 4112-63012
BAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990-EZ TFEIA)IJIL 12812 Schedule 0 (Forrn 990 or 2012
Schedule 0 (Form 990 or 990-EZ) 2012 Page 2 Name of the organization Employer Identification number
Community Bridges 94-2460211
~ ~~Oy~~sjg1~~ge~~~e~~~~~ ~~~ ~ ~ ~~ ~~ ~_ ~~ ~ ~ ~~~~~~~ ~ ~ ~ ~ ~ ~~~~ ~ ~ ~~ ~ ~~~~~ ~ ~ ~ ~ _
Schedule (Form 990 or
TEEA4902L
2012
2012 Schedule 0 bull Supplemental Information Page 1
Community Bridges 94-2460211
Form 990 Part XI Line 9 Other Changes In Net Assets Or Fund Balances
Depreciation Grant Funded Assets $ -140124 Familia Net Assets 82104
Total $ -58020========
-------------------
OMS No 1545-0047
SCHEDULE R (Form 990) Related Organizations and Unrelated Partnerships 2012
Complete if the organization answered Yes to Fonn 990 Part IV line 33343536 or 37DqJ21rTrrent of the Treasury Internal Revenue Service Attach to Form 990 ~ See separate instructions Name of the organization
s 94-2460211Commu
rp~ Identification of Disregarded Entities (Complete if the organization answered Yes to Form 990 Part
(a) (b) (c) (e) (f) iiame address and EIN (if applicable) of disregarded entity Primary activity Legal domicile (state End-of-year assets Direct controlling
or foreiqn country) entity
=== === =_===== =_ ===== == ===__1 1-- -- -=-=1 TI ~~
FPafIIldentification 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)
(a) Name address and EIN of related organization
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Exempt Code
section
(e) Public charity status (if section 501 (c) (3raquo)
(f) Direct controlling
entity
(g)Sec 512(b)(13)
controlled entity
Yes No (1) FAMILIA CENTER
236SANTA-rnUZAVE----------- shy------------------------- shyAPTOS CA 95003770071589 - - shy - - - -- shy - - - -- shy - - shy BILINGUAL FAMILY
SERVICES CA I
501(C)3 PUBLIC
CHARITY COMMUNITY
BRIDGES X
---------------------- shy_shy --shy --------------------- shy - shy - -- -- shy - - shy - - shy - - - - - - - - - - - - - - -
- --
----------~--------------
-shy - shy --------------------- shy
-shy - shy - shy - shy shy -shy - - ---------------- shy- c--- shy
- - -- --- -- - - - - --- - - - - - - - - - - - - shy
- - -- - shy
- -- - --------------------- shy -=r_ I _ __ I
~-- I ------- - -- ----- --- --
BAt For Paperwork Reduction Act Notice see the Instructions for Form 990 TEEA5001 L 122812 Schedule R (Form 990) 2012
- -- ------
----- -
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 2
re~rtUI Iidentific~tion of Related Organizations T~xable 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)
me oddltl od EIN of I PIm~~cttyrelated organization
-+shy----shy
-_--shy -- -shy ~
(c) Legal
domicile (state or foreign country)
(d) Direct
controlling entity
(e) Predominant income (related unrelated excluded from tax
under sections 512-514)
(f) Share of total
income
(g) Share of
end-of-year assets
(h) Disproporshy
tionate allocations
Yes No
(i) Code V-UBI
amount in box 20 of Schedule
K-1 (Form 1065)
(j) General or managing partner
Yes No
(k) Percentage ownership
shy -shy --shy --shy -shy
-shy -__shy ---shy -shy
_ _ _____ ___ J~
-- -- -- - - - -- - -- shy
-
--T~ --=~ -- ~~==~=-
I
IPaHJVl Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered Yes to Form 990 Part IV L----_-l line 34 because it had one or more related organizations treated as a corporation or trust during the tax year)
(a) (b) I (c) (d) (e) I (f) (g) (h) I (i)iiame address and EIN of related organization Primary activity Legal domicile Direct Type of entity Share of Share of end-of- Percentage Sec S12(b)(13)
(state or foreign controlling (C corp S corp total income year assets ownership controlled entitycountry) entity or trust)
Yes I No
- - - - - - - - - -- - - - - - -- --I --------------------4
--==========1------~--------------~------------~------------~------------~--------------~--------------~--------~I----~------TEEA5002L 1228112 Schedule R (Form 990) 2012
---------
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 3
i])~ Transactions With Related Organizations (Complete if the organization answered Yes to Form 990 Part IV line 34 35b or 36)
Note Complete line 1 if any entity is listed in Parts II III or IV of this schedule During the lax year did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity b Gift grant or capital contribution to related organization(s)
Gift grant or capital contribution from related organization(s)
d Loans or loan guarantees to or for related organization(s)
e Loans or loan guarantees by related organization(s)
Dividends from related organization(s) 9 Sale of assets to related organization(s)
h Purchase of assets from related organization(s)
Exchange of assets with related organization(s)
Lease c[racilities equipment or other assets to related organization(s)
Lease of facilities equipment or other assets from related organization(s)
Performance of services or membership or fundraising solicitations for related organization(s)
Ferformance of services or membership or fundraising solicitations by related organization(s)
Sharing of facilities equipment mailing lists or other assets with related organization(s)
o Sharing of paid employees with related organization(s)
Reimbursement paid to related organization(s) for expenses
q Reimbursement paid by related organization(s) for expenses
r Other transfer of cash or property to related organization(s
5 Other transfer of cash or property from related organization(s)
If the answer to any of the above is Yes see the instructions for information on who must complete this line including covered relationships and transaction thresholds
(b) (c)N f h(a) d (2 lame 0 ot er organization Transaction Amount involved Metho of etermlnlng --~
type (a-s) amount involved
(1)
(2)
ltd ~ ~J
I I I
(5) ------------shy
(6) ~---------------------------------------------------------------------------~--------------~--------~~~~--~--~~~
TEEIS003L 1228112 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 4
e~~I1 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) I (b) (c) (d) (e) (f) (g) (h) (i) (j) I (k)Jame address and EIN of entity Primary activity Legal domicile Predominant Are all partners Share of Share of Dispropor- Code V-UBI General or Percentage
(state or foreign income section total income end-of-year tionate amount in box managing ownership country) (related unre- 501 (c)(3) assets allocations 20 of Schedule partner
lated excluded organizations i K- 1 from tax under ~---c--- Form (1065)
section 512-514) Yes I No Yes No Yes No----+----1
- --==~ ~ ~ ====== ~ I ~ --I------+--+----t--shy
(3)
--------------1
(6)
-____ __~__ - I I I SAl TEEAS004L 122812 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Page 5 _ Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions)
-r- I - lt-j005L middot22312 Schedule R (Forni
-----------------
OMB I~o 1545-0047 SCHEDULE D (Form 990) Supplemental Financial Statements 2012
~ Complete if the organization answered Yes to Form 990 Part IV lines 6 7 8 9 10 l1a 11 b 1lc l1d l1e l1f 12a or 12b
~ Attach to Form 990 ~ See instructions
(a) Donor advised funds
1 Total number at end of year
2 Aggregate contributions to (during year
3 Aggregate grants from (during year) 4 Aggregate value at end of year
S Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organizations property subject to the organizations exclusive legal control DYes
6 Did the organization inform all grantees donors and donor advisors in writing that grant funds can be used only
impermissible private benefit for charitable purposes and not for the benefit of the donor or donor advisor or for any other purpose conferring
No
(b) Funds and other accounts
Purpose(s) of conservation easements held by the organization (check all that apply)
Preservation of land for public use (eg recreation or education) D Preservation of an historically important land area
Protection of natural habitat D Preservation of a certified historic structure
Preservation of open space ~
2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the iast day of the tax year
a Total number of conservation easements
b Total acreage restricted by conservation easements
c Number of conservation easements on a certified historic structure included in (a)
d Number of conservation easements included in (c) acquired after 81706 and not on a historic structure listed in the National Register 2 dL-__L-_________________________
3 Number of conservation easements modified transferred released extinguished or terminated by the organization during the tax year Igt
4 Number of states where property subject to conservation easement is located Igt
S Does the organization have a written policy regarding the periodic monitoring inspection handling of violations and enforcement of the conservation easements it holds DYes
6 Staff and volunteer hours devoted to monitoring inspecting and enforcing conservation easements during the year Igt
7 Amount of expenses incurred in monitoring inspecting and enforcing conservation easements during the year 1gt$
8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(8)(i) and section 170(h)(4)(8)(ii) DYes
9 In Part XIII describe how the organization reports conservation easements in its revenue and expense statement and balance sheet and include if applicable the text of the footnote to the organizations financial statements that describes the organizations accounting for conservation easements
tf~rtiml Organizations Maintaining Collections of Art Historical Treasures or Other Similar Assets Complete if the organization answered Yes to Form 990 Part IV line 8
1 a If the organization elected as permitted under SFAS 116 (ASC 958) 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 XIII the text of the footnote to its financial statements that describes these items
b If the organization elected as permitted under SFAS 116 (ASe 958) 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 VI I line 1 ~$
(ii) Assets included in Form 990 Part X 11gt-$
2 If the organization received or held works of art histOrical treasures or other similar assets for financial gaill provide the following amounts required to be reported under SFAS 116 (ASe 958) relating to these items
11gt-$ -~~-------
$ BAA For Paperwork Reduction Act Notice the Instructions for Form 990 991l) CJ12
~--~-------------------------
-----------------------------------------------
-------
e2
3 Using the organizations acquisition accession and other records check any of the following that are a significant use of its collection items (check all that apply)
a sectPublic exhibition d BLoan or exchange programs b Scholarly research e Other
c Preservation for future generations
4 Provide a description of the organizations collections and explain how they further the organizations exempt purpose in Part XIII
5 During the year did the organization solicit or receive donations of art historical treasures or other similar assets D to be sold to raise funds rather than to be maintained as part of the organizations collection Yes
IRal~IYRI Escrow and Custodial Arrangemel1ts Complete if the organization answered Yes to Form 990 Part IV line 9 or reported an amount on Form 990 Part X line 21
1 a ~nt~~r~g~~~~~r~ ~~ ~~~~t~ trus~e~ ~u~t~~i~~ or ot~er int~~~~~~~~~ ~o~contnbu~i~~~ ~r ~~e~ ass~ts n~i~cI~~~d DYes
b If Yes explain the arrangement in Part XIII and complete the following table
Amount
c Beginning balance 1 c d Additions during the year d
e Distributions during the year 1 e f Ending balance 1f
2a Did the organization include an amount on Form 990 Part X line 21 UYes NOb If Yes explain the arrangement in Part XIII Check here if the explantion has been provided in Part Xlll D
fBaIM~1 Endowment Funds Complete if the or~anization answered Yes to Form 990 Part IV line 10 (a) Current (b) Prior year (e) Two years (d) Three years (e) Four years
1 a Beginning of year balance
b Contributions
c Net investment earnings gains and losses
d Grants or scholarships
e Other expenditures for facilities and programs
f Administrative expenses
9 End of year balance
2 PrOVide the estimated percentage of the current year end balance (line 1 g column (araquo held as
a Board designated or quasi-endowment b Permanent endowment c Temporarily restricted endowment
The percentages in lines 2a 2b and 2c should equal 10000
3 a Are there endowment funds not in the possession of the organization that are held and administered for the organization by Yes No (i) unrelated organizations 3a(i)
(ii) related organiZations 3a(ii)
b If Yes to 3a(ii) are the related organizations listed as required on Schedule R 3b I 4 Describe in Part XIII the intended uses of the organizations endowment funds
1 a Land
b Buildings
c Leasehold improvements
d Equipment
e Other
Total Add lines 1 a
BAA
(d) Book value
TEEt3302L 06e71 i 2
-------------------------
of security or rfpnlrl
name of secu (1) Financial derivatives
94-2460211
uation Cost or rket value
Page 3
~------------~--------------------------------------(2) Closely-held equity interests
~------------~--------------------------------------(3) Other ______________________ +----------f--------------------shyi~ __________________________1---_______-+____________________ (8)
iq __________________________~-----~---------------------------iD1_ - - - - - - - - - - - - - - - - - - - - - - -- -f------------+-------------------------------shy(E)- - - - - - - - - - - - - - - - - - - - - - - - - - - - ~-------------I---------------------------------------~~--------------------------f__----------+_-------------------------------iGl ______ -- _________ - _ - - - __ - - -f__----------l-----------------------------shy(H)- - - - - - - - - - - - - - - - - - - - - - - - - - - -- ~-------------+---------------------------------------J~ _____________________ _
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10) ----shy
(11)
Total (Column (b) must equal Form 990 Part X column (8) line 25) 2 FIN 48 CASe 740) Footnote In Part XIII provide the text of the footnote to the organizations financial statements that reports the organizations liability for uncertain tax positions under FIN 48 (ASe 740) Cherv here If the text of the footnote has been provided 11 Part XIII LJ BAA ____~_~__O~_ ~-~-~~~~--~~~-- --~T~-~middotA3303L- 122312 -- gt--~~-- Schedule 0 (Form 990) 2012
Page 4
2 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 XIII)
e Add lines 2a through 2d
3 Subtract line 2e from line 1 4 Amounts included on Form 990 Part VIII line 12 but not on line 1
a Investment expenses not included on Form 990 Part VIII line 7b
b Other (Describe in Part XII I)
c Add lines 4a and 4b
5 Total revenue Add lines 3 and 4c (This must equal Form 990 Part I line 72)
Total expenses and losses per audited financial statements
2 Amounts included on line 1 but not on Form 990 Part IX line 25
a Donated services and use of facilities 13 244 b Prior year adjustments c Other losses
d Other (Describe in Part XIII)
e Add lines 2a through 2d 3 Subtract line 2e from line 1
4 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 XIII) c Add lines 4a and 4b
must equal Form 990 Part I line 78)
Complete this part to provide the descriptions required for Part II lines 3 5 and 9 Part III lines 1a and 4 Part IV lines 1b and 2b Part V line 4 Part X line 2 Part XI lines 2d and 4b and Part XII lines 2d and 4b Also complete this part to provide any additional information
BAA Schedule 0 (Form 990) 2012
fEEA3304L 1
OMS No 1545middot0047
SCHEDULE G Supplemental Information Regarding (Form 990 or 990-EZ) Fundraising or Gaming Activities 2012
Complete if the organization answered Yes to Form 990 Part IV lines 17 18 or 19 or if the organization entered more than $15000 on Form 990-EZ line 6aDepartment of the Treasury
Internal Revenue Service ~ Attach to Form 990 or Form 990-EZ ~ See separate instructions
Name of Employer
94-2460211 InnInn ACtlVlllles Complete if the organization
___-c---cFo_r_m--- ~ filers are not required to complete this part
Indicate whether the organization raised funds through any of the following activities Check all that apply
a DMail solicitations e DSolicitation of non-government grants
b D Internet and email solicitations f DSolicitation of government grants
c D Phone solicitations g D Special fundraising events
d D Inmiddotperson solicitations
2 a 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 DYes ~No
b If Yes list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fund raiser is to be compensated at least $5000 by the organization
(i) Name and address of individual or entity (fund raiser)
(ii) Activity (iii) Did fund raiser have custod6or control
of contri utions
(iv) Gross receipts from activity
(v) Amount paid to (or retained by)
fundraiser listed in
(vi) Amount paid to (or retained by)
organization column (i)
Yes No
1
-- shy2
3 I
4 -----~--------
5
6
7 -__----shy
8
9
10
Total O bull -
3 List all states In which the organization IS reglslered or licensed to SOliCit contributions or has been notified It IS exempt from registration or licensing
- --~---~---~-- ~-~--~-~--~-~~-- ---
BAA for Paperwork Reduction Act Notice see the Instructions Form 990 or 990-EL Schedule G (runn 990 or 990-EZ) 2012 TEEA3701L 01107113
--
------
Schedule G (Form 990 or 990-EZ) 2012 Commun Br 94-2460211 Page 2
Fun ng Events Complete if the organization answered Yes to Form 990 Part IV ine 18 or reported more than $15000 of fundraising event contributions and gross income on Form 990-EZ lines 1 and 6b List events with gross receipts greater than $5000
(a) Event 1 (b) Event 2 (c) Other events (d) Total events (add column (a)
Italian Affair None through column (craquoR (event type) (event type) (total number) E V E N 1 Gross receipts 20186 20186 U E
2 Less Charitable contributions
3 Gross income (line 1 minus line 2) 20186 20186
4 Cash prizes
5 Noncash prizes D
R I
6 Rentfacility costs E C T 7 Food and beverages 5391 539l E x p 8 Entertainment E
N s 9 Other direct expenses 5822 5822E S
10 Direct expense summary Add lines 4 through 9 in column (d) 11213 11 Net income summary Combine line 3 column (d) and line 1 Q 8973
[Pifllll Gaming Complete if the o~ganization answered Yes to Form 990 Part IV line 19 or reported more than
(a) Bingo (b) Pull tabsllnstant (c) Other gaming (d) Total gaming R E bingoprogressive (add column (a) V bingo through column (eraquo E N U E Gross revenue
2 Cash prizes ~------------4---------------+--------------~--------------E
D X I P 3 Non-cash prizes R E E N C S T E
S 4 Rentfacility costs
5 Other direct expenses
Yes Yes Yes 6 Volunteer labor No No No
7 Direct expense summary Add lines 2 through 5 in column (d)
8 Net gaming income summary Combine lines 1 column (d) and line 7
9 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 0 Yes
b If No explain
lOa Were any of the organizations gaming licenses revoked suspended or terminated during the tax year 0 Yes b If Yes explain
BAA TFJ3]02L 010713 ScheclJle G (F (JIm 990 or 990 2012
------------
-----------
Schedule G (Form 990 or 990-EZ) 2012 Community Bridges 94-2460211 Page 3 11 Does the organization operate gaming activities with nonmembers DYes 12 Is the organization a grantor beneficiary or trustee of a trust or a member of a partnership or other entity formed to
administer charitable gaming DYes 13 Indicate the percentage of gaming activity operated in
a The organizations facility 13a ~13-b~------------~~b An outside facility
14 Enter the name and address of the person who prepares the organizations gamingspecial events books and records
Name
Address
15a Does the organization have a contact with a third party from whom the organization receives gaming revenue DYes b If Yes enter the amount of gaming revenue received by the organization $ and the amount
of gaming revenue retained by the third party $ c If Yes enter name and address of the third party
Name ---------------------------------------------~-----l
I Address I
16 Gaming manager information
Name
Gaming manager compensation $
Description of services provided
D Directorofficer DEmployee D independent contractor
17 Mandatory distributions
a Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the ~~egaminglicense ___________________________________________________________________ D~s ~No
b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the
organizations own exempt activities during the tax year $ lean~IlUI Supplemental Information Complete this part to provide the explanations required by Igtart I line 2b
columns (iii) and (v) and Part III lines 9 9b 1 ~b 15b 15c 16 and 17b as applicable Also complete this part to provide any additional information (see instructions)
----------------------- -------------------- ------ ----------------------------- __--shy
_ ---_ --------------- ---------------- ----- shy
BAA TEEA3703L 010113 Schedule G (Form 990 or 990middotEZ) 2012
--------------------------------------------------------- ---------
OMB No 1545-0047SCHEDULE 0 Supplemental Information to Form 990 or 990middotEZ (Form 990 or 990-EZ)
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information
Department of the Treasury ~ Attach to Form 990 or 990-EZInternal Revenue Service
Name of the
94-2460211
health care 4112-63012
BAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990-EZ TFEIA)IJIL 12812 Schedule 0 (Forrn 990 or 2012
Schedule 0 (Form 990 or 990-EZ) 2012 Page 2 Name of the organization Employer Identification number
Community Bridges 94-2460211
~ ~~Oy~~sjg1~~ge~~~e~~~~~ ~~~ ~ ~ ~~ ~~ ~_ ~~ ~ ~ ~~~~~~~ ~ ~ ~ ~ ~ ~~~~ ~ ~ ~~ ~ ~~~~~ ~ ~ ~ ~ _
Schedule (Form 990 or
TEEA4902L
2012
2012 Schedule 0 bull Supplemental Information Page 1
Community Bridges 94-2460211
Form 990 Part XI Line 9 Other Changes In Net Assets Or Fund Balances
Depreciation Grant Funded Assets $ -140124 Familia Net Assets 82104
Total $ -58020========
-------------------
OMS No 1545-0047
SCHEDULE R (Form 990) Related Organizations and Unrelated Partnerships 2012
Complete if the organization answered Yes to Fonn 990 Part IV line 33343536 or 37DqJ21rTrrent of the Treasury Internal Revenue Service Attach to Form 990 ~ See separate instructions Name of the organization
s 94-2460211Commu
rp~ Identification of Disregarded Entities (Complete if the organization answered Yes to Form 990 Part
(a) (b) (c) (e) (f) iiame address and EIN (if applicable) of disregarded entity Primary activity Legal domicile (state End-of-year assets Direct controlling
or foreiqn country) entity
=== === =_===== =_ ===== == ===__1 1-- -- -=-=1 TI ~~
FPafIIldentification 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)
(a) Name address and EIN of related organization
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Exempt Code
section
(e) Public charity status (if section 501 (c) (3raquo)
(f) Direct controlling
entity
(g)Sec 512(b)(13)
controlled entity
Yes No (1) FAMILIA CENTER
236SANTA-rnUZAVE----------- shy------------------------- shyAPTOS CA 95003770071589 - - shy - - - -- shy - - - -- shy - - shy BILINGUAL FAMILY
SERVICES CA I
501(C)3 PUBLIC
CHARITY COMMUNITY
BRIDGES X
---------------------- shy_shy --shy --------------------- shy - shy - -- -- shy - - shy - - shy - - - - - - - - - - - - - - -
- --
----------~--------------
-shy - shy --------------------- shy
-shy - shy - shy - shy shy -shy - - ---------------- shy- c--- shy
- - -- --- -- - - - - --- - - - - - - - - - - - - shy
- - -- - shy
- -- - --------------------- shy -=r_ I _ __ I
~-- I ------- - -- ----- --- --
BAt For Paperwork Reduction Act Notice see the Instructions for Form 990 TEEA5001 L 122812 Schedule R (Form 990) 2012
- -- ------
----- -
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 2
re~rtUI Iidentific~tion of Related Organizations T~xable 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)
me oddltl od EIN of I PIm~~cttyrelated organization
-+shy----shy
-_--shy -- -shy ~
(c) Legal
domicile (state or foreign country)
(d) Direct
controlling entity
(e) Predominant income (related unrelated excluded from tax
under sections 512-514)
(f) Share of total
income
(g) Share of
end-of-year assets
(h) Disproporshy
tionate allocations
Yes No
(i) Code V-UBI
amount in box 20 of Schedule
K-1 (Form 1065)
(j) General or managing partner
Yes No
(k) Percentage ownership
shy -shy --shy --shy -shy
-shy -__shy ---shy -shy
_ _ _____ ___ J~
-- -- -- - - - -- - -- shy
-
--T~ --=~ -- ~~==~=-
I
IPaHJVl Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered Yes to Form 990 Part IV L----_-l line 34 because it had one or more related organizations treated as a corporation or trust during the tax year)
(a) (b) I (c) (d) (e) I (f) (g) (h) I (i)iiame address and EIN of related organization Primary activity Legal domicile Direct Type of entity Share of Share of end-of- Percentage Sec S12(b)(13)
(state or foreign controlling (C corp S corp total income year assets ownership controlled entitycountry) entity or trust)
Yes I No
- - - - - - - - - -- - - - - - -- --I --------------------4
--==========1------~--------------~------------~------------~------------~--------------~--------------~--------~I----~------TEEA5002L 1228112 Schedule R (Form 990) 2012
---------
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 3
i])~ Transactions With Related Organizations (Complete if the organization answered Yes to Form 990 Part IV line 34 35b or 36)
Note Complete line 1 if any entity is listed in Parts II III or IV of this schedule During the lax year did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity b Gift grant or capital contribution to related organization(s)
Gift grant or capital contribution from related organization(s)
d Loans or loan guarantees to or for related organization(s)
e Loans or loan guarantees by related organization(s)
Dividends from related organization(s) 9 Sale of assets to related organization(s)
h Purchase of assets from related organization(s)
Exchange of assets with related organization(s)
Lease c[racilities equipment or other assets to related organization(s)
Lease of facilities equipment or other assets from related organization(s)
Performance of services or membership or fundraising solicitations for related organization(s)
Ferformance of services or membership or fundraising solicitations by related organization(s)
Sharing of facilities equipment mailing lists or other assets with related organization(s)
o Sharing of paid employees with related organization(s)
Reimbursement paid to related organization(s) for expenses
q Reimbursement paid by related organization(s) for expenses
r Other transfer of cash or property to related organization(s
5 Other transfer of cash or property from related organization(s)
If the answer to any of the above is Yes see the instructions for information on who must complete this line including covered relationships and transaction thresholds
(b) (c)N f h(a) d (2 lame 0 ot er organization Transaction Amount involved Metho of etermlnlng --~
type (a-s) amount involved
(1)
(2)
ltd ~ ~J
I I I
(5) ------------shy
(6) ~---------------------------------------------------------------------------~--------------~--------~~~~--~--~~~
TEEIS003L 1228112 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 4
e~~I1 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) I (b) (c) (d) (e) (f) (g) (h) (i) (j) I (k)Jame address and EIN of entity Primary activity Legal domicile Predominant Are all partners Share of Share of Dispropor- Code V-UBI General or Percentage
(state or foreign income section total income end-of-year tionate amount in box managing ownership country) (related unre- 501 (c)(3) assets allocations 20 of Schedule partner
lated excluded organizations i K- 1 from tax under ~---c--- Form (1065)
section 512-514) Yes I No Yes No Yes No----+----1
- --==~ ~ ~ ====== ~ I ~ --I------+--+----t--shy
(3)
--------------1
(6)
-____ __~__ - I I I SAl TEEAS004L 122812 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Page 5 _ Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions)
-r- I - lt-j005L middot22312 Schedule R (Forni
-----------------------------------------------
-------
e2
3 Using the organizations acquisition accession and other records check any of the following that are a significant use of its collection items (check all that apply)
a sectPublic exhibition d BLoan or exchange programs b Scholarly research e Other
c Preservation for future generations
4 Provide a description of the organizations collections and explain how they further the organizations exempt purpose in Part XIII
5 During the year did the organization solicit or receive donations of art historical treasures or other similar assets D to be sold to raise funds rather than to be maintained as part of the organizations collection Yes
IRal~IYRI Escrow and Custodial Arrangemel1ts Complete if the organization answered Yes to Form 990 Part IV line 9 or reported an amount on Form 990 Part X line 21
1 a ~nt~~r~g~~~~~r~ ~~ ~~~~t~ trus~e~ ~u~t~~i~~ or ot~er int~~~~~~~~~ ~o~contnbu~i~~~ ~r ~~e~ ass~ts n~i~cI~~~d DYes
b If Yes explain the arrangement in Part XIII and complete the following table
Amount
c Beginning balance 1 c d Additions during the year d
e Distributions during the year 1 e f Ending balance 1f
2a Did the organization include an amount on Form 990 Part X line 21 UYes NOb If Yes explain the arrangement in Part XIII Check here if the explantion has been provided in Part Xlll D
fBaIM~1 Endowment Funds Complete if the or~anization answered Yes to Form 990 Part IV line 10 (a) Current (b) Prior year (e) Two years (d) Three years (e) Four years
1 a Beginning of year balance
b Contributions
c Net investment earnings gains and losses
d Grants or scholarships
e Other expenditures for facilities and programs
f Administrative expenses
9 End of year balance
2 PrOVide the estimated percentage of the current year end balance (line 1 g column (araquo held as
a Board designated or quasi-endowment b Permanent endowment c Temporarily restricted endowment
The percentages in lines 2a 2b and 2c should equal 10000
3 a Are there endowment funds not in the possession of the organization that are held and administered for the organization by Yes No (i) unrelated organizations 3a(i)
(ii) related organiZations 3a(ii)
b If Yes to 3a(ii) are the related organizations listed as required on Schedule R 3b I 4 Describe in Part XIII the intended uses of the organizations endowment funds
1 a Land
b Buildings
c Leasehold improvements
d Equipment
e Other
Total Add lines 1 a
BAA
(d) Book value
TEEt3302L 06e71 i 2
-------------------------
of security or rfpnlrl
name of secu (1) Financial derivatives
94-2460211
uation Cost or rket value
Page 3
~------------~--------------------------------------(2) Closely-held equity interests
~------------~--------------------------------------(3) Other ______________________ +----------f--------------------shyi~ __________________________1---_______-+____________________ (8)
iq __________________________~-----~---------------------------iD1_ - - - - - - - - - - - - - - - - - - - - - - -- -f------------+-------------------------------shy(E)- - - - - - - - - - - - - - - - - - - - - - - - - - - - ~-------------I---------------------------------------~~--------------------------f__----------+_-------------------------------iGl ______ -- _________ - _ - - - __ - - -f__----------l-----------------------------shy(H)- - - - - - - - - - - - - - - - - - - - - - - - - - - -- ~-------------+---------------------------------------J~ _____________________ _
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10) ----shy
(11)
Total (Column (b) must equal Form 990 Part X column (8) line 25) 2 FIN 48 CASe 740) Footnote In Part XIII provide the text of the footnote to the organizations financial statements that reports the organizations liability for uncertain tax positions under FIN 48 (ASe 740) Cherv here If the text of the footnote has been provided 11 Part XIII LJ BAA ____~_~__O~_ ~-~-~~~~--~~~-- --~T~-~middotA3303L- 122312 -- gt--~~-- Schedule 0 (Form 990) 2012
Page 4
2 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 XIII)
e Add lines 2a through 2d
3 Subtract line 2e from line 1 4 Amounts included on Form 990 Part VIII line 12 but not on line 1
a Investment expenses not included on Form 990 Part VIII line 7b
b Other (Describe in Part XII I)
c Add lines 4a and 4b
5 Total revenue Add lines 3 and 4c (This must equal Form 990 Part I line 72)
Total expenses and losses per audited financial statements
2 Amounts included on line 1 but not on Form 990 Part IX line 25
a Donated services and use of facilities 13 244 b Prior year adjustments c Other losses
d Other (Describe in Part XIII)
e Add lines 2a through 2d 3 Subtract line 2e from line 1
4 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 XIII) c Add lines 4a and 4b
must equal Form 990 Part I line 78)
Complete this part to provide the descriptions required for Part II lines 3 5 and 9 Part III lines 1a and 4 Part IV lines 1b and 2b Part V line 4 Part X line 2 Part XI lines 2d and 4b and Part XII lines 2d and 4b Also complete this part to provide any additional information
BAA Schedule 0 (Form 990) 2012
fEEA3304L 1
OMS No 1545middot0047
SCHEDULE G Supplemental Information Regarding (Form 990 or 990-EZ) Fundraising or Gaming Activities 2012
Complete if the organization answered Yes to Form 990 Part IV lines 17 18 or 19 or if the organization entered more than $15000 on Form 990-EZ line 6aDepartment of the Treasury
Internal Revenue Service ~ Attach to Form 990 or Form 990-EZ ~ See separate instructions
Name of Employer
94-2460211 InnInn ACtlVlllles Complete if the organization
___-c---cFo_r_m--- ~ filers are not required to complete this part
Indicate whether the organization raised funds through any of the following activities Check all that apply
a DMail solicitations e DSolicitation of non-government grants
b D Internet and email solicitations f DSolicitation of government grants
c D Phone solicitations g D Special fundraising events
d D Inmiddotperson solicitations
2 a 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 DYes ~No
b If Yes list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fund raiser is to be compensated at least $5000 by the organization
(i) Name and address of individual or entity (fund raiser)
(ii) Activity (iii) Did fund raiser have custod6or control
of contri utions
(iv) Gross receipts from activity
(v) Amount paid to (or retained by)
fundraiser listed in
(vi) Amount paid to (or retained by)
organization column (i)
Yes No
1
-- shy2
3 I
4 -----~--------
5
6
7 -__----shy
8
9
10
Total O bull -
3 List all states In which the organization IS reglslered or licensed to SOliCit contributions or has been notified It IS exempt from registration or licensing
- --~---~---~-- ~-~--~-~--~-~~-- ---
BAA for Paperwork Reduction Act Notice see the Instructions Form 990 or 990-EL Schedule G (runn 990 or 990-EZ) 2012 TEEA3701L 01107113
--
------
Schedule G (Form 990 or 990-EZ) 2012 Commun Br 94-2460211 Page 2
Fun ng Events Complete if the organization answered Yes to Form 990 Part IV ine 18 or reported more than $15000 of fundraising event contributions and gross income on Form 990-EZ lines 1 and 6b List events with gross receipts greater than $5000
(a) Event 1 (b) Event 2 (c) Other events (d) Total events (add column (a)
Italian Affair None through column (craquoR (event type) (event type) (total number) E V E N 1 Gross receipts 20186 20186 U E
2 Less Charitable contributions
3 Gross income (line 1 minus line 2) 20186 20186
4 Cash prizes
5 Noncash prizes D
R I
6 Rentfacility costs E C T 7 Food and beverages 5391 539l E x p 8 Entertainment E
N s 9 Other direct expenses 5822 5822E S
10 Direct expense summary Add lines 4 through 9 in column (d) 11213 11 Net income summary Combine line 3 column (d) and line 1 Q 8973
[Pifllll Gaming Complete if the o~ganization answered Yes to Form 990 Part IV line 19 or reported more than
(a) Bingo (b) Pull tabsllnstant (c) Other gaming (d) Total gaming R E bingoprogressive (add column (a) V bingo through column (eraquo E N U E Gross revenue
2 Cash prizes ~------------4---------------+--------------~--------------E
D X I P 3 Non-cash prizes R E E N C S T E
S 4 Rentfacility costs
5 Other direct expenses
Yes Yes Yes 6 Volunteer labor No No No
7 Direct expense summary Add lines 2 through 5 in column (d)
8 Net gaming income summary Combine lines 1 column (d) and line 7
9 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 0 Yes
b If No explain
lOa Were any of the organizations gaming licenses revoked suspended or terminated during the tax year 0 Yes b If Yes explain
BAA TFJ3]02L 010713 ScheclJle G (F (JIm 990 or 990 2012
------------
-----------
Schedule G (Form 990 or 990-EZ) 2012 Community Bridges 94-2460211 Page 3 11 Does the organization operate gaming activities with nonmembers DYes 12 Is the organization a grantor beneficiary or trustee of a trust or a member of a partnership or other entity formed to
administer charitable gaming DYes 13 Indicate the percentage of gaming activity operated in
a The organizations facility 13a ~13-b~------------~~b An outside facility
14 Enter the name and address of the person who prepares the organizations gamingspecial events books and records
Name
Address
15a Does the organization have a contact with a third party from whom the organization receives gaming revenue DYes b If Yes enter the amount of gaming revenue received by the organization $ and the amount
of gaming revenue retained by the third party $ c If Yes enter name and address of the third party
Name ---------------------------------------------~-----l
I Address I
16 Gaming manager information
Name
Gaming manager compensation $
Description of services provided
D Directorofficer DEmployee D independent contractor
17 Mandatory distributions
a Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the ~~egaminglicense ___________________________________________________________________ D~s ~No
b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the
organizations own exempt activities during the tax year $ lean~IlUI Supplemental Information Complete this part to provide the explanations required by Igtart I line 2b
columns (iii) and (v) and Part III lines 9 9b 1 ~b 15b 15c 16 and 17b as applicable Also complete this part to provide any additional information (see instructions)
----------------------- -------------------- ------ ----------------------------- __--shy
_ ---_ --------------- ---------------- ----- shy
BAA TEEA3703L 010113 Schedule G (Form 990 or 990middotEZ) 2012
--------------------------------------------------------- ---------
OMB No 1545-0047SCHEDULE 0 Supplemental Information to Form 990 or 990middotEZ (Form 990 or 990-EZ)
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information
Department of the Treasury ~ Attach to Form 990 or 990-EZInternal Revenue Service
Name of the
94-2460211
health care 4112-63012
BAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990-EZ TFEIA)IJIL 12812 Schedule 0 (Forrn 990 or 2012
Schedule 0 (Form 990 or 990-EZ) 2012 Page 2 Name of the organization Employer Identification number
Community Bridges 94-2460211
~ ~~Oy~~sjg1~~ge~~~e~~~~~ ~~~ ~ ~ ~~ ~~ ~_ ~~ ~ ~ ~~~~~~~ ~ ~ ~ ~ ~ ~~~~ ~ ~ ~~ ~ ~~~~~ ~ ~ ~ ~ _
Schedule (Form 990 or
TEEA4902L
2012
2012 Schedule 0 bull Supplemental Information Page 1
Community Bridges 94-2460211
Form 990 Part XI Line 9 Other Changes In Net Assets Or Fund Balances
Depreciation Grant Funded Assets $ -140124 Familia Net Assets 82104
Total $ -58020========
-------------------
OMS No 1545-0047
SCHEDULE R (Form 990) Related Organizations and Unrelated Partnerships 2012
Complete if the organization answered Yes to Fonn 990 Part IV line 33343536 or 37DqJ21rTrrent of the Treasury Internal Revenue Service Attach to Form 990 ~ See separate instructions Name of the organization
s 94-2460211Commu
rp~ Identification of Disregarded Entities (Complete if the organization answered Yes to Form 990 Part
(a) (b) (c) (e) (f) iiame address and EIN (if applicable) of disregarded entity Primary activity Legal domicile (state End-of-year assets Direct controlling
or foreiqn country) entity
=== === =_===== =_ ===== == ===__1 1-- -- -=-=1 TI ~~
FPafIIldentification 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)
(a) Name address and EIN of related organization
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Exempt Code
section
(e) Public charity status (if section 501 (c) (3raquo)
(f) Direct controlling
entity
(g)Sec 512(b)(13)
controlled entity
Yes No (1) FAMILIA CENTER
236SANTA-rnUZAVE----------- shy------------------------- shyAPTOS CA 95003770071589 - - shy - - - -- shy - - - -- shy - - shy BILINGUAL FAMILY
SERVICES CA I
501(C)3 PUBLIC
CHARITY COMMUNITY
BRIDGES X
---------------------- shy_shy --shy --------------------- shy - shy - -- -- shy - - shy - - shy - - - - - - - - - - - - - - -
- --
----------~--------------
-shy - shy --------------------- shy
-shy - shy - shy - shy shy -shy - - ---------------- shy- c--- shy
- - -- --- -- - - - - --- - - - - - - - - - - - - shy
- - -- - shy
- -- - --------------------- shy -=r_ I _ __ I
~-- I ------- - -- ----- --- --
BAt For Paperwork Reduction Act Notice see the Instructions for Form 990 TEEA5001 L 122812 Schedule R (Form 990) 2012
- -- ------
----- -
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 2
re~rtUI Iidentific~tion of Related Organizations T~xable 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)
me oddltl od EIN of I PIm~~cttyrelated organization
-+shy----shy
-_--shy -- -shy ~
(c) Legal
domicile (state or foreign country)
(d) Direct
controlling entity
(e) Predominant income (related unrelated excluded from tax
under sections 512-514)
(f) Share of total
income
(g) Share of
end-of-year assets
(h) Disproporshy
tionate allocations
Yes No
(i) Code V-UBI
amount in box 20 of Schedule
K-1 (Form 1065)
(j) General or managing partner
Yes No
(k) Percentage ownership
shy -shy --shy --shy -shy
-shy -__shy ---shy -shy
_ _ _____ ___ J~
-- -- -- - - - -- - -- shy
-
--T~ --=~ -- ~~==~=-
I
IPaHJVl Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered Yes to Form 990 Part IV L----_-l line 34 because it had one or more related organizations treated as a corporation or trust during the tax year)
(a) (b) I (c) (d) (e) I (f) (g) (h) I (i)iiame address and EIN of related organization Primary activity Legal domicile Direct Type of entity Share of Share of end-of- Percentage Sec S12(b)(13)
(state or foreign controlling (C corp S corp total income year assets ownership controlled entitycountry) entity or trust)
Yes I No
- - - - - - - - - -- - - - - - -- --I --------------------4
--==========1------~--------------~------------~------------~------------~--------------~--------------~--------~I----~------TEEA5002L 1228112 Schedule R (Form 990) 2012
---------
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 3
i])~ Transactions With Related Organizations (Complete if the organization answered Yes to Form 990 Part IV line 34 35b or 36)
Note Complete line 1 if any entity is listed in Parts II III or IV of this schedule During the lax year did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity b Gift grant or capital contribution to related organization(s)
Gift grant or capital contribution from related organization(s)
d Loans or loan guarantees to or for related organization(s)
e Loans or loan guarantees by related organization(s)
Dividends from related organization(s) 9 Sale of assets to related organization(s)
h Purchase of assets from related organization(s)
Exchange of assets with related organization(s)
Lease c[racilities equipment or other assets to related organization(s)
Lease of facilities equipment or other assets from related organization(s)
Performance of services or membership or fundraising solicitations for related organization(s)
Ferformance of services or membership or fundraising solicitations by related organization(s)
Sharing of facilities equipment mailing lists or other assets with related organization(s)
o Sharing of paid employees with related organization(s)
Reimbursement paid to related organization(s) for expenses
q Reimbursement paid by related organization(s) for expenses
r Other transfer of cash or property to related organization(s
5 Other transfer of cash or property from related organization(s)
If the answer to any of the above is Yes see the instructions for information on who must complete this line including covered relationships and transaction thresholds
(b) (c)N f h(a) d (2 lame 0 ot er organization Transaction Amount involved Metho of etermlnlng --~
type (a-s) amount involved
(1)
(2)
ltd ~ ~J
I I I
(5) ------------shy
(6) ~---------------------------------------------------------------------------~--------------~--------~~~~--~--~~~
TEEIS003L 1228112 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 4
e~~I1 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) I (b) (c) (d) (e) (f) (g) (h) (i) (j) I (k)Jame address and EIN of entity Primary activity Legal domicile Predominant Are all partners Share of Share of Dispropor- Code V-UBI General or Percentage
(state or foreign income section total income end-of-year tionate amount in box managing ownership country) (related unre- 501 (c)(3) assets allocations 20 of Schedule partner
lated excluded organizations i K- 1 from tax under ~---c--- Form (1065)
section 512-514) Yes I No Yes No Yes No----+----1
- --==~ ~ ~ ====== ~ I ~ --I------+--+----t--shy
(3)
--------------1
(6)
-____ __~__ - I I I SAl TEEAS004L 122812 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Page 5 _ Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions)
-r- I - lt-j005L middot22312 Schedule R (Forni
-------------------------
of security or rfpnlrl
name of secu (1) Financial derivatives
94-2460211
uation Cost or rket value
Page 3
~------------~--------------------------------------(2) Closely-held equity interests
~------------~--------------------------------------(3) Other ______________________ +----------f--------------------shyi~ __________________________1---_______-+____________________ (8)
iq __________________________~-----~---------------------------iD1_ - - - - - - - - - - - - - - - - - - - - - - -- -f------------+-------------------------------shy(E)- - - - - - - - - - - - - - - - - - - - - - - - - - - - ~-------------I---------------------------------------~~--------------------------f__----------+_-------------------------------iGl ______ -- _________ - _ - - - __ - - -f__----------l-----------------------------shy(H)- - - - - - - - - - - - - - - - - - - - - - - - - - - -- ~-------------+---------------------------------------J~ _____________________ _
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10) ----shy
(11)
Total (Column (b) must equal Form 990 Part X column (8) line 25) 2 FIN 48 CASe 740) Footnote In Part XIII provide the text of the footnote to the organizations financial statements that reports the organizations liability for uncertain tax positions under FIN 48 (ASe 740) Cherv here If the text of the footnote has been provided 11 Part XIII LJ BAA ____~_~__O~_ ~-~-~~~~--~~~-- --~T~-~middotA3303L- 122312 -- gt--~~-- Schedule 0 (Form 990) 2012
Page 4
2 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 XIII)
e Add lines 2a through 2d
3 Subtract line 2e from line 1 4 Amounts included on Form 990 Part VIII line 12 but not on line 1
a Investment expenses not included on Form 990 Part VIII line 7b
b Other (Describe in Part XII I)
c Add lines 4a and 4b
5 Total revenue Add lines 3 and 4c (This must equal Form 990 Part I line 72)
Total expenses and losses per audited financial statements
2 Amounts included on line 1 but not on Form 990 Part IX line 25
a Donated services and use of facilities 13 244 b Prior year adjustments c Other losses
d Other (Describe in Part XIII)
e Add lines 2a through 2d 3 Subtract line 2e from line 1
4 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 XIII) c Add lines 4a and 4b
must equal Form 990 Part I line 78)
Complete this part to provide the descriptions required for Part II lines 3 5 and 9 Part III lines 1a and 4 Part IV lines 1b and 2b Part V line 4 Part X line 2 Part XI lines 2d and 4b and Part XII lines 2d and 4b Also complete this part to provide any additional information
BAA Schedule 0 (Form 990) 2012
fEEA3304L 1
OMS No 1545middot0047
SCHEDULE G Supplemental Information Regarding (Form 990 or 990-EZ) Fundraising or Gaming Activities 2012
Complete if the organization answered Yes to Form 990 Part IV lines 17 18 or 19 or if the organization entered more than $15000 on Form 990-EZ line 6aDepartment of the Treasury
Internal Revenue Service ~ Attach to Form 990 or Form 990-EZ ~ See separate instructions
Name of Employer
94-2460211 InnInn ACtlVlllles Complete if the organization
___-c---cFo_r_m--- ~ filers are not required to complete this part
Indicate whether the organization raised funds through any of the following activities Check all that apply
a DMail solicitations e DSolicitation of non-government grants
b D Internet and email solicitations f DSolicitation of government grants
c D Phone solicitations g D Special fundraising events
d D Inmiddotperson solicitations
2 a 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 DYes ~No
b If Yes list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fund raiser is to be compensated at least $5000 by the organization
(i) Name and address of individual or entity (fund raiser)
(ii) Activity (iii) Did fund raiser have custod6or control
of contri utions
(iv) Gross receipts from activity
(v) Amount paid to (or retained by)
fundraiser listed in
(vi) Amount paid to (or retained by)
organization column (i)
Yes No
1
-- shy2
3 I
4 -----~--------
5
6
7 -__----shy
8
9
10
Total O bull -
3 List all states In which the organization IS reglslered or licensed to SOliCit contributions or has been notified It IS exempt from registration or licensing
- --~---~---~-- ~-~--~-~--~-~~-- ---
BAA for Paperwork Reduction Act Notice see the Instructions Form 990 or 990-EL Schedule G (runn 990 or 990-EZ) 2012 TEEA3701L 01107113
--
------
Schedule G (Form 990 or 990-EZ) 2012 Commun Br 94-2460211 Page 2
Fun ng Events Complete if the organization answered Yes to Form 990 Part IV ine 18 or reported more than $15000 of fundraising event contributions and gross income on Form 990-EZ lines 1 and 6b List events with gross receipts greater than $5000
(a) Event 1 (b) Event 2 (c) Other events (d) Total events (add column (a)
Italian Affair None through column (craquoR (event type) (event type) (total number) E V E N 1 Gross receipts 20186 20186 U E
2 Less Charitable contributions
3 Gross income (line 1 minus line 2) 20186 20186
4 Cash prizes
5 Noncash prizes D
R I
6 Rentfacility costs E C T 7 Food and beverages 5391 539l E x p 8 Entertainment E
N s 9 Other direct expenses 5822 5822E S
10 Direct expense summary Add lines 4 through 9 in column (d) 11213 11 Net income summary Combine line 3 column (d) and line 1 Q 8973
[Pifllll Gaming Complete if the o~ganization answered Yes to Form 990 Part IV line 19 or reported more than
(a) Bingo (b) Pull tabsllnstant (c) Other gaming (d) Total gaming R E bingoprogressive (add column (a) V bingo through column (eraquo E N U E Gross revenue
2 Cash prizes ~------------4---------------+--------------~--------------E
D X I P 3 Non-cash prizes R E E N C S T E
S 4 Rentfacility costs
5 Other direct expenses
Yes Yes Yes 6 Volunteer labor No No No
7 Direct expense summary Add lines 2 through 5 in column (d)
8 Net gaming income summary Combine lines 1 column (d) and line 7
9 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 0 Yes
b If No explain
lOa Were any of the organizations gaming licenses revoked suspended or terminated during the tax year 0 Yes b If Yes explain
BAA TFJ3]02L 010713 ScheclJle G (F (JIm 990 or 990 2012
------------
-----------
Schedule G (Form 990 or 990-EZ) 2012 Community Bridges 94-2460211 Page 3 11 Does the organization operate gaming activities with nonmembers DYes 12 Is the organization a grantor beneficiary or trustee of a trust or a member of a partnership or other entity formed to
administer charitable gaming DYes 13 Indicate the percentage of gaming activity operated in
a The organizations facility 13a ~13-b~------------~~b An outside facility
14 Enter the name and address of the person who prepares the organizations gamingspecial events books and records
Name
Address
15a Does the organization have a contact with a third party from whom the organization receives gaming revenue DYes b If Yes enter the amount of gaming revenue received by the organization $ and the amount
of gaming revenue retained by the third party $ c If Yes enter name and address of the third party
Name ---------------------------------------------~-----l
I Address I
16 Gaming manager information
Name
Gaming manager compensation $
Description of services provided
D Directorofficer DEmployee D independent contractor
17 Mandatory distributions
a Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the ~~egaminglicense ___________________________________________________________________ D~s ~No
b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the
organizations own exempt activities during the tax year $ lean~IlUI Supplemental Information Complete this part to provide the explanations required by Igtart I line 2b
columns (iii) and (v) and Part III lines 9 9b 1 ~b 15b 15c 16 and 17b as applicable Also complete this part to provide any additional information (see instructions)
----------------------- -------------------- ------ ----------------------------- __--shy
_ ---_ --------------- ---------------- ----- shy
BAA TEEA3703L 010113 Schedule G (Form 990 or 990middotEZ) 2012
--------------------------------------------------------- ---------
OMB No 1545-0047SCHEDULE 0 Supplemental Information to Form 990 or 990middotEZ (Form 990 or 990-EZ)
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information
Department of the Treasury ~ Attach to Form 990 or 990-EZInternal Revenue Service
Name of the
94-2460211
health care 4112-63012
BAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990-EZ TFEIA)IJIL 12812 Schedule 0 (Forrn 990 or 2012
Schedule 0 (Form 990 or 990-EZ) 2012 Page 2 Name of the organization Employer Identification number
Community Bridges 94-2460211
~ ~~Oy~~sjg1~~ge~~~e~~~~~ ~~~ ~ ~ ~~ ~~ ~_ ~~ ~ ~ ~~~~~~~ ~ ~ ~ ~ ~ ~~~~ ~ ~ ~~ ~ ~~~~~ ~ ~ ~ ~ _
Schedule (Form 990 or
TEEA4902L
2012
2012 Schedule 0 bull Supplemental Information Page 1
Community Bridges 94-2460211
Form 990 Part XI Line 9 Other Changes In Net Assets Or Fund Balances
Depreciation Grant Funded Assets $ -140124 Familia Net Assets 82104
Total $ -58020========
-------------------
OMS No 1545-0047
SCHEDULE R (Form 990) Related Organizations and Unrelated Partnerships 2012
Complete if the organization answered Yes to Fonn 990 Part IV line 33343536 or 37DqJ21rTrrent of the Treasury Internal Revenue Service Attach to Form 990 ~ See separate instructions Name of the organization
s 94-2460211Commu
rp~ Identification of Disregarded Entities (Complete if the organization answered Yes to Form 990 Part
(a) (b) (c) (e) (f) iiame address and EIN (if applicable) of disregarded entity Primary activity Legal domicile (state End-of-year assets Direct controlling
or foreiqn country) entity
=== === =_===== =_ ===== == ===__1 1-- -- -=-=1 TI ~~
FPafIIldentification 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)
(a) Name address and EIN of related organization
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Exempt Code
section
(e) Public charity status (if section 501 (c) (3raquo)
(f) Direct controlling
entity
(g)Sec 512(b)(13)
controlled entity
Yes No (1) FAMILIA CENTER
236SANTA-rnUZAVE----------- shy------------------------- shyAPTOS CA 95003770071589 - - shy - - - -- shy - - - -- shy - - shy BILINGUAL FAMILY
SERVICES CA I
501(C)3 PUBLIC
CHARITY COMMUNITY
BRIDGES X
---------------------- shy_shy --shy --------------------- shy - shy - -- -- shy - - shy - - shy - - - - - - - - - - - - - - -
- --
----------~--------------
-shy - shy --------------------- shy
-shy - shy - shy - shy shy -shy - - ---------------- shy- c--- shy
- - -- --- -- - - - - --- - - - - - - - - - - - - shy
- - -- - shy
- -- - --------------------- shy -=r_ I _ __ I
~-- I ------- - -- ----- --- --
BAt For Paperwork Reduction Act Notice see the Instructions for Form 990 TEEA5001 L 122812 Schedule R (Form 990) 2012
- -- ------
----- -
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 2
re~rtUI Iidentific~tion of Related Organizations T~xable 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)
me oddltl od EIN of I PIm~~cttyrelated organization
-+shy----shy
-_--shy -- -shy ~
(c) Legal
domicile (state or foreign country)
(d) Direct
controlling entity
(e) Predominant income (related unrelated excluded from tax
under sections 512-514)
(f) Share of total
income
(g) Share of
end-of-year assets
(h) Disproporshy
tionate allocations
Yes No
(i) Code V-UBI
amount in box 20 of Schedule
K-1 (Form 1065)
(j) General or managing partner
Yes No
(k) Percentage ownership
shy -shy --shy --shy -shy
-shy -__shy ---shy -shy
_ _ _____ ___ J~
-- -- -- - - - -- - -- shy
-
--T~ --=~ -- ~~==~=-
I
IPaHJVl Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered Yes to Form 990 Part IV L----_-l line 34 because it had one or more related organizations treated as a corporation or trust during the tax year)
(a) (b) I (c) (d) (e) I (f) (g) (h) I (i)iiame address and EIN of related organization Primary activity Legal domicile Direct Type of entity Share of Share of end-of- Percentage Sec S12(b)(13)
(state or foreign controlling (C corp S corp total income year assets ownership controlled entitycountry) entity or trust)
Yes I No
- - - - - - - - - -- - - - - - -- --I --------------------4
--==========1------~--------------~------------~------------~------------~--------------~--------------~--------~I----~------TEEA5002L 1228112 Schedule R (Form 990) 2012
---------
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 3
i])~ Transactions With Related Organizations (Complete if the organization answered Yes to Form 990 Part IV line 34 35b or 36)
Note Complete line 1 if any entity is listed in Parts II III or IV of this schedule During the lax year did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity b Gift grant or capital contribution to related organization(s)
Gift grant or capital contribution from related organization(s)
d Loans or loan guarantees to or for related organization(s)
e Loans or loan guarantees by related organization(s)
Dividends from related organization(s) 9 Sale of assets to related organization(s)
h Purchase of assets from related organization(s)
Exchange of assets with related organization(s)
Lease c[racilities equipment or other assets to related organization(s)
Lease of facilities equipment or other assets from related organization(s)
Performance of services or membership or fundraising solicitations for related organization(s)
Ferformance of services or membership or fundraising solicitations by related organization(s)
Sharing of facilities equipment mailing lists or other assets with related organization(s)
o Sharing of paid employees with related organization(s)
Reimbursement paid to related organization(s) for expenses
q Reimbursement paid by related organization(s) for expenses
r Other transfer of cash or property to related organization(s
5 Other transfer of cash or property from related organization(s)
If the answer to any of the above is Yes see the instructions for information on who must complete this line including covered relationships and transaction thresholds
(b) (c)N f h(a) d (2 lame 0 ot er organization Transaction Amount involved Metho of etermlnlng --~
type (a-s) amount involved
(1)
(2)
ltd ~ ~J
I I I
(5) ------------shy
(6) ~---------------------------------------------------------------------------~--------------~--------~~~~--~--~~~
TEEIS003L 1228112 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 4
e~~I1 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) I (b) (c) (d) (e) (f) (g) (h) (i) (j) I (k)Jame address and EIN of entity Primary activity Legal domicile Predominant Are all partners Share of Share of Dispropor- Code V-UBI General or Percentage
(state or foreign income section total income end-of-year tionate amount in box managing ownership country) (related unre- 501 (c)(3) assets allocations 20 of Schedule partner
lated excluded organizations i K- 1 from tax under ~---c--- Form (1065)
section 512-514) Yes I No Yes No Yes No----+----1
- --==~ ~ ~ ====== ~ I ~ --I------+--+----t--shy
(3)
--------------1
(6)
-____ __~__ - I I I SAl TEEAS004L 122812 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Page 5 _ Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions)
-r- I - lt-j005L middot22312 Schedule R (Forni
Page 4
2 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 XIII)
e Add lines 2a through 2d
3 Subtract line 2e from line 1 4 Amounts included on Form 990 Part VIII line 12 but not on line 1
a Investment expenses not included on Form 990 Part VIII line 7b
b Other (Describe in Part XII I)
c Add lines 4a and 4b
5 Total revenue Add lines 3 and 4c (This must equal Form 990 Part I line 72)
Total expenses and losses per audited financial statements
2 Amounts included on line 1 but not on Form 990 Part IX line 25
a Donated services and use of facilities 13 244 b Prior year adjustments c Other losses
d Other (Describe in Part XIII)
e Add lines 2a through 2d 3 Subtract line 2e from line 1
4 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 XIII) c Add lines 4a and 4b
must equal Form 990 Part I line 78)
Complete this part to provide the descriptions required for Part II lines 3 5 and 9 Part III lines 1a and 4 Part IV lines 1b and 2b Part V line 4 Part X line 2 Part XI lines 2d and 4b and Part XII lines 2d and 4b Also complete this part to provide any additional information
BAA Schedule 0 (Form 990) 2012
fEEA3304L 1
OMS No 1545middot0047
SCHEDULE G Supplemental Information Regarding (Form 990 or 990-EZ) Fundraising or Gaming Activities 2012
Complete if the organization answered Yes to Form 990 Part IV lines 17 18 or 19 or if the organization entered more than $15000 on Form 990-EZ line 6aDepartment of the Treasury
Internal Revenue Service ~ Attach to Form 990 or Form 990-EZ ~ See separate instructions
Name of Employer
94-2460211 InnInn ACtlVlllles Complete if the organization
___-c---cFo_r_m--- ~ filers are not required to complete this part
Indicate whether the organization raised funds through any of the following activities Check all that apply
a DMail solicitations e DSolicitation of non-government grants
b D Internet and email solicitations f DSolicitation of government grants
c D Phone solicitations g D Special fundraising events
d D Inmiddotperson solicitations
2 a 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 DYes ~No
b If Yes list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fund raiser is to be compensated at least $5000 by the organization
(i) Name and address of individual or entity (fund raiser)
(ii) Activity (iii) Did fund raiser have custod6or control
of contri utions
(iv) Gross receipts from activity
(v) Amount paid to (or retained by)
fundraiser listed in
(vi) Amount paid to (or retained by)
organization column (i)
Yes No
1
-- shy2
3 I
4 -----~--------
5
6
7 -__----shy
8
9
10
Total O bull -
3 List all states In which the organization IS reglslered or licensed to SOliCit contributions or has been notified It IS exempt from registration or licensing
- --~---~---~-- ~-~--~-~--~-~~-- ---
BAA for Paperwork Reduction Act Notice see the Instructions Form 990 or 990-EL Schedule G (runn 990 or 990-EZ) 2012 TEEA3701L 01107113
--
------
Schedule G (Form 990 or 990-EZ) 2012 Commun Br 94-2460211 Page 2
Fun ng Events Complete if the organization answered Yes to Form 990 Part IV ine 18 or reported more than $15000 of fundraising event contributions and gross income on Form 990-EZ lines 1 and 6b List events with gross receipts greater than $5000
(a) Event 1 (b) Event 2 (c) Other events (d) Total events (add column (a)
Italian Affair None through column (craquoR (event type) (event type) (total number) E V E N 1 Gross receipts 20186 20186 U E
2 Less Charitable contributions
3 Gross income (line 1 minus line 2) 20186 20186
4 Cash prizes
5 Noncash prizes D
R I
6 Rentfacility costs E C T 7 Food and beverages 5391 539l E x p 8 Entertainment E
N s 9 Other direct expenses 5822 5822E S
10 Direct expense summary Add lines 4 through 9 in column (d) 11213 11 Net income summary Combine line 3 column (d) and line 1 Q 8973
[Pifllll Gaming Complete if the o~ganization answered Yes to Form 990 Part IV line 19 or reported more than
(a) Bingo (b) Pull tabsllnstant (c) Other gaming (d) Total gaming R E bingoprogressive (add column (a) V bingo through column (eraquo E N U E Gross revenue
2 Cash prizes ~------------4---------------+--------------~--------------E
D X I P 3 Non-cash prizes R E E N C S T E
S 4 Rentfacility costs
5 Other direct expenses
Yes Yes Yes 6 Volunteer labor No No No
7 Direct expense summary Add lines 2 through 5 in column (d)
8 Net gaming income summary Combine lines 1 column (d) and line 7
9 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 0 Yes
b If No explain
lOa Were any of the organizations gaming licenses revoked suspended or terminated during the tax year 0 Yes b If Yes explain
BAA TFJ3]02L 010713 ScheclJle G (F (JIm 990 or 990 2012
------------
-----------
Schedule G (Form 990 or 990-EZ) 2012 Community Bridges 94-2460211 Page 3 11 Does the organization operate gaming activities with nonmembers DYes 12 Is the organization a grantor beneficiary or trustee of a trust or a member of a partnership or other entity formed to
administer charitable gaming DYes 13 Indicate the percentage of gaming activity operated in
a The organizations facility 13a ~13-b~------------~~b An outside facility
14 Enter the name and address of the person who prepares the organizations gamingspecial events books and records
Name
Address
15a Does the organization have a contact with a third party from whom the organization receives gaming revenue DYes b If Yes enter the amount of gaming revenue received by the organization $ and the amount
of gaming revenue retained by the third party $ c If Yes enter name and address of the third party
Name ---------------------------------------------~-----l
I Address I
16 Gaming manager information
Name
Gaming manager compensation $
Description of services provided
D Directorofficer DEmployee D independent contractor
17 Mandatory distributions
a Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the ~~egaminglicense ___________________________________________________________________ D~s ~No
b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the
organizations own exempt activities during the tax year $ lean~IlUI Supplemental Information Complete this part to provide the explanations required by Igtart I line 2b
columns (iii) and (v) and Part III lines 9 9b 1 ~b 15b 15c 16 and 17b as applicable Also complete this part to provide any additional information (see instructions)
----------------------- -------------------- ------ ----------------------------- __--shy
_ ---_ --------------- ---------------- ----- shy
BAA TEEA3703L 010113 Schedule G (Form 990 or 990middotEZ) 2012
--------------------------------------------------------- ---------
OMB No 1545-0047SCHEDULE 0 Supplemental Information to Form 990 or 990middotEZ (Form 990 or 990-EZ)
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information
Department of the Treasury ~ Attach to Form 990 or 990-EZInternal Revenue Service
Name of the
94-2460211
health care 4112-63012
BAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990-EZ TFEIA)IJIL 12812 Schedule 0 (Forrn 990 or 2012
Schedule 0 (Form 990 or 990-EZ) 2012 Page 2 Name of the organization Employer Identification number
Community Bridges 94-2460211
~ ~~Oy~~sjg1~~ge~~~e~~~~~ ~~~ ~ ~ ~~ ~~ ~_ ~~ ~ ~ ~~~~~~~ ~ ~ ~ ~ ~ ~~~~ ~ ~ ~~ ~ ~~~~~ ~ ~ ~ ~ _
Schedule (Form 990 or
TEEA4902L
2012
2012 Schedule 0 bull Supplemental Information Page 1
Community Bridges 94-2460211
Form 990 Part XI Line 9 Other Changes In Net Assets Or Fund Balances
Depreciation Grant Funded Assets $ -140124 Familia Net Assets 82104
Total $ -58020========
-------------------
OMS No 1545-0047
SCHEDULE R (Form 990) Related Organizations and Unrelated Partnerships 2012
Complete if the organization answered Yes to Fonn 990 Part IV line 33343536 or 37DqJ21rTrrent of the Treasury Internal Revenue Service Attach to Form 990 ~ See separate instructions Name of the organization
s 94-2460211Commu
rp~ Identification of Disregarded Entities (Complete if the organization answered Yes to Form 990 Part
(a) (b) (c) (e) (f) iiame address and EIN (if applicable) of disregarded entity Primary activity Legal domicile (state End-of-year assets Direct controlling
or foreiqn country) entity
=== === =_===== =_ ===== == ===__1 1-- -- -=-=1 TI ~~
FPafIIldentification 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)
(a) Name address and EIN of related organization
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Exempt Code
section
(e) Public charity status (if section 501 (c) (3raquo)
(f) Direct controlling
entity
(g)Sec 512(b)(13)
controlled entity
Yes No (1) FAMILIA CENTER
236SANTA-rnUZAVE----------- shy------------------------- shyAPTOS CA 95003770071589 - - shy - - - -- shy - - - -- shy - - shy BILINGUAL FAMILY
SERVICES CA I
501(C)3 PUBLIC
CHARITY COMMUNITY
BRIDGES X
---------------------- shy_shy --shy --------------------- shy - shy - -- -- shy - - shy - - shy - - - - - - - - - - - - - - -
- --
----------~--------------
-shy - shy --------------------- shy
-shy - shy - shy - shy shy -shy - - ---------------- shy- c--- shy
- - -- --- -- - - - - --- - - - - - - - - - - - - shy
- - -- - shy
- -- - --------------------- shy -=r_ I _ __ I
~-- I ------- - -- ----- --- --
BAt For Paperwork Reduction Act Notice see the Instructions for Form 990 TEEA5001 L 122812 Schedule R (Form 990) 2012
- -- ------
----- -
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 2
re~rtUI Iidentific~tion of Related Organizations T~xable 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)
me oddltl od EIN of I PIm~~cttyrelated organization
-+shy----shy
-_--shy -- -shy ~
(c) Legal
domicile (state or foreign country)
(d) Direct
controlling entity
(e) Predominant income (related unrelated excluded from tax
under sections 512-514)
(f) Share of total
income
(g) Share of
end-of-year assets
(h) Disproporshy
tionate allocations
Yes No
(i) Code V-UBI
amount in box 20 of Schedule
K-1 (Form 1065)
(j) General or managing partner
Yes No
(k) Percentage ownership
shy -shy --shy --shy -shy
-shy -__shy ---shy -shy
_ _ _____ ___ J~
-- -- -- - - - -- - -- shy
-
--T~ --=~ -- ~~==~=-
I
IPaHJVl Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered Yes to Form 990 Part IV L----_-l line 34 because it had one or more related organizations treated as a corporation or trust during the tax year)
(a) (b) I (c) (d) (e) I (f) (g) (h) I (i)iiame address and EIN of related organization Primary activity Legal domicile Direct Type of entity Share of Share of end-of- Percentage Sec S12(b)(13)
(state or foreign controlling (C corp S corp total income year assets ownership controlled entitycountry) entity or trust)
Yes I No
- - - - - - - - - -- - - - - - -- --I --------------------4
--==========1------~--------------~------------~------------~------------~--------------~--------------~--------~I----~------TEEA5002L 1228112 Schedule R (Form 990) 2012
---------
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 3
i])~ Transactions With Related Organizations (Complete if the organization answered Yes to Form 990 Part IV line 34 35b or 36)
Note Complete line 1 if any entity is listed in Parts II III or IV of this schedule During the lax year did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity b Gift grant or capital contribution to related organization(s)
Gift grant or capital contribution from related organization(s)
d Loans or loan guarantees to or for related organization(s)
e Loans or loan guarantees by related organization(s)
Dividends from related organization(s) 9 Sale of assets to related organization(s)
h Purchase of assets from related organization(s)
Exchange of assets with related organization(s)
Lease c[racilities equipment or other assets to related organization(s)
Lease of facilities equipment or other assets from related organization(s)
Performance of services or membership or fundraising solicitations for related organization(s)
Ferformance of services or membership or fundraising solicitations by related organization(s)
Sharing of facilities equipment mailing lists or other assets with related organization(s)
o Sharing of paid employees with related organization(s)
Reimbursement paid to related organization(s) for expenses
q Reimbursement paid by related organization(s) for expenses
r Other transfer of cash or property to related organization(s
5 Other transfer of cash or property from related organization(s)
If the answer to any of the above is Yes see the instructions for information on who must complete this line including covered relationships and transaction thresholds
(b) (c)N f h(a) d (2 lame 0 ot er organization Transaction Amount involved Metho of etermlnlng --~
type (a-s) amount involved
(1)
(2)
ltd ~ ~J
I I I
(5) ------------shy
(6) ~---------------------------------------------------------------------------~--------------~--------~~~~--~--~~~
TEEIS003L 1228112 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 4
e~~I1 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) I (b) (c) (d) (e) (f) (g) (h) (i) (j) I (k)Jame address and EIN of entity Primary activity Legal domicile Predominant Are all partners Share of Share of Dispropor- Code V-UBI General or Percentage
(state or foreign income section total income end-of-year tionate amount in box managing ownership country) (related unre- 501 (c)(3) assets allocations 20 of Schedule partner
lated excluded organizations i K- 1 from tax under ~---c--- Form (1065)
section 512-514) Yes I No Yes No Yes No----+----1
- --==~ ~ ~ ====== ~ I ~ --I------+--+----t--shy
(3)
--------------1
(6)
-____ __~__ - I I I SAl TEEAS004L 122812 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Page 5 _ Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions)
-r- I - lt-j005L middot22312 Schedule R (Forni
OMS No 1545middot0047
SCHEDULE G Supplemental Information Regarding (Form 990 or 990-EZ) Fundraising or Gaming Activities 2012
Complete if the organization answered Yes to Form 990 Part IV lines 17 18 or 19 or if the organization entered more than $15000 on Form 990-EZ line 6aDepartment of the Treasury
Internal Revenue Service ~ Attach to Form 990 or Form 990-EZ ~ See separate instructions
Name of Employer
94-2460211 InnInn ACtlVlllles Complete if the organization
___-c---cFo_r_m--- ~ filers are not required to complete this part
Indicate whether the organization raised funds through any of the following activities Check all that apply
a DMail solicitations e DSolicitation of non-government grants
b D Internet and email solicitations f DSolicitation of government grants
c D Phone solicitations g D Special fundraising events
d D Inmiddotperson solicitations
2 a 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 DYes ~No
b If Yes list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fund raiser is to be compensated at least $5000 by the organization
(i) Name and address of individual or entity (fund raiser)
(ii) Activity (iii) Did fund raiser have custod6or control
of contri utions
(iv) Gross receipts from activity
(v) Amount paid to (or retained by)
fundraiser listed in
(vi) Amount paid to (or retained by)
organization column (i)
Yes No
1
-- shy2
3 I
4 -----~--------
5
6
7 -__----shy
8
9
10
Total O bull -
3 List all states In which the organization IS reglslered or licensed to SOliCit contributions or has been notified It IS exempt from registration or licensing
- --~---~---~-- ~-~--~-~--~-~~-- ---
BAA for Paperwork Reduction Act Notice see the Instructions Form 990 or 990-EL Schedule G (runn 990 or 990-EZ) 2012 TEEA3701L 01107113
--
------
Schedule G (Form 990 or 990-EZ) 2012 Commun Br 94-2460211 Page 2
Fun ng Events Complete if the organization answered Yes to Form 990 Part IV ine 18 or reported more than $15000 of fundraising event contributions and gross income on Form 990-EZ lines 1 and 6b List events with gross receipts greater than $5000
(a) Event 1 (b) Event 2 (c) Other events (d) Total events (add column (a)
Italian Affair None through column (craquoR (event type) (event type) (total number) E V E N 1 Gross receipts 20186 20186 U E
2 Less Charitable contributions
3 Gross income (line 1 minus line 2) 20186 20186
4 Cash prizes
5 Noncash prizes D
R I
6 Rentfacility costs E C T 7 Food and beverages 5391 539l E x p 8 Entertainment E
N s 9 Other direct expenses 5822 5822E S
10 Direct expense summary Add lines 4 through 9 in column (d) 11213 11 Net income summary Combine line 3 column (d) and line 1 Q 8973
[Pifllll Gaming Complete if the o~ganization answered Yes to Form 990 Part IV line 19 or reported more than
(a) Bingo (b) Pull tabsllnstant (c) Other gaming (d) Total gaming R E bingoprogressive (add column (a) V bingo through column (eraquo E N U E Gross revenue
2 Cash prizes ~------------4---------------+--------------~--------------E
D X I P 3 Non-cash prizes R E E N C S T E
S 4 Rentfacility costs
5 Other direct expenses
Yes Yes Yes 6 Volunteer labor No No No
7 Direct expense summary Add lines 2 through 5 in column (d)
8 Net gaming income summary Combine lines 1 column (d) and line 7
9 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 0 Yes
b If No explain
lOa Were any of the organizations gaming licenses revoked suspended or terminated during the tax year 0 Yes b If Yes explain
BAA TFJ3]02L 010713 ScheclJle G (F (JIm 990 or 990 2012
------------
-----------
Schedule G (Form 990 or 990-EZ) 2012 Community Bridges 94-2460211 Page 3 11 Does the organization operate gaming activities with nonmembers DYes 12 Is the organization a grantor beneficiary or trustee of a trust or a member of a partnership or other entity formed to
administer charitable gaming DYes 13 Indicate the percentage of gaming activity operated in
a The organizations facility 13a ~13-b~------------~~b An outside facility
14 Enter the name and address of the person who prepares the organizations gamingspecial events books and records
Name
Address
15a Does the organization have a contact with a third party from whom the organization receives gaming revenue DYes b If Yes enter the amount of gaming revenue received by the organization $ and the amount
of gaming revenue retained by the third party $ c If Yes enter name and address of the third party
Name ---------------------------------------------~-----l
I Address I
16 Gaming manager information
Name
Gaming manager compensation $
Description of services provided
D Directorofficer DEmployee D independent contractor
17 Mandatory distributions
a Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the ~~egaminglicense ___________________________________________________________________ D~s ~No
b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the
organizations own exempt activities during the tax year $ lean~IlUI Supplemental Information Complete this part to provide the explanations required by Igtart I line 2b
columns (iii) and (v) and Part III lines 9 9b 1 ~b 15b 15c 16 and 17b as applicable Also complete this part to provide any additional information (see instructions)
----------------------- -------------------- ------ ----------------------------- __--shy
_ ---_ --------------- ---------------- ----- shy
BAA TEEA3703L 010113 Schedule G (Form 990 or 990middotEZ) 2012
--------------------------------------------------------- ---------
OMB No 1545-0047SCHEDULE 0 Supplemental Information to Form 990 or 990middotEZ (Form 990 or 990-EZ)
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information
Department of the Treasury ~ Attach to Form 990 or 990-EZInternal Revenue Service
Name of the
94-2460211
health care 4112-63012
BAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990-EZ TFEIA)IJIL 12812 Schedule 0 (Forrn 990 or 2012
Schedule 0 (Form 990 or 990-EZ) 2012 Page 2 Name of the organization Employer Identification number
Community Bridges 94-2460211
~ ~~Oy~~sjg1~~ge~~~e~~~~~ ~~~ ~ ~ ~~ ~~ ~_ ~~ ~ ~ ~~~~~~~ ~ ~ ~ ~ ~ ~~~~ ~ ~ ~~ ~ ~~~~~ ~ ~ ~ ~ _
Schedule (Form 990 or
TEEA4902L
2012
2012 Schedule 0 bull Supplemental Information Page 1
Community Bridges 94-2460211
Form 990 Part XI Line 9 Other Changes In Net Assets Or Fund Balances
Depreciation Grant Funded Assets $ -140124 Familia Net Assets 82104
Total $ -58020========
-------------------
OMS No 1545-0047
SCHEDULE R (Form 990) Related Organizations and Unrelated Partnerships 2012
Complete if the organization answered Yes to Fonn 990 Part IV line 33343536 or 37DqJ21rTrrent of the Treasury Internal Revenue Service Attach to Form 990 ~ See separate instructions Name of the organization
s 94-2460211Commu
rp~ Identification of Disregarded Entities (Complete if the organization answered Yes to Form 990 Part
(a) (b) (c) (e) (f) iiame address and EIN (if applicable) of disregarded entity Primary activity Legal domicile (state End-of-year assets Direct controlling
or foreiqn country) entity
=== === =_===== =_ ===== == ===__1 1-- -- -=-=1 TI ~~
FPafIIldentification 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)
(a) Name address and EIN of related organization
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Exempt Code
section
(e) Public charity status (if section 501 (c) (3raquo)
(f) Direct controlling
entity
(g)Sec 512(b)(13)
controlled entity
Yes No (1) FAMILIA CENTER
236SANTA-rnUZAVE----------- shy------------------------- shyAPTOS CA 95003770071589 - - shy - - - -- shy - - - -- shy - - shy BILINGUAL FAMILY
SERVICES CA I
501(C)3 PUBLIC
CHARITY COMMUNITY
BRIDGES X
---------------------- shy_shy --shy --------------------- shy - shy - -- -- shy - - shy - - shy - - - - - - - - - - - - - - -
- --
----------~--------------
-shy - shy --------------------- shy
-shy - shy - shy - shy shy -shy - - ---------------- shy- c--- shy
- - -- --- -- - - - - --- - - - - - - - - - - - - shy
- - -- - shy
- -- - --------------------- shy -=r_ I _ __ I
~-- I ------- - -- ----- --- --
BAt For Paperwork Reduction Act Notice see the Instructions for Form 990 TEEA5001 L 122812 Schedule R (Form 990) 2012
- -- ------
----- -
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 2
re~rtUI Iidentific~tion of Related Organizations T~xable 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)
me oddltl od EIN of I PIm~~cttyrelated organization
-+shy----shy
-_--shy -- -shy ~
(c) Legal
domicile (state or foreign country)
(d) Direct
controlling entity
(e) Predominant income (related unrelated excluded from tax
under sections 512-514)
(f) Share of total
income
(g) Share of
end-of-year assets
(h) Disproporshy
tionate allocations
Yes No
(i) Code V-UBI
amount in box 20 of Schedule
K-1 (Form 1065)
(j) General or managing partner
Yes No
(k) Percentage ownership
shy -shy --shy --shy -shy
-shy -__shy ---shy -shy
_ _ _____ ___ J~
-- -- -- - - - -- - -- shy
-
--T~ --=~ -- ~~==~=-
I
IPaHJVl Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered Yes to Form 990 Part IV L----_-l line 34 because it had one or more related organizations treated as a corporation or trust during the tax year)
(a) (b) I (c) (d) (e) I (f) (g) (h) I (i)iiame address and EIN of related organization Primary activity Legal domicile Direct Type of entity Share of Share of end-of- Percentage Sec S12(b)(13)
(state or foreign controlling (C corp S corp total income year assets ownership controlled entitycountry) entity or trust)
Yes I No
- - - - - - - - - -- - - - - - -- --I --------------------4
--==========1------~--------------~------------~------------~------------~--------------~--------------~--------~I----~------TEEA5002L 1228112 Schedule R (Form 990) 2012
---------
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 3
i])~ Transactions With Related Organizations (Complete if the organization answered Yes to Form 990 Part IV line 34 35b or 36)
Note Complete line 1 if any entity is listed in Parts II III or IV of this schedule During the lax year did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity b Gift grant or capital contribution to related organization(s)
Gift grant or capital contribution from related organization(s)
d Loans or loan guarantees to or for related organization(s)
e Loans or loan guarantees by related organization(s)
Dividends from related organization(s) 9 Sale of assets to related organization(s)
h Purchase of assets from related organization(s)
Exchange of assets with related organization(s)
Lease c[racilities equipment or other assets to related organization(s)
Lease of facilities equipment or other assets from related organization(s)
Performance of services or membership or fundraising solicitations for related organization(s)
Ferformance of services or membership or fundraising solicitations by related organization(s)
Sharing of facilities equipment mailing lists or other assets with related organization(s)
o Sharing of paid employees with related organization(s)
Reimbursement paid to related organization(s) for expenses
q Reimbursement paid by related organization(s) for expenses
r Other transfer of cash or property to related organization(s
5 Other transfer of cash or property from related organization(s)
If the answer to any of the above is Yes see the instructions for information on who must complete this line including covered relationships and transaction thresholds
(b) (c)N f h(a) d (2 lame 0 ot er organization Transaction Amount involved Metho of etermlnlng --~
type (a-s) amount involved
(1)
(2)
ltd ~ ~J
I I I
(5) ------------shy
(6) ~---------------------------------------------------------------------------~--------------~--------~~~~--~--~~~
TEEIS003L 1228112 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 4
e~~I1 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) I (b) (c) (d) (e) (f) (g) (h) (i) (j) I (k)Jame address and EIN of entity Primary activity Legal domicile Predominant Are all partners Share of Share of Dispropor- Code V-UBI General or Percentage
(state or foreign income section total income end-of-year tionate amount in box managing ownership country) (related unre- 501 (c)(3) assets allocations 20 of Schedule partner
lated excluded organizations i K- 1 from tax under ~---c--- Form (1065)
section 512-514) Yes I No Yes No Yes No----+----1
- --==~ ~ ~ ====== ~ I ~ --I------+--+----t--shy
(3)
--------------1
(6)
-____ __~__ - I I I SAl TEEAS004L 122812 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Page 5 _ Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions)
-r- I - lt-j005L middot22312 Schedule R (Forni
--
------
Schedule G (Form 990 or 990-EZ) 2012 Commun Br 94-2460211 Page 2
Fun ng Events Complete if the organization answered Yes to Form 990 Part IV ine 18 or reported more than $15000 of fundraising event contributions and gross income on Form 990-EZ lines 1 and 6b List events with gross receipts greater than $5000
(a) Event 1 (b) Event 2 (c) Other events (d) Total events (add column (a)
Italian Affair None through column (craquoR (event type) (event type) (total number) E V E N 1 Gross receipts 20186 20186 U E
2 Less Charitable contributions
3 Gross income (line 1 minus line 2) 20186 20186
4 Cash prizes
5 Noncash prizes D
R I
6 Rentfacility costs E C T 7 Food and beverages 5391 539l E x p 8 Entertainment E
N s 9 Other direct expenses 5822 5822E S
10 Direct expense summary Add lines 4 through 9 in column (d) 11213 11 Net income summary Combine line 3 column (d) and line 1 Q 8973
[Pifllll Gaming Complete if the o~ganization answered Yes to Form 990 Part IV line 19 or reported more than
(a) Bingo (b) Pull tabsllnstant (c) Other gaming (d) Total gaming R E bingoprogressive (add column (a) V bingo through column (eraquo E N U E Gross revenue
2 Cash prizes ~------------4---------------+--------------~--------------E
D X I P 3 Non-cash prizes R E E N C S T E
S 4 Rentfacility costs
5 Other direct expenses
Yes Yes Yes 6 Volunteer labor No No No
7 Direct expense summary Add lines 2 through 5 in column (d)
8 Net gaming income summary Combine lines 1 column (d) and line 7
9 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 0 Yes
b If No explain
lOa Were any of the organizations gaming licenses revoked suspended or terminated during the tax year 0 Yes b If Yes explain
BAA TFJ3]02L 010713 ScheclJle G (F (JIm 990 or 990 2012
------------
-----------
Schedule G (Form 990 or 990-EZ) 2012 Community Bridges 94-2460211 Page 3 11 Does the organization operate gaming activities with nonmembers DYes 12 Is the organization a grantor beneficiary or trustee of a trust or a member of a partnership or other entity formed to
administer charitable gaming DYes 13 Indicate the percentage of gaming activity operated in
a The organizations facility 13a ~13-b~------------~~b An outside facility
14 Enter the name and address of the person who prepares the organizations gamingspecial events books and records
Name
Address
15a Does the organization have a contact with a third party from whom the organization receives gaming revenue DYes b If Yes enter the amount of gaming revenue received by the organization $ and the amount
of gaming revenue retained by the third party $ c If Yes enter name and address of the third party
Name ---------------------------------------------~-----l
I Address I
16 Gaming manager information
Name
Gaming manager compensation $
Description of services provided
D Directorofficer DEmployee D independent contractor
17 Mandatory distributions
a Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the ~~egaminglicense ___________________________________________________________________ D~s ~No
b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the
organizations own exempt activities during the tax year $ lean~IlUI Supplemental Information Complete this part to provide the explanations required by Igtart I line 2b
columns (iii) and (v) and Part III lines 9 9b 1 ~b 15b 15c 16 and 17b as applicable Also complete this part to provide any additional information (see instructions)
----------------------- -------------------- ------ ----------------------------- __--shy
_ ---_ --------------- ---------------- ----- shy
BAA TEEA3703L 010113 Schedule G (Form 990 or 990middotEZ) 2012
--------------------------------------------------------- ---------
OMB No 1545-0047SCHEDULE 0 Supplemental Information to Form 990 or 990middotEZ (Form 990 or 990-EZ)
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information
Department of the Treasury ~ Attach to Form 990 or 990-EZInternal Revenue Service
Name of the
94-2460211
health care 4112-63012
BAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990-EZ TFEIA)IJIL 12812 Schedule 0 (Forrn 990 or 2012
Schedule 0 (Form 990 or 990-EZ) 2012 Page 2 Name of the organization Employer Identification number
Community Bridges 94-2460211
~ ~~Oy~~sjg1~~ge~~~e~~~~~ ~~~ ~ ~ ~~ ~~ ~_ ~~ ~ ~ ~~~~~~~ ~ ~ ~ ~ ~ ~~~~ ~ ~ ~~ ~ ~~~~~ ~ ~ ~ ~ _
Schedule (Form 990 or
TEEA4902L
2012
2012 Schedule 0 bull Supplemental Information Page 1
Community Bridges 94-2460211
Form 990 Part XI Line 9 Other Changes In Net Assets Or Fund Balances
Depreciation Grant Funded Assets $ -140124 Familia Net Assets 82104
Total $ -58020========
-------------------
OMS No 1545-0047
SCHEDULE R (Form 990) Related Organizations and Unrelated Partnerships 2012
Complete if the organization answered Yes to Fonn 990 Part IV line 33343536 or 37DqJ21rTrrent of the Treasury Internal Revenue Service Attach to Form 990 ~ See separate instructions Name of the organization
s 94-2460211Commu
rp~ Identification of Disregarded Entities (Complete if the organization answered Yes to Form 990 Part
(a) (b) (c) (e) (f) iiame address and EIN (if applicable) of disregarded entity Primary activity Legal domicile (state End-of-year assets Direct controlling
or foreiqn country) entity
=== === =_===== =_ ===== == ===__1 1-- -- -=-=1 TI ~~
FPafIIldentification 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)
(a) Name address and EIN of related organization
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Exempt Code
section
(e) Public charity status (if section 501 (c) (3raquo)
(f) Direct controlling
entity
(g)Sec 512(b)(13)
controlled entity
Yes No (1) FAMILIA CENTER
236SANTA-rnUZAVE----------- shy------------------------- shyAPTOS CA 95003770071589 - - shy - - - -- shy - - - -- shy - - shy BILINGUAL FAMILY
SERVICES CA I
501(C)3 PUBLIC
CHARITY COMMUNITY
BRIDGES X
---------------------- shy_shy --shy --------------------- shy - shy - -- -- shy - - shy - - shy - - - - - - - - - - - - - - -
- --
----------~--------------
-shy - shy --------------------- shy
-shy - shy - shy - shy shy -shy - - ---------------- shy- c--- shy
- - -- --- -- - - - - --- - - - - - - - - - - - - shy
- - -- - shy
- -- - --------------------- shy -=r_ I _ __ I
~-- I ------- - -- ----- --- --
BAt For Paperwork Reduction Act Notice see the Instructions for Form 990 TEEA5001 L 122812 Schedule R (Form 990) 2012
- -- ------
----- -
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 2
re~rtUI Iidentific~tion of Related Organizations T~xable 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)
me oddltl od EIN of I PIm~~cttyrelated organization
-+shy----shy
-_--shy -- -shy ~
(c) Legal
domicile (state or foreign country)
(d) Direct
controlling entity
(e) Predominant income (related unrelated excluded from tax
under sections 512-514)
(f) Share of total
income
(g) Share of
end-of-year assets
(h) Disproporshy
tionate allocations
Yes No
(i) Code V-UBI
amount in box 20 of Schedule
K-1 (Form 1065)
(j) General or managing partner
Yes No
(k) Percentage ownership
shy -shy --shy --shy -shy
-shy -__shy ---shy -shy
_ _ _____ ___ J~
-- -- -- - - - -- - -- shy
-
--T~ --=~ -- ~~==~=-
I
IPaHJVl Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered Yes to Form 990 Part IV L----_-l line 34 because it had one or more related organizations treated as a corporation or trust during the tax year)
(a) (b) I (c) (d) (e) I (f) (g) (h) I (i)iiame address and EIN of related organization Primary activity Legal domicile Direct Type of entity Share of Share of end-of- Percentage Sec S12(b)(13)
(state or foreign controlling (C corp S corp total income year assets ownership controlled entitycountry) entity or trust)
Yes I No
- - - - - - - - - -- - - - - - -- --I --------------------4
--==========1------~--------------~------------~------------~------------~--------------~--------------~--------~I----~------TEEA5002L 1228112 Schedule R (Form 990) 2012
---------
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 3
i])~ Transactions With Related Organizations (Complete if the organization answered Yes to Form 990 Part IV line 34 35b or 36)
Note Complete line 1 if any entity is listed in Parts II III or IV of this schedule During the lax year did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity b Gift grant or capital contribution to related organization(s)
Gift grant or capital contribution from related organization(s)
d Loans or loan guarantees to or for related organization(s)
e Loans or loan guarantees by related organization(s)
Dividends from related organization(s) 9 Sale of assets to related organization(s)
h Purchase of assets from related organization(s)
Exchange of assets with related organization(s)
Lease c[racilities equipment or other assets to related organization(s)
Lease of facilities equipment or other assets from related organization(s)
Performance of services or membership or fundraising solicitations for related organization(s)
Ferformance of services or membership or fundraising solicitations by related organization(s)
Sharing of facilities equipment mailing lists or other assets with related organization(s)
o Sharing of paid employees with related organization(s)
Reimbursement paid to related organization(s) for expenses
q Reimbursement paid by related organization(s) for expenses
r Other transfer of cash or property to related organization(s
5 Other transfer of cash or property from related organization(s)
If the answer to any of the above is Yes see the instructions for information on who must complete this line including covered relationships and transaction thresholds
(b) (c)N f h(a) d (2 lame 0 ot er organization Transaction Amount involved Metho of etermlnlng --~
type (a-s) amount involved
(1)
(2)
ltd ~ ~J
I I I
(5) ------------shy
(6) ~---------------------------------------------------------------------------~--------------~--------~~~~--~--~~~
TEEIS003L 1228112 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 4
e~~I1 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) I (b) (c) (d) (e) (f) (g) (h) (i) (j) I (k)Jame address and EIN of entity Primary activity Legal domicile Predominant Are all partners Share of Share of Dispropor- Code V-UBI General or Percentage
(state or foreign income section total income end-of-year tionate amount in box managing ownership country) (related unre- 501 (c)(3) assets allocations 20 of Schedule partner
lated excluded organizations i K- 1 from tax under ~---c--- Form (1065)
section 512-514) Yes I No Yes No Yes No----+----1
- --==~ ~ ~ ====== ~ I ~ --I------+--+----t--shy
(3)
--------------1
(6)
-____ __~__ - I I I SAl TEEAS004L 122812 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Page 5 _ Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions)
-r- I - lt-j005L middot22312 Schedule R (Forni
------------
-----------
Schedule G (Form 990 or 990-EZ) 2012 Community Bridges 94-2460211 Page 3 11 Does the organization operate gaming activities with nonmembers DYes 12 Is the organization a grantor beneficiary or trustee of a trust or a member of a partnership or other entity formed to
administer charitable gaming DYes 13 Indicate the percentage of gaming activity operated in
a The organizations facility 13a ~13-b~------------~~b An outside facility
14 Enter the name and address of the person who prepares the organizations gamingspecial events books and records
Name
Address
15a Does the organization have a contact with a third party from whom the organization receives gaming revenue DYes b If Yes enter the amount of gaming revenue received by the organization $ and the amount
of gaming revenue retained by the third party $ c If Yes enter name and address of the third party
Name ---------------------------------------------~-----l
I Address I
16 Gaming manager information
Name
Gaming manager compensation $
Description of services provided
D Directorofficer DEmployee D independent contractor
17 Mandatory distributions
a Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the ~~egaminglicense ___________________________________________________________________ D~s ~No
b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the
organizations own exempt activities during the tax year $ lean~IlUI Supplemental Information Complete this part to provide the explanations required by Igtart I line 2b
columns (iii) and (v) and Part III lines 9 9b 1 ~b 15b 15c 16 and 17b as applicable Also complete this part to provide any additional information (see instructions)
----------------------- -------------------- ------ ----------------------------- __--shy
_ ---_ --------------- ---------------- ----- shy
BAA TEEA3703L 010113 Schedule G (Form 990 or 990middotEZ) 2012
--------------------------------------------------------- ---------
OMB No 1545-0047SCHEDULE 0 Supplemental Information to Form 990 or 990middotEZ (Form 990 or 990-EZ)
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information
Department of the Treasury ~ Attach to Form 990 or 990-EZInternal Revenue Service
Name of the
94-2460211
health care 4112-63012
BAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990-EZ TFEIA)IJIL 12812 Schedule 0 (Forrn 990 or 2012
Schedule 0 (Form 990 or 990-EZ) 2012 Page 2 Name of the organization Employer Identification number
Community Bridges 94-2460211
~ ~~Oy~~sjg1~~ge~~~e~~~~~ ~~~ ~ ~ ~~ ~~ ~_ ~~ ~ ~ ~~~~~~~ ~ ~ ~ ~ ~ ~~~~ ~ ~ ~~ ~ ~~~~~ ~ ~ ~ ~ _
Schedule (Form 990 or
TEEA4902L
2012
2012 Schedule 0 bull Supplemental Information Page 1
Community Bridges 94-2460211
Form 990 Part XI Line 9 Other Changes In Net Assets Or Fund Balances
Depreciation Grant Funded Assets $ -140124 Familia Net Assets 82104
Total $ -58020========
-------------------
OMS No 1545-0047
SCHEDULE R (Form 990) Related Organizations and Unrelated Partnerships 2012
Complete if the organization answered Yes to Fonn 990 Part IV line 33343536 or 37DqJ21rTrrent of the Treasury Internal Revenue Service Attach to Form 990 ~ See separate instructions Name of the organization
s 94-2460211Commu
rp~ Identification of Disregarded Entities (Complete if the organization answered Yes to Form 990 Part
(a) (b) (c) (e) (f) iiame address and EIN (if applicable) of disregarded entity Primary activity Legal domicile (state End-of-year assets Direct controlling
or foreiqn country) entity
=== === =_===== =_ ===== == ===__1 1-- -- -=-=1 TI ~~
FPafIIldentification 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)
(a) Name address and EIN of related organization
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Exempt Code
section
(e) Public charity status (if section 501 (c) (3raquo)
(f) Direct controlling
entity
(g)Sec 512(b)(13)
controlled entity
Yes No (1) FAMILIA CENTER
236SANTA-rnUZAVE----------- shy------------------------- shyAPTOS CA 95003770071589 - - shy - - - -- shy - - - -- shy - - shy BILINGUAL FAMILY
SERVICES CA I
501(C)3 PUBLIC
CHARITY COMMUNITY
BRIDGES X
---------------------- shy_shy --shy --------------------- shy - shy - -- -- shy - - shy - - shy - - - - - - - - - - - - - - -
- --
----------~--------------
-shy - shy --------------------- shy
-shy - shy - shy - shy shy -shy - - ---------------- shy- c--- shy
- - -- --- -- - - - - --- - - - - - - - - - - - - shy
- - -- - shy
- -- - --------------------- shy -=r_ I _ __ I
~-- I ------- - -- ----- --- --
BAt For Paperwork Reduction Act Notice see the Instructions for Form 990 TEEA5001 L 122812 Schedule R (Form 990) 2012
- -- ------
----- -
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 2
re~rtUI Iidentific~tion of Related Organizations T~xable 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)
me oddltl od EIN of I PIm~~cttyrelated organization
-+shy----shy
-_--shy -- -shy ~
(c) Legal
domicile (state or foreign country)
(d) Direct
controlling entity
(e) Predominant income (related unrelated excluded from tax
under sections 512-514)
(f) Share of total
income
(g) Share of
end-of-year assets
(h) Disproporshy
tionate allocations
Yes No
(i) Code V-UBI
amount in box 20 of Schedule
K-1 (Form 1065)
(j) General or managing partner
Yes No
(k) Percentage ownership
shy -shy --shy --shy -shy
-shy -__shy ---shy -shy
_ _ _____ ___ J~
-- -- -- - - - -- - -- shy
-
--T~ --=~ -- ~~==~=-
I
IPaHJVl Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered Yes to Form 990 Part IV L----_-l line 34 because it had one or more related organizations treated as a corporation or trust during the tax year)
(a) (b) I (c) (d) (e) I (f) (g) (h) I (i)iiame address and EIN of related organization Primary activity Legal domicile Direct Type of entity Share of Share of end-of- Percentage Sec S12(b)(13)
(state or foreign controlling (C corp S corp total income year assets ownership controlled entitycountry) entity or trust)
Yes I No
- - - - - - - - - -- - - - - - -- --I --------------------4
--==========1------~--------------~------------~------------~------------~--------------~--------------~--------~I----~------TEEA5002L 1228112 Schedule R (Form 990) 2012
---------
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 3
i])~ Transactions With Related Organizations (Complete if the organization answered Yes to Form 990 Part IV line 34 35b or 36)
Note Complete line 1 if any entity is listed in Parts II III or IV of this schedule During the lax year did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity b Gift grant or capital contribution to related organization(s)
Gift grant or capital contribution from related organization(s)
d Loans or loan guarantees to or for related organization(s)
e Loans or loan guarantees by related organization(s)
Dividends from related organization(s) 9 Sale of assets to related organization(s)
h Purchase of assets from related organization(s)
Exchange of assets with related organization(s)
Lease c[racilities equipment or other assets to related organization(s)
Lease of facilities equipment or other assets from related organization(s)
Performance of services or membership or fundraising solicitations for related organization(s)
Ferformance of services or membership or fundraising solicitations by related organization(s)
Sharing of facilities equipment mailing lists or other assets with related organization(s)
o Sharing of paid employees with related organization(s)
Reimbursement paid to related organization(s) for expenses
q Reimbursement paid by related organization(s) for expenses
r Other transfer of cash or property to related organization(s
5 Other transfer of cash or property from related organization(s)
If the answer to any of the above is Yes see the instructions for information on who must complete this line including covered relationships and transaction thresholds
(b) (c)N f h(a) d (2 lame 0 ot er organization Transaction Amount involved Metho of etermlnlng --~
type (a-s) amount involved
(1)
(2)
ltd ~ ~J
I I I
(5) ------------shy
(6) ~---------------------------------------------------------------------------~--------------~--------~~~~--~--~~~
TEEIS003L 1228112 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 4
e~~I1 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) I (b) (c) (d) (e) (f) (g) (h) (i) (j) I (k)Jame address and EIN of entity Primary activity Legal domicile Predominant Are all partners Share of Share of Dispropor- Code V-UBI General or Percentage
(state or foreign income section total income end-of-year tionate amount in box managing ownership country) (related unre- 501 (c)(3) assets allocations 20 of Schedule partner
lated excluded organizations i K- 1 from tax under ~---c--- Form (1065)
section 512-514) Yes I No Yes No Yes No----+----1
- --==~ ~ ~ ====== ~ I ~ --I------+--+----t--shy
(3)
--------------1
(6)
-____ __~__ - I I I SAl TEEAS004L 122812 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Page 5 _ Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions)
-r- I - lt-j005L middot22312 Schedule R (Forni
--------------------------------------------------------- ---------
OMB No 1545-0047SCHEDULE 0 Supplemental Information to Form 990 or 990middotEZ (Form 990 or 990-EZ)
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information
Department of the Treasury ~ Attach to Form 990 or 990-EZInternal Revenue Service
Name of the
94-2460211
health care 4112-63012
BAA For Paperwork Reduction Act Notice see the Instructions for Form 990 or 990-EZ TFEIA)IJIL 12812 Schedule 0 (Forrn 990 or 2012
Schedule 0 (Form 990 or 990-EZ) 2012 Page 2 Name of the organization Employer Identification number
Community Bridges 94-2460211
~ ~~Oy~~sjg1~~ge~~~e~~~~~ ~~~ ~ ~ ~~ ~~ ~_ ~~ ~ ~ ~~~~~~~ ~ ~ ~ ~ ~ ~~~~ ~ ~ ~~ ~ ~~~~~ ~ ~ ~ ~ _
Schedule (Form 990 or
TEEA4902L
2012
2012 Schedule 0 bull Supplemental Information Page 1
Community Bridges 94-2460211
Form 990 Part XI Line 9 Other Changes In Net Assets Or Fund Balances
Depreciation Grant Funded Assets $ -140124 Familia Net Assets 82104
Total $ -58020========
-------------------
OMS No 1545-0047
SCHEDULE R (Form 990) Related Organizations and Unrelated Partnerships 2012
Complete if the organization answered Yes to Fonn 990 Part IV line 33343536 or 37DqJ21rTrrent of the Treasury Internal Revenue Service Attach to Form 990 ~ See separate instructions Name of the organization
s 94-2460211Commu
rp~ Identification of Disregarded Entities (Complete if the organization answered Yes to Form 990 Part
(a) (b) (c) (e) (f) iiame address and EIN (if applicable) of disregarded entity Primary activity Legal domicile (state End-of-year assets Direct controlling
or foreiqn country) entity
=== === =_===== =_ ===== == ===__1 1-- -- -=-=1 TI ~~
FPafIIldentification 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)
(a) Name address and EIN of related organization
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Exempt Code
section
(e) Public charity status (if section 501 (c) (3raquo)
(f) Direct controlling
entity
(g)Sec 512(b)(13)
controlled entity
Yes No (1) FAMILIA CENTER
236SANTA-rnUZAVE----------- shy------------------------- shyAPTOS CA 95003770071589 - - shy - - - -- shy - - - -- shy - - shy BILINGUAL FAMILY
SERVICES CA I
501(C)3 PUBLIC
CHARITY COMMUNITY
BRIDGES X
---------------------- shy_shy --shy --------------------- shy - shy - -- -- shy - - shy - - shy - - - - - - - - - - - - - - -
- --
----------~--------------
-shy - shy --------------------- shy
-shy - shy - shy - shy shy -shy - - ---------------- shy- c--- shy
- - -- --- -- - - - - --- - - - - - - - - - - - - shy
- - -- - shy
- -- - --------------------- shy -=r_ I _ __ I
~-- I ------- - -- ----- --- --
BAt For Paperwork Reduction Act Notice see the Instructions for Form 990 TEEA5001 L 122812 Schedule R (Form 990) 2012
- -- ------
----- -
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 2
re~rtUI Iidentific~tion of Related Organizations T~xable 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)
me oddltl od EIN of I PIm~~cttyrelated organization
-+shy----shy
-_--shy -- -shy ~
(c) Legal
domicile (state or foreign country)
(d) Direct
controlling entity
(e) Predominant income (related unrelated excluded from tax
under sections 512-514)
(f) Share of total
income
(g) Share of
end-of-year assets
(h) Disproporshy
tionate allocations
Yes No
(i) Code V-UBI
amount in box 20 of Schedule
K-1 (Form 1065)
(j) General or managing partner
Yes No
(k) Percentage ownership
shy -shy --shy --shy -shy
-shy -__shy ---shy -shy
_ _ _____ ___ J~
-- -- -- - - - -- - -- shy
-
--T~ --=~ -- ~~==~=-
I
IPaHJVl Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered Yes to Form 990 Part IV L----_-l line 34 because it had one or more related organizations treated as a corporation or trust during the tax year)
(a) (b) I (c) (d) (e) I (f) (g) (h) I (i)iiame address and EIN of related organization Primary activity Legal domicile Direct Type of entity Share of Share of end-of- Percentage Sec S12(b)(13)
(state or foreign controlling (C corp S corp total income year assets ownership controlled entitycountry) entity or trust)
Yes I No
- - - - - - - - - -- - - - - - -- --I --------------------4
--==========1------~--------------~------------~------------~------------~--------------~--------------~--------~I----~------TEEA5002L 1228112 Schedule R (Form 990) 2012
---------
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 3
i])~ Transactions With Related Organizations (Complete if the organization answered Yes to Form 990 Part IV line 34 35b or 36)
Note Complete line 1 if any entity is listed in Parts II III or IV of this schedule During the lax year did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity b Gift grant or capital contribution to related organization(s)
Gift grant or capital contribution from related organization(s)
d Loans or loan guarantees to or for related organization(s)
e Loans or loan guarantees by related organization(s)
Dividends from related organization(s) 9 Sale of assets to related organization(s)
h Purchase of assets from related organization(s)
Exchange of assets with related organization(s)
Lease c[racilities equipment or other assets to related organization(s)
Lease of facilities equipment or other assets from related organization(s)
Performance of services or membership or fundraising solicitations for related organization(s)
Ferformance of services or membership or fundraising solicitations by related organization(s)
Sharing of facilities equipment mailing lists or other assets with related organization(s)
o Sharing of paid employees with related organization(s)
Reimbursement paid to related organization(s) for expenses
q Reimbursement paid by related organization(s) for expenses
r Other transfer of cash or property to related organization(s
5 Other transfer of cash or property from related organization(s)
If the answer to any of the above is Yes see the instructions for information on who must complete this line including covered relationships and transaction thresholds
(b) (c)N f h(a) d (2 lame 0 ot er organization Transaction Amount involved Metho of etermlnlng --~
type (a-s) amount involved
(1)
(2)
ltd ~ ~J
I I I
(5) ------------shy
(6) ~---------------------------------------------------------------------------~--------------~--------~~~~--~--~~~
TEEIS003L 1228112 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 4
e~~I1 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) I (b) (c) (d) (e) (f) (g) (h) (i) (j) I (k)Jame address and EIN of entity Primary activity Legal domicile Predominant Are all partners Share of Share of Dispropor- Code V-UBI General or Percentage
(state or foreign income section total income end-of-year tionate amount in box managing ownership country) (related unre- 501 (c)(3) assets allocations 20 of Schedule partner
lated excluded organizations i K- 1 from tax under ~---c--- Form (1065)
section 512-514) Yes I No Yes No Yes No----+----1
- --==~ ~ ~ ====== ~ I ~ --I------+--+----t--shy
(3)
--------------1
(6)
-____ __~__ - I I I SAl TEEAS004L 122812 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Page 5 _ Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions)
-r- I - lt-j005L middot22312 Schedule R (Forni
Schedule 0 (Form 990 or 990-EZ) 2012 Page 2 Name of the organization Employer Identification number
Community Bridges 94-2460211
~ ~~Oy~~sjg1~~ge~~~e~~~~~ ~~~ ~ ~ ~~ ~~ ~_ ~~ ~ ~ ~~~~~~~ ~ ~ ~ ~ ~ ~~~~ ~ ~ ~~ ~ ~~~~~ ~ ~ ~ ~ _
Schedule (Form 990 or
TEEA4902L
2012
2012 Schedule 0 bull Supplemental Information Page 1
Community Bridges 94-2460211
Form 990 Part XI Line 9 Other Changes In Net Assets Or Fund Balances
Depreciation Grant Funded Assets $ -140124 Familia Net Assets 82104
Total $ -58020========
-------------------
OMS No 1545-0047
SCHEDULE R (Form 990) Related Organizations and Unrelated Partnerships 2012
Complete if the organization answered Yes to Fonn 990 Part IV line 33343536 or 37DqJ21rTrrent of the Treasury Internal Revenue Service Attach to Form 990 ~ See separate instructions Name of the organization
s 94-2460211Commu
rp~ Identification of Disregarded Entities (Complete if the organization answered Yes to Form 990 Part
(a) (b) (c) (e) (f) iiame address and EIN (if applicable) of disregarded entity Primary activity Legal domicile (state End-of-year assets Direct controlling
or foreiqn country) entity
=== === =_===== =_ ===== == ===__1 1-- -- -=-=1 TI ~~
FPafIIldentification 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)
(a) Name address and EIN of related organization
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Exempt Code
section
(e) Public charity status (if section 501 (c) (3raquo)
(f) Direct controlling
entity
(g)Sec 512(b)(13)
controlled entity
Yes No (1) FAMILIA CENTER
236SANTA-rnUZAVE----------- shy------------------------- shyAPTOS CA 95003770071589 - - shy - - - -- shy - - - -- shy - - shy BILINGUAL FAMILY
SERVICES CA I
501(C)3 PUBLIC
CHARITY COMMUNITY
BRIDGES X
---------------------- shy_shy --shy --------------------- shy - shy - -- -- shy - - shy - - shy - - - - - - - - - - - - - - -
- --
----------~--------------
-shy - shy --------------------- shy
-shy - shy - shy - shy shy -shy - - ---------------- shy- c--- shy
- - -- --- -- - - - - --- - - - - - - - - - - - - shy
- - -- - shy
- -- - --------------------- shy -=r_ I _ __ I
~-- I ------- - -- ----- --- --
BAt For Paperwork Reduction Act Notice see the Instructions for Form 990 TEEA5001 L 122812 Schedule R (Form 990) 2012
- -- ------
----- -
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 2
re~rtUI Iidentific~tion of Related Organizations T~xable 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)
me oddltl od EIN of I PIm~~cttyrelated organization
-+shy----shy
-_--shy -- -shy ~
(c) Legal
domicile (state or foreign country)
(d) Direct
controlling entity
(e) Predominant income (related unrelated excluded from tax
under sections 512-514)
(f) Share of total
income
(g) Share of
end-of-year assets
(h) Disproporshy
tionate allocations
Yes No
(i) Code V-UBI
amount in box 20 of Schedule
K-1 (Form 1065)
(j) General or managing partner
Yes No
(k) Percentage ownership
shy -shy --shy --shy -shy
-shy -__shy ---shy -shy
_ _ _____ ___ J~
-- -- -- - - - -- - -- shy
-
--T~ --=~ -- ~~==~=-
I
IPaHJVl Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered Yes to Form 990 Part IV L----_-l line 34 because it had one or more related organizations treated as a corporation or trust during the tax year)
(a) (b) I (c) (d) (e) I (f) (g) (h) I (i)iiame address and EIN of related organization Primary activity Legal domicile Direct Type of entity Share of Share of end-of- Percentage Sec S12(b)(13)
(state or foreign controlling (C corp S corp total income year assets ownership controlled entitycountry) entity or trust)
Yes I No
- - - - - - - - - -- - - - - - -- --I --------------------4
--==========1------~--------------~------------~------------~------------~--------------~--------------~--------~I----~------TEEA5002L 1228112 Schedule R (Form 990) 2012
---------
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 3
i])~ Transactions With Related Organizations (Complete if the organization answered Yes to Form 990 Part IV line 34 35b or 36)
Note Complete line 1 if any entity is listed in Parts II III or IV of this schedule During the lax year did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity b Gift grant or capital contribution to related organization(s)
Gift grant or capital contribution from related organization(s)
d Loans or loan guarantees to or for related organization(s)
e Loans or loan guarantees by related organization(s)
Dividends from related organization(s) 9 Sale of assets to related organization(s)
h Purchase of assets from related organization(s)
Exchange of assets with related organization(s)
Lease c[racilities equipment or other assets to related organization(s)
Lease of facilities equipment or other assets from related organization(s)
Performance of services or membership or fundraising solicitations for related organization(s)
Ferformance of services or membership or fundraising solicitations by related organization(s)
Sharing of facilities equipment mailing lists or other assets with related organization(s)
o Sharing of paid employees with related organization(s)
Reimbursement paid to related organization(s) for expenses
q Reimbursement paid by related organization(s) for expenses
r Other transfer of cash or property to related organization(s
5 Other transfer of cash or property from related organization(s)
If the answer to any of the above is Yes see the instructions for information on who must complete this line including covered relationships and transaction thresholds
(b) (c)N f h(a) d (2 lame 0 ot er organization Transaction Amount involved Metho of etermlnlng --~
type (a-s) amount involved
(1)
(2)
ltd ~ ~J
I I I
(5) ------------shy
(6) ~---------------------------------------------------------------------------~--------------~--------~~~~--~--~~~
TEEIS003L 1228112 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 4
e~~I1 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) I (b) (c) (d) (e) (f) (g) (h) (i) (j) I (k)Jame address and EIN of entity Primary activity Legal domicile Predominant Are all partners Share of Share of Dispropor- Code V-UBI General or Percentage
(state or foreign income section total income end-of-year tionate amount in box managing ownership country) (related unre- 501 (c)(3) assets allocations 20 of Schedule partner
lated excluded organizations i K- 1 from tax under ~---c--- Form (1065)
section 512-514) Yes I No Yes No Yes No----+----1
- --==~ ~ ~ ====== ~ I ~ --I------+--+----t--shy
(3)
--------------1
(6)
-____ __~__ - I I I SAl TEEAS004L 122812 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Page 5 _ Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions)
-r- I - lt-j005L middot22312 Schedule R (Forni
2012 Schedule 0 bull Supplemental Information Page 1
Community Bridges 94-2460211
Form 990 Part XI Line 9 Other Changes In Net Assets Or Fund Balances
Depreciation Grant Funded Assets $ -140124 Familia Net Assets 82104
Total $ -58020========
-------------------
OMS No 1545-0047
SCHEDULE R (Form 990) Related Organizations and Unrelated Partnerships 2012
Complete if the organization answered Yes to Fonn 990 Part IV line 33343536 or 37DqJ21rTrrent of the Treasury Internal Revenue Service Attach to Form 990 ~ See separate instructions Name of the organization
s 94-2460211Commu
rp~ Identification of Disregarded Entities (Complete if the organization answered Yes to Form 990 Part
(a) (b) (c) (e) (f) iiame address and EIN (if applicable) of disregarded entity Primary activity Legal domicile (state End-of-year assets Direct controlling
or foreiqn country) entity
=== === =_===== =_ ===== == ===__1 1-- -- -=-=1 TI ~~
FPafIIldentification 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)
(a) Name address and EIN of related organization
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Exempt Code
section
(e) Public charity status (if section 501 (c) (3raquo)
(f) Direct controlling
entity
(g)Sec 512(b)(13)
controlled entity
Yes No (1) FAMILIA CENTER
236SANTA-rnUZAVE----------- shy------------------------- shyAPTOS CA 95003770071589 - - shy - - - -- shy - - - -- shy - - shy BILINGUAL FAMILY
SERVICES CA I
501(C)3 PUBLIC
CHARITY COMMUNITY
BRIDGES X
---------------------- shy_shy --shy --------------------- shy - shy - -- -- shy - - shy - - shy - - - - - - - - - - - - - - -
- --
----------~--------------
-shy - shy --------------------- shy
-shy - shy - shy - shy shy -shy - - ---------------- shy- c--- shy
- - -- --- -- - - - - --- - - - - - - - - - - - - shy
- - -- - shy
- -- - --------------------- shy -=r_ I _ __ I
~-- I ------- - -- ----- --- --
BAt For Paperwork Reduction Act Notice see the Instructions for Form 990 TEEA5001 L 122812 Schedule R (Form 990) 2012
- -- ------
----- -
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 2
re~rtUI Iidentific~tion of Related Organizations T~xable 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)
me oddltl od EIN of I PIm~~cttyrelated organization
-+shy----shy
-_--shy -- -shy ~
(c) Legal
domicile (state or foreign country)
(d) Direct
controlling entity
(e) Predominant income (related unrelated excluded from tax
under sections 512-514)
(f) Share of total
income
(g) Share of
end-of-year assets
(h) Disproporshy
tionate allocations
Yes No
(i) Code V-UBI
amount in box 20 of Schedule
K-1 (Form 1065)
(j) General or managing partner
Yes No
(k) Percentage ownership
shy -shy --shy --shy -shy
-shy -__shy ---shy -shy
_ _ _____ ___ J~
-- -- -- - - - -- - -- shy
-
--T~ --=~ -- ~~==~=-
I
IPaHJVl Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered Yes to Form 990 Part IV L----_-l line 34 because it had one or more related organizations treated as a corporation or trust during the tax year)
(a) (b) I (c) (d) (e) I (f) (g) (h) I (i)iiame address and EIN of related organization Primary activity Legal domicile Direct Type of entity Share of Share of end-of- Percentage Sec S12(b)(13)
(state or foreign controlling (C corp S corp total income year assets ownership controlled entitycountry) entity or trust)
Yes I No
- - - - - - - - - -- - - - - - -- --I --------------------4
--==========1------~--------------~------------~------------~------------~--------------~--------------~--------~I----~------TEEA5002L 1228112 Schedule R (Form 990) 2012
---------
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 3
i])~ Transactions With Related Organizations (Complete if the organization answered Yes to Form 990 Part IV line 34 35b or 36)
Note Complete line 1 if any entity is listed in Parts II III or IV of this schedule During the lax year did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity b Gift grant or capital contribution to related organization(s)
Gift grant or capital contribution from related organization(s)
d Loans or loan guarantees to or for related organization(s)
e Loans or loan guarantees by related organization(s)
Dividends from related organization(s) 9 Sale of assets to related organization(s)
h Purchase of assets from related organization(s)
Exchange of assets with related organization(s)
Lease c[racilities equipment or other assets to related organization(s)
Lease of facilities equipment or other assets from related organization(s)
Performance of services or membership or fundraising solicitations for related organization(s)
Ferformance of services or membership or fundraising solicitations by related organization(s)
Sharing of facilities equipment mailing lists or other assets with related organization(s)
o Sharing of paid employees with related organization(s)
Reimbursement paid to related organization(s) for expenses
q Reimbursement paid by related organization(s) for expenses
r Other transfer of cash or property to related organization(s
5 Other transfer of cash or property from related organization(s)
If the answer to any of the above is Yes see the instructions for information on who must complete this line including covered relationships and transaction thresholds
(b) (c)N f h(a) d (2 lame 0 ot er organization Transaction Amount involved Metho of etermlnlng --~
type (a-s) amount involved
(1)
(2)
ltd ~ ~J
I I I
(5) ------------shy
(6) ~---------------------------------------------------------------------------~--------------~--------~~~~--~--~~~
TEEIS003L 1228112 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 4
e~~I1 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) I (b) (c) (d) (e) (f) (g) (h) (i) (j) I (k)Jame address and EIN of entity Primary activity Legal domicile Predominant Are all partners Share of Share of Dispropor- Code V-UBI General or Percentage
(state or foreign income section total income end-of-year tionate amount in box managing ownership country) (related unre- 501 (c)(3) assets allocations 20 of Schedule partner
lated excluded organizations i K- 1 from tax under ~---c--- Form (1065)
section 512-514) Yes I No Yes No Yes No----+----1
- --==~ ~ ~ ====== ~ I ~ --I------+--+----t--shy
(3)
--------------1
(6)
-____ __~__ - I I I SAl TEEAS004L 122812 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Page 5 _ Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions)
-r- I - lt-j005L middot22312 Schedule R (Forni
-------------------
OMS No 1545-0047
SCHEDULE R (Form 990) Related Organizations and Unrelated Partnerships 2012
Complete if the organization answered Yes to Fonn 990 Part IV line 33343536 or 37DqJ21rTrrent of the Treasury Internal Revenue Service Attach to Form 990 ~ See separate instructions Name of the organization
s 94-2460211Commu
rp~ Identification of Disregarded Entities (Complete if the organization answered Yes to Form 990 Part
(a) (b) (c) (e) (f) iiame address and EIN (if applicable) of disregarded entity Primary activity Legal domicile (state End-of-year assets Direct controlling
or foreiqn country) entity
=== === =_===== =_ ===== == ===__1 1-- -- -=-=1 TI ~~
FPafIIldentification 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)
(a) Name address and EIN of related organization
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Exempt Code
section
(e) Public charity status (if section 501 (c) (3raquo)
(f) Direct controlling
entity
(g)Sec 512(b)(13)
controlled entity
Yes No (1) FAMILIA CENTER
236SANTA-rnUZAVE----------- shy------------------------- shyAPTOS CA 95003770071589 - - shy - - - -- shy - - - -- shy - - shy BILINGUAL FAMILY
SERVICES CA I
501(C)3 PUBLIC
CHARITY COMMUNITY
BRIDGES X
---------------------- shy_shy --shy --------------------- shy - shy - -- -- shy - - shy - - shy - - - - - - - - - - - - - - -
- --
----------~--------------
-shy - shy --------------------- shy
-shy - shy - shy - shy shy -shy - - ---------------- shy- c--- shy
- - -- --- -- - - - - --- - - - - - - - - - - - - shy
- - -- - shy
- -- - --------------------- shy -=r_ I _ __ I
~-- I ------- - -- ----- --- --
BAt For Paperwork Reduction Act Notice see the Instructions for Form 990 TEEA5001 L 122812 Schedule R (Form 990) 2012
- -- ------
----- -
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 2
re~rtUI Iidentific~tion of Related Organizations T~xable 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)
me oddltl od EIN of I PIm~~cttyrelated organization
-+shy----shy
-_--shy -- -shy ~
(c) Legal
domicile (state or foreign country)
(d) Direct
controlling entity
(e) Predominant income (related unrelated excluded from tax
under sections 512-514)
(f) Share of total
income
(g) Share of
end-of-year assets
(h) Disproporshy
tionate allocations
Yes No
(i) Code V-UBI
amount in box 20 of Schedule
K-1 (Form 1065)
(j) General or managing partner
Yes No
(k) Percentage ownership
shy -shy --shy --shy -shy
-shy -__shy ---shy -shy
_ _ _____ ___ J~
-- -- -- - - - -- - -- shy
-
--T~ --=~ -- ~~==~=-
I
IPaHJVl Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered Yes to Form 990 Part IV L----_-l line 34 because it had one or more related organizations treated as a corporation or trust during the tax year)
(a) (b) I (c) (d) (e) I (f) (g) (h) I (i)iiame address and EIN of related organization Primary activity Legal domicile Direct Type of entity Share of Share of end-of- Percentage Sec S12(b)(13)
(state or foreign controlling (C corp S corp total income year assets ownership controlled entitycountry) entity or trust)
Yes I No
- - - - - - - - - -- - - - - - -- --I --------------------4
--==========1------~--------------~------------~------------~------------~--------------~--------------~--------~I----~------TEEA5002L 1228112 Schedule R (Form 990) 2012
---------
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 3
i])~ Transactions With Related Organizations (Complete if the organization answered Yes to Form 990 Part IV line 34 35b or 36)
Note Complete line 1 if any entity is listed in Parts II III or IV of this schedule During the lax year did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity b Gift grant or capital contribution to related organization(s)
Gift grant or capital contribution from related organization(s)
d Loans or loan guarantees to or for related organization(s)
e Loans or loan guarantees by related organization(s)
Dividends from related organization(s) 9 Sale of assets to related organization(s)
h Purchase of assets from related organization(s)
Exchange of assets with related organization(s)
Lease c[racilities equipment or other assets to related organization(s)
Lease of facilities equipment or other assets from related organization(s)
Performance of services or membership or fundraising solicitations for related organization(s)
Ferformance of services or membership or fundraising solicitations by related organization(s)
Sharing of facilities equipment mailing lists or other assets with related organization(s)
o Sharing of paid employees with related organization(s)
Reimbursement paid to related organization(s) for expenses
q Reimbursement paid by related organization(s) for expenses
r Other transfer of cash or property to related organization(s
5 Other transfer of cash or property from related organization(s)
If the answer to any of the above is Yes see the instructions for information on who must complete this line including covered relationships and transaction thresholds
(b) (c)N f h(a) d (2 lame 0 ot er organization Transaction Amount involved Metho of etermlnlng --~
type (a-s) amount involved
(1)
(2)
ltd ~ ~J
I I I
(5) ------------shy
(6) ~---------------------------------------------------------------------------~--------------~--------~~~~--~--~~~
TEEIS003L 1228112 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 4
e~~I1 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) I (b) (c) (d) (e) (f) (g) (h) (i) (j) I (k)Jame address and EIN of entity Primary activity Legal domicile Predominant Are all partners Share of Share of Dispropor- Code V-UBI General or Percentage
(state or foreign income section total income end-of-year tionate amount in box managing ownership country) (related unre- 501 (c)(3) assets allocations 20 of Schedule partner
lated excluded organizations i K- 1 from tax under ~---c--- Form (1065)
section 512-514) Yes I No Yes No Yes No----+----1
- --==~ ~ ~ ====== ~ I ~ --I------+--+----t--shy
(3)
--------------1
(6)
-____ __~__ - I I I SAl TEEAS004L 122812 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Page 5 _ Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions)
-r- I - lt-j005L middot22312 Schedule R (Forni
- -- ------
----- -
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 2
re~rtUI Iidentific~tion of Related Organizations T~xable 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)
me oddltl od EIN of I PIm~~cttyrelated organization
-+shy----shy
-_--shy -- -shy ~
(c) Legal
domicile (state or foreign country)
(d) Direct
controlling entity
(e) Predominant income (related unrelated excluded from tax
under sections 512-514)
(f) Share of total
income
(g) Share of
end-of-year assets
(h) Disproporshy
tionate allocations
Yes No
(i) Code V-UBI
amount in box 20 of Schedule
K-1 (Form 1065)
(j) General or managing partner
Yes No
(k) Percentage ownership
shy -shy --shy --shy -shy
-shy -__shy ---shy -shy
_ _ _____ ___ J~
-- -- -- - - - -- - -- shy
-
--T~ --=~ -- ~~==~=-
I
IPaHJVl Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered Yes to Form 990 Part IV L----_-l line 34 because it had one or more related organizations treated as a corporation or trust during the tax year)
(a) (b) I (c) (d) (e) I (f) (g) (h) I (i)iiame address and EIN of related organization Primary activity Legal domicile Direct Type of entity Share of Share of end-of- Percentage Sec S12(b)(13)
(state or foreign controlling (C corp S corp total income year assets ownership controlled entitycountry) entity or trust)
Yes I No
- - - - - - - - - -- - - - - - -- --I --------------------4
--==========1------~--------------~------------~------------~------------~--------------~--------------~--------~I----~------TEEA5002L 1228112 Schedule R (Form 990) 2012
---------
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 3
i])~ Transactions With Related Organizations (Complete if the organization answered Yes to Form 990 Part IV line 34 35b or 36)
Note Complete line 1 if any entity is listed in Parts II III or IV of this schedule During the lax year did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity b Gift grant or capital contribution to related organization(s)
Gift grant or capital contribution from related organization(s)
d Loans or loan guarantees to or for related organization(s)
e Loans or loan guarantees by related organization(s)
Dividends from related organization(s) 9 Sale of assets to related organization(s)
h Purchase of assets from related organization(s)
Exchange of assets with related organization(s)
Lease c[racilities equipment or other assets to related organization(s)
Lease of facilities equipment or other assets from related organization(s)
Performance of services or membership or fundraising solicitations for related organization(s)
Ferformance of services or membership or fundraising solicitations by related organization(s)
Sharing of facilities equipment mailing lists or other assets with related organization(s)
o Sharing of paid employees with related organization(s)
Reimbursement paid to related organization(s) for expenses
q Reimbursement paid by related organization(s) for expenses
r Other transfer of cash or property to related organization(s
5 Other transfer of cash or property from related organization(s)
If the answer to any of the above is Yes see the instructions for information on who must complete this line including covered relationships and transaction thresholds
(b) (c)N f h(a) d (2 lame 0 ot er organization Transaction Amount involved Metho of etermlnlng --~
type (a-s) amount involved
(1)
(2)
ltd ~ ~J
I I I
(5) ------------shy
(6) ~---------------------------------------------------------------------------~--------------~--------~~~~--~--~~~
TEEIS003L 1228112 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 4
e~~I1 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) I (b) (c) (d) (e) (f) (g) (h) (i) (j) I (k)Jame address and EIN of entity Primary activity Legal domicile Predominant Are all partners Share of Share of Dispropor- Code V-UBI General or Percentage
(state or foreign income section total income end-of-year tionate amount in box managing ownership country) (related unre- 501 (c)(3) assets allocations 20 of Schedule partner
lated excluded organizations i K- 1 from tax under ~---c--- Form (1065)
section 512-514) Yes I No Yes No Yes No----+----1
- --==~ ~ ~ ====== ~ I ~ --I------+--+----t--shy
(3)
--------------1
(6)
-____ __~__ - I I I SAl TEEAS004L 122812 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Page 5 _ Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions)
-r- I - lt-j005L middot22312 Schedule R (Forni
---------
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 3
i])~ Transactions With Related Organizations (Complete if the organization answered Yes to Form 990 Part IV line 34 35b or 36)
Note Complete line 1 if any entity is listed in Parts II III or IV of this schedule During the lax year did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity b Gift grant or capital contribution to related organization(s)
Gift grant or capital contribution from related organization(s)
d Loans or loan guarantees to or for related organization(s)
e Loans or loan guarantees by related organization(s)
Dividends from related organization(s) 9 Sale of assets to related organization(s)
h Purchase of assets from related organization(s)
Exchange of assets with related organization(s)
Lease c[racilities equipment or other assets to related organization(s)
Lease of facilities equipment or other assets from related organization(s)
Performance of services or membership or fundraising solicitations for related organization(s)
Ferformance of services or membership or fundraising solicitations by related organization(s)
Sharing of facilities equipment mailing lists or other assets with related organization(s)
o Sharing of paid employees with related organization(s)
Reimbursement paid to related organization(s) for expenses
q Reimbursement paid by related organization(s) for expenses
r Other transfer of cash or property to related organization(s
5 Other transfer of cash or property from related organization(s)
If the answer to any of the above is Yes see the instructions for information on who must complete this line including covered relationships and transaction thresholds
(b) (c)N f h(a) d (2 lame 0 ot er organization Transaction Amount involved Metho of etermlnlng --~
type (a-s) amount involved
(1)
(2)
ltd ~ ~J
I I I
(5) ------------shy
(6) ~---------------------------------------------------------------------------~--------------~--------~~~~--~--~~~
TEEIS003L 1228112 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 4
e~~I1 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) I (b) (c) (d) (e) (f) (g) (h) (i) (j) I (k)Jame address and EIN of entity Primary activity Legal domicile Predominant Are all partners Share of Share of Dispropor- Code V-UBI General or Percentage
(state or foreign income section total income end-of-year tionate amount in box managing ownership country) (related unre- 501 (c)(3) assets allocations 20 of Schedule partner
lated excluded organizations i K- 1 from tax under ~---c--- Form (1065)
section 512-514) Yes I No Yes No Yes No----+----1
- --==~ ~ ~ ====== ~ I ~ --I------+--+----t--shy
(3)
--------------1
(6)
-____ __~__ - I I I SAl TEEAS004L 122812 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Page 5 _ Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions)
-r- I - lt-j005L middot22312 Schedule R (Forni
Schedule R (Form 990) 2012 Community Bridges 94-2460211 Page 4
e~~I1 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) I (b) (c) (d) (e) (f) (g) (h) (i) (j) I (k)Jame address and EIN of entity Primary activity Legal domicile Predominant Are all partners Share of Share of Dispropor- Code V-UBI General or Percentage
(state or foreign income section total income end-of-year tionate amount in box managing ownership country) (related unre- 501 (c)(3) assets allocations 20 of Schedule partner
lated excluded organizations i K- 1 from tax under ~---c--- Form (1065)
section 512-514) Yes I No Yes No Yes No----+----1
- --==~ ~ ~ ====== ~ I ~ --I------+--+----t--shy
(3)
--------------1
(6)
-____ __~__ - I I I SAl TEEAS004L 122812 Schedule R (Form 990) 2012
Schedule R (Form 990) 2012 Page 5 _ Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions)
-r- I - lt-j005L middot22312 Schedule R (Forni
Schedule R (Form 990) 2012 Page 5 _ Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions)
-r- I - lt-j005L middot22312 Schedule R (Forni
