bridge house 2011 irs form 990
TRANSCRIPT
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A Forthe20l1B Check if applicabte:
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[l Name cnange
n Initiat return
I terminateo
n Arnended return
l-l Application pending
Return ofUnder section O0:l(c),
50 I (cX3) s01(c) (
OMB No. 1545{047Exempt From Income Tax
, or 4947(aX1) of the Intemal Revenue Code (except black lungbeneflt trust or privato foundation)
2@11
Yesl X I No
vesl-l Ho
>The organization may to use a copy of this retuan to satisry stat€ reporting requirements.
D Employer ldentificallon numbei
1E Tel€phone numb€r
G Gross receiots $
H(r) ls thls a group return for affltates?
H(b) Are a[ afntiates inctud€d?
719
I Tax€xemot stiafuE:
K Formoforganizatlon:
lf "No,'' atlach a list. (see instruciions)
M State of legal domicit€:
ion or most significant activities: .I9_F.8g_YtqF_A_94tF,-QU.??_QE_r_ry_E.99_ryr_M_u_ry!TyG POOR
discontinued its operations or disposed of more tiran 2byo of its nel assets,ing body (Part Vt, tine 1a)of the governing body (Part Vl, tine 1 b) .
in calendar year 2011 (Part V, line 2a)
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enecessary)Part Vlf l, column (C), tine 12 .
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May the IRS discuss this retum with theFor Papenrork Reducflon Act Notice, see the
T. l ine 34.
induding accompanying schedutes and slalements, and to the best of my knowtedge|s oas€o on
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Firm's EIN ) 87
Number and stre€t (or p.O box mail is not dellverod to street address)
Gity or town, state of
F Nam6 and address of principal
L Year of formation: 1
Briefly describe the organization's_t 9.B -T H_E_ H9I4 -E-LE S.q A N_q _U
Check this box r! itmt3 Number of voting members of lhe4 Number of independent voting rne5 Total number of individuals6 Total number of volunteers7a Total unrelated business revenue
b Net unrelaied busi
8 Contributions and grants (part Vlll,9 Program service revenue (part Vlll,
10 Investment income (Part Vlll,11 Other revenue (Part Vlll, column (A)1 2 Total revenutsadd tines I throuoh :1 1 (
t h ) .
(A), lines 3, 4, and 7d) .5 ,6d ,8c ,9c , 10c , and 1 le ) .
Part Vlll, column (A), tine 113 Grants and similar amounts paid (p14 Benefits paid to or for members (p15 Salaries, other compensation, employeel6a Professional fundraising fees (part
b Total fundraising expenses (pa( lX,17 Other expenses (Part lX, column'18 Total expenses. Add lines 13-1719 Revenue less expenses. Subtrac
lX, column (A),l ines 1-3)lX, column (A), line 4) .
(Part iX, column (A), lines 5-10)column (A), l ine 11e) .
(D) , l ine 25) >-________-_--7_qlines 1 1a-1 1d , 11t-24e, .it equal Parl lX, column (A), line 25) .
20 Total assets (Part X, tine 16) .21 Total llabilities (Part X, line 26)
or pnnt n8me and tiUe
shown above? (see instructions) . [| v".
(HTA)instructions. porm 990 (zor t)
Form s90 (2011) BRID
Check if Schedule O contains a response to any question in this part ill . n1 Briefly describe the organization's mission:
2 Did the organization undertake any significant program seryices during the year which were not l isted onthe prior Form 990 or 990-EZ?lf "Yes," describe these new services on Schedule O.
3 Did the organization cease conducting, or make significant changes in how it conducts, any programservices?
I v " " X " o
! v " " E * ol f "Yes," describe these changes on Schedule O
4 Describe the organization's program service accomplishments for each of its three largest program services, as measured byexpenses Section 501(c)(3) and 501(c)(4) organizations and section a9 7@)(1) trusts are required to report the amount ofgrants and allocations to others, the total expenses, and revenue, if any, for each program service reported
P_89_YlP-E_ lA9lLlTLE9_i-o_B_tg_g-q _qERVlq_E_q. Jgg_?-r4q_E_tvl_E_NI_A_Np_g-qglAt= _s_EE-yLqF_s_ _BFl_EB-84-L_q -F__oE _l_rg_V-E_r=E-s_gAAV_LI9-_ P_B9_YIQ_E-Q-9F_By!-c_E9_T9- AppBgItr\lrAlF-L_y_2,2_s_0_p_Eg_BL_E_ANp_g_EB_YE-D- ABpBgI!_ryrATF_L_y_5_s_,_2_s_q UFAL_s._D_URrN_G_?91_1_
4b (Code : . _ -__ -_ ) (Expenses$ 19 ,568 i nc lud ingg ran tso f $ - -_ -_ -__ -19 ,gQg_ ) (Revenue$ __________?gpqq- )_q9yFIU|!4NEI_9E4NT-?A_S-9_E_a_ILr-Bg-qg-U_Ig_ _B_Q_u_r=Q_E_B-9-UIREAAH_ f_gB_ H_gM-E_L-Eg_s__q-v_E_Bt-tgw_(qg_LrgJ- _q!_r!,1_o_-{t-e-e_li
4c (Code: ._-_-- - ) (Expenses $
4d Other program services (Describe in Schedule O )LExpenses $ 0 includino orants of $
4e Total program service expenses 432.7080 ) (Revenue $ 0 )
rorm 990 (zot t)
Form 990 (201 1 ) FRMLY IHE CARRIAGE HOUSE COMMUNITY I-ABLE 84-14402Ghec
JZ 3
Yes Nols theorganizat iondescr ibedinsect ion50l(c)(3) or4947(a)(1)(other thanapr ivatefoundat ion)? t f "yes,"complete Schedule Als the organization required to complete Schedule B, Schedule of Contributors (see instructions)?Did the organization engage in direct or indirect polit ical campaign activit ies on behalf of or in opposition tocandidates for public office? lf "Yes," complete Schedule C, paft tSection 501(cX3) organizations. Did the organization engage in lobbying activit ies, orhave a section 501(h)election in effect during the tax year? lf "Yes," complete Schedute C, paft ttls 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? lf "yes," complete schedule c.Part lll .Did the organization maintain any donor advised funds or any similar funds or accounts for which donorshave the right to provide advice on the distribution or investment of amounts in such funds or accounts? /f"Yes," complete Schedule D, Pad IDid the organization receive or hold a conservation easement, including easements to preserve open space,the environment, historic land areas, or historic structures? lf "Yes," complete ilchedule D, Pad IlDid the organization maintain collections of works of art, historical treasures, or other similar assets? tf "Yes,"complete Schedule D, Paft lllDid the organization report an amount in Part X, l ine 21; serye as a custodian for amounts not l isted in PartX; or provide credit counseling, debt management, credit repair, or debt negotiation services? tf "Yes,"complete Schedule D, Part lVDid the organization, directly orthrough a related organization, hold assets in telmporarily restrictedendowments, permanent endowments, or quasi-endowments? lf "Yes," complete Schedule D, Paft Vlf the organization's answer to any of the following questions is "Yes," then conrplete Schedule D, Parts Vl,Vl l , V l l l , lX, or X as appl icable.Did the organization report an amount for land, buildings, and equipment in Pad X, l ine 10? lf "Yes," compteteSchedule D, Part Vl.Did the organization report an amount for investments-other securit ies in Part X, l ine 12 that is 5% or moreof its total assets reported in Part X, line 16? lf "Yes," complete Schedule D, Paft VllDid the organization report an amount for investments-program related in Part X, l ine 13 that is 5% or moreof its total assets reported in Part X, line 16? lf "Yes," complete Schedule D, Paft Vlll. .Did the organization report an amount for other assets in Part X, line '1 5 that is 5% or more of its total assetsreported in Part X, line 16? lf "Yes," complete Schedule D, Paft lX.Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X.Did the organization's separate or consolidated financial statements for the tax year incrlude a footnote that addressesthe organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If 'Yes," complete Schedu/e D, Paft XDid the organization obtain separate, independent audited financial statements for the tax year? lf "Yes," completeSchedule D, Pafts Xl, Xll, and XlllWas the organization included in consolidated, independent audited financial statements for the tax year? lf "Yes,"and if the organization answered "No" to line 12a, then completing Schedule D, Pafts Xl, Xll, and Xlll is optionalls the organization a school described in section 1 70(bX 1 XAXii)? lf "Yes," complete Schedule EDid the organization maintain an office, employees, or agents outside of the Urrited States?Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking,fundraising, business, investment, and program service activit ies outside the United States, or aggregateforeign investments valued at $100,000 or more? lf "Yes," complete Schedule F, Pafts I and tVDid the organization report on Part lX, column (A), l ine 3, more than $5,000 of g;rants or assistance to anyorganization or entity located outside the United States? lf "Yes," complete Scltedule F, Pafts ll and lVDid the organization report on Part lX, column (A), l ine 3, more than 95,000 of ;aggregate grants or assistanceto individuals located outside the United States? lf "Yes," complete Schedule t:, Parts lll and lVDid the organization report a total of more than $15,000 of expenses for professional fundraising serviceson Part lX, column (A), lines 6 and 1 1e? If "Yes," complete Schedule G, Paft I (see instructions) .Did the organization report more than $15,000 total of fundraising event gross income and contributions onPart Vlll, lines 1c and 8a? lf "Yes," complete Schedu/e G, Parl llDid the organization report more than $15,000 of gross income from gaming activit ies on Part Vll l, l ine 9a?lf "Yes," complete Schedule G, Paft lllDid the organization operate one or more hospital facilities? lf "Yes," comptete Schedule H
23
't0
1 1
ef
12a
1 314a
b
1 5
1 8
1 9
lf "Yes" to l ine 20a. did the oroanization f its audited financial stiatements to this return?
1 X2 X
3 X
4 X
5
6 X
7 X
I X
9 X
1 0 X
11a X
1 t b X
1 1 c X
't 1d X't'te X
11t X
12a X
12b X' t3 X14a X
14b X
1 5 X
1 6
1 7 X
1 8 X
1 9 X20a X20brorm 990 (zotr)
Form 990 (2011) BRIDGE HOUSE Y THE CAR SE COMMUNITY T
21 Did the organization report more than $5,000 of grants and other assistance to any government or organizationin the United States on Part lX, column (A), line 1? tf "Yes," comptete Schedule l, pafts I and tt
22 Did the organization report more than $5,000 of grants and other assistance to individuals in theunited states on Part lX, column (A), line 2? lf "yes," comptete schedute t, parls t and ilt
23 Did the organization answer "Yes" to Part Vll, Section A, line 3, 4, or 5 about compensation of theorganization's current and former officers, directors, trustees, key employees, and highest compensatedemployees? lf "Yes," complete Schedute J
24a Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than$100'000 as of the last day of the year, that was issued after December 31 , 2OO2? lf "yes," answer tines24b through 24d and complete Schedute K tf ,No," go to tine 25
b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?c Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?d Did the organization act as an "on behalf of issuer for bonds outstanding at any time during the year?
25a Section 501(c)(3) and 501(cX4) organizations. Did the organization engage In an excess benefit transactionwith a disqualified person during the year? lf "yes," complete schedute L, paft t
b ls the organization aware that it engaged in an excess benefit transaction with a disqualif ied person In apraor year, and that the transaction has not been reported on any of the organization's prior Forms 990 or990-EZ? lf "Yes," complete Schedute L, part I
26 Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, ordisqualified person outstanding as of the end of the organization's tax year? lf "yes," complete Schedute L, paft ll
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% controlledentity or family member of any of these persons? tf "yes," complete schedute L, part ttt
28 Was the organization a party to a business transaction with one of the following parties (see Schedule L,Part lV instructions for applicable fi l ing thresholds, conditions, and exceptions):
a A current or former officer, director, trustee, or key employee? lf "Yes," comptete Schedule L, paft lVb A family member of a current or former officer, director, trustee, or key employ ee? lf "yes," complete
Schedule L, Part lVc 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? tf "Yes," complete Schedute L, part lV29 Did the organization receive more than $25,000 in non-cash contributions? lf "Yes," comptete Schedule M30 Did the organization receive contributions of art, historical treasures, or other similar assets. or oualif ied
conservation contributions? lf "Yes," complete Schedule M31 Did the organization liquidate, terminate, or dissolve and cease operations? lf "Yes," complete Schedu/e N,
Paft I32 Did the organization sell, exchange, dispose of, or transfer more than 25o/o of its net assets?
lf "Yes," complete Schedule N, Part ll33 Did the organization own 100% of an entity disregarded as separate from the organization under Regulations
sections 301.7701-2 and 30'l .7701-3? lf "yes," complete Schedule R, paft t34 Was the organization related to any tax-exempt or taxable entity? /f "Yes," complete Schedute R, pafts tt,
lll, lV, and V, line 135a Did the organization have a controlled entitywithin the meaning of section 512(bX13)?
b Did the organization receive any payment from or engage In any transaction with a controlled entity withinthe meaning of section 512(b)(13)? lf "Yes," complete Schedute R, paft V, line 2
36 Section 501(cX3) organizations. Did the organization make any transfers to an exempt non-charitable relatedorganization? lf "Yes," complete Schedule R, paft V, tine 2 .
37 Did the organization conduct more than 5% of its activit ies through an entity that is not a related organizationand that is treated as a partnership for federal income tax purposes? lf "Yes," complete Schedule R, parlVI
38 Did the organization complete Schedule O and provide explanations in Schedule O for part Vl, l ines 11 and
440292
X
X
19? Note. All Form 990 fi lers are reouired to te Schedule O
1 abc
tlnter the number reported in Elox 3 of Form 1096 Enter -0- if not appricabreEnter the number of Forms w-2G inc luded in l ine 1a Enter -0- i f not aopl icabteDid the organizatron comprly with backup withholding rules for reportable payments to vendors and reportablegaming (gambl ing) winnings to pr ize winners?
2a E:nter the number of employees reported on Form w-3, Transmittal of wage and rax{ i ta tements, f i led for the calendaryearending wi th orwi th in the yearcovered by th is return
3ab
4a
5abc
6a
lf at least one is reported on l ine 2a, dici the organization fi le all required federal employment taxEilrns?trlote' lf the sum of l ines 1aancl 2a is greaterthan 250, you may be required lo e-fite. (see instructions)Dld tne organizat ion have unrelated business gross income of $1,000 or more dur ing the year?lf "Yes," has it filed a Form ggo-T for this year? tf "No," provide an explanation in schedule ol \ t any t ime dur ing the ca lc 'ndar year , d id the organ iza t ion have an in te res t rn , o r a s ignature or o ther au thor j tyover, a f inancial account in a foreign country (such as a bank account, securit ies account, or other f inancralaccount)?llf "Yes," enter the name ol'the foreign country: >Siee tnstructtons for f i l ing requirements for Form TD F gO-22 1, Report of Foreign Bank and Financial A;;;;; i ;Was the organization a party to a prohi l l i ted tax shelter transactron at any t ime during the tax year?Did any taxable party noti fy the organization that i t was or rs a party to a prohibited tax shelter transaction?l l" 'Yes" to l ine 5a or 5b, di,C the organization f i le Form gg86-T?Does the organ iza t ion have annua l g ross rece ip ts tha t a re normal ly g rea ter than $100,000, and d id theorganization sol ici t any contr ibutions that were not tax deductible?l l ' "Yes," did the organization include wilh every sol ici tat ion an express statement that such contr ibutions orgif ts were not tax deductible?organ iza t ions tha t may rece ive deduct ib le cont r ibu t ions under sec t ion 170(c ) .Did the organization receirre a payment in excess of $75 made part ly as a contr ibution and parly for goodsand services provided to the payor?
b l f "Yes," did the organization noti fy the <lonor of the value of the goods or seryices provided?c Did the organization sel l , erxchange, or otheru,uise dispose of tangible personal property forwhich i t was
required to f i le Form 8282'7d l f "Yes." indicate the number of Forms t\282 l i led during the yeare C)id the organization recett 'e any funds, directly or indirectly, to pay premiums on a personal benefit contract?f crid the organization, during the year, pay premiums, directly or indrrecily, on a personal benefit contract?g lf the organization received a contribution of qualif ied intellectual property did the organrzation fi le Form 889g as required?h lf the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization fi le a Form 10gg-C?
8 Sponsor ing organ iza t ions main ta in ing donor adv ised funds and sec t ion 509(a) (3 ) suppor t ingorgan iza t ions . D id the suppor t ing organ iza t ion , o r a donor adv ised fund main ta ined by a sponsor ingorgan iza t ion , have excess bus iness ho ld ings a t any t ime dur ing the year?
9 Sponsor ing organ iza t ions main ta in ing donor adv ised funds .a Dt id the organ iza t ion make any taxab le d is t r ibu t ions under sec t ion 4966?b Did the organization make a distr ibution to a donor, donor advisor, or related person?
10 Sect ion 501(c ) (7 ) o rgan iz :a t ions . Enter :a In i t ia t ion fees and cap i ta l con t r ibu t ions inc luded on par t V l l l , I ine .12
b Giross receipts, included on Form 990, partVl l l , l ine 12, for publ ic use of club faci l i t ies11 Sect ion 501(cX12) o rgan iza t ions . Enter :
a Gross income from membr:rs or shareholdersb Gross income from other sources (Do not net amounts due or paid to other sources
agarnst amounts due or rer:eived from them I I t t O I12a Sec t i on ra9aT(a ) (1 )non -exemptcha r i t ab le t rus t s . l s t heo rgan i za t i on f i l i ngFo rmgg0 in l i euo f Fo rm
b l f "Yes," enter the amount of tax-exempt interest received or accrued during the year l , tZO13 Sect ion 501(c)(29) qual i f ied nonprof i t heal th insurance issuers.
a ls the organization l icensed to issue querlif ied 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 whichthe organization is licensed to ir;sue quarlified health plansEnter the amount of reserves on handDid the organization receive any payments for indoor tanning services during the tax year? .
c'l4a
b
ro rm 990 (zo t r )
l f "Yes," has it f i led a Form 720 to lf "No "
1041?
FOrM 990 (2011) BRIDGE HOUSE, FRMLY THE CARRIAGE HOUSE COMMUNITY TABLE 84-1440292 eage 6ffi
respOnse to line ,la, 8b, or 10b below, describe the circumstances, processes, or changes n Schedu/e 0, See instructions.Check if Schedule O contains a response to any question in this Part Vl tr
. Governinq Bodv and
1a l l n te r thenumbero fvo t i ngmemberso f thegove rn ingbodya t theendo f the taxyea rlf there are material diffen:nces in voting rights among members of the governing body, orif the governing body delergated broad authority to an executive committee or similarcommittee, explain in Schedule O
b Enter the numberof vot ing members inc luded in l ine 1a, above, who are independent2 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 delel;ate control over management duties customarily performed by or underthe 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 fi led?5 Did the organization become aware during the year of a significant diversion of the organization's assets?6 Did the organization have members or stockholders?7a 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 persons ,cther than the governing body?8 Did the organization contr-.mporaneously document the meetings held or written actions undertaken during
the year by the fol lowing:a fhe governing body?b Each committee with authority to act on behalf of the governing body?
9 ls there any officer, director, trustee, or key employee listed in Part Vll, Section A, who cannot be reachedat the orqanization's mailinq address? lf "Yes." provide the names and addresses in Schedule O
B. Poficies (This Se'ction B information about policies not the lnternal Revenue Code
10a Did the organization have local chapters, branches, or affi l iates?b lf "Yes," did the organization have written policies and procedures governing the activit ies of such chapters,
affi l iates, and branches to ensure their operations are consistent with the organization's exempl purposes?11a Has the organization providr"'d a complete copy of this Form 990 to all members of its governing body before filing the form?
b Describe in Schedule O tlre process, if any, used by the organization to review this Form 99012a Did the organization have, a written conflict of interest policy? lf "No," go to l ine 1 3
b Were officers, directors, ortrustees, 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? tf "Yes,"
describe in Schedule O how this was done13 Did the organization have' a written whistleblower policy?'i.4 Did the organization haver a written document retention and destruction policy?15 Did the process for deterrnining compensation of the following persons include a review and approval by
independent persons, cornparabil ity data, and contemporaneous substantiation of the deliberation and decision?a The organization's CEO, Executive Director, or top management officialb Other officers or key employees of the organization
l f "Yes"to l ine 15a or '1 5b, descr ibethe process in Schedule O (see inst ruct ions)16a Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangemenr
with a taxable enti ty during the year?
b lf "Yes," did the organizalion follow a written policy or procedure requiring the organization to evaluate itsparticipation in joint venture arrangements under applicable federal tax law, and take steps to safequard
n's status with re to such a
1 7 L i s t t h e S t a t e s W i t h w h i c h a c o p y o f t h i s F o r m 9 9 0 i s r e q u i r e d t o b e f i | e o >18 section 6104 requires an organization to make its Forms'1 023 (or 1024if applicable) 990 anO OSO-iiSect'o;-sOitclt i j i o' iryf
| 'available for public insper:tl$ Indicate how you made these available. Check all that apply
[__J O*n website | | Anothe/s website f Upon request19 Describe in Schedule O whether (and if so, how), the organization made its governing documents, confl ict of interest
policy, and financial statements available to the public20 State the name, physical address, and telephone number ofthe person who possesses the books and records ofthe
organization: . _ _T_ug_tvtAg-Q. _r!F_L_E_o_t-!_ _ _ _ _ _ _ _ _ _ _ lgg_3j_41?:gg_O_O- _ _1120 1/2 PINE STREET, BOULDER, CO 80302
rorm 990 izor I I
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Employees, and Independent Gontractors
Form eeo (2011) BRIDGE HousE, FRMLY THE CARRIAGE HousE coMMUNrry rABLE g4-1440292 pagel
check if schedule o contains a response to any question in this part Vll .Section A. Directors1a Complete this table for all persons required to be l isted Report compensation for the calendar year ending with or within theorganization's tax year
' List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amountof compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid
' List all of the organization's current key employees, if any. See instructions for definit ion of , 'key employee.,'o List the organization's five current highest compensated employees (other than an officer, director, truitee, or key employee;who received reportable compensation (Box 5 of Form w-2 and/or Box 7 of Form 1099-Mlsc) of more than $100,000 from theorganization and any related organizations
' List all of the organization's former officers, key employees, and highest compensated employees who received more than$100'000 of reportable compensation from the organization and any related organizations.
' List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of theorganization, more than $10,000 of reportable compensation from the organization and any related organizationsList persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highestcompensated employees; and former such persons
! Cnecf this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(AlName and Title (Fl
Estimatedamount of
olhercompensa!on
from theorganizationand related
organizations
_ _t2)_ _ P-O_ _B_qY_ F_E_t=2, _JlPRESIDENT
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- _t5)_ - w! t= LIAM _IE-EA P-W_E t= !ECTOR
_ _t6J. _ -E_ILZ4F_qTH_ LBF!-s-r_EB
__t7)__Aryr N_q4_p_qN_q-v r!ECTOR
_ _t8)_ - -qEN_ry!9-4REM4N_r_,r
_ _ts)- - HN_QA_9AY_E_ryDIRECTOR
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_(1_3)
(B)Averagenours per
weeK(describehours forrelated
organizationsin Schedule
o)
{c)Position
(do not check more than onebox, unless person is both an
(DlReportable
compensattonfromthe
organization(w-2/1099-MtSC)
(ElReportable
compensationfrom relatedorganizations
(w-2l1099-MtSC)
rorm 990 1zorr1
_(1_4J
BRIDGE FRMLY THE CARR HOUSE ITY TABLEon A. Em
(AlName and tit le
(A)Name and businerss address
Total nuntber ot inOepenOeirt-ontrlcto-Emore than 9100,000 of compensation from the orqanization
84-1440292
(F)Estimatedamount ot
otnercompensalion
from theorganizatronand related
organtzattons
11_51
-(1-6).
.11_81
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_(?-0)
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1b Sub-totarlc Total from continuation s,heets to part Vll. Section Ad Tota l (ac ld l ines 1b and 1c_
2 Total nurnber of individuals (including brit not l imited to those listed above) who received more than $100,000 ofreportable compensation from the orqan ization
Did the organization l ist any former officer, director, or trustee, key employee, or highest compensatedemployer-. on line 1a? lf "yt>s," comptete Schedute J for such individuatFor any individual l isted on l ine 1a, is ther sum of reportable compensation and other compensation fromtheorganizat ionandrelatedorganizat ionsgreater than$150,000? l f "yes,"comptetescheduteJforsuchindividual
Did any person listed on l ine 1a recelve or accrue compensation from any unretated organization or individualOr_:g*fg99j9ndered to tnspfggllzgllg!? tf ',yes,', comptete Schedute J for such Derson
Section B. lndependent Contractors1 c o m p | e t e t h i s t a b | e f o r y o u r f i v e h i g h e s t c o m p e n s a t e d i n o e o e n
compensation from the orgianization Report compensation for the calend ar year ending with or within the organization,s tax_ year
(c)Compensation
(B)Averagenours per
weeK(describehours forrelated
organrzahonsin Schedule
o)
(c)Position
(do not check more than onebox, unless person is both an
(D)Reportable
compensattonfromtne
organization(w-2l10ee-Mtsc)
(ElReportable
compensationfrom relatedorganizations
(w-zl10ee-Mtsc)
rorm 990 1zol1
Form 99C (2011 ) BRIDGE HOIJSEFRMLyl ]JE CARRTAGE HOUSE COMMUNTT'y TABLE
Federated campaignsMembership duesFundrarsing eventsRelated organizatiorsGovernment grants (contributions;)Al l o ther contr ibut ions, g i f ts , grants, andsimi lar amounts not inc luded aboveNoncash contribution$ included in l irres 1a-1f' I o ta l .
Add l ines 1a-1 f
84-1440292
(D)
Revenueexcluded from
tax under sections12 .513 o t 514o
o
o
o
(9
o
o
o
o@
EG
1 abcdeI
sh
t
o
Form 990 (2011) BRIDGE [ I1OUSE, FRMLY THE CARRIAGE HOUSE COMMUNITY TABLE 1440292Statement ona l E
Sectlon 501(c)(3) and 501(c)(4) organizations must complete all columnsAII other organizations must comptete column (A) but arenot reauired to
Do not include amounts reported on tines 6b,7b,8b,9b, and 10b of PartVtrl l.1 Grants and other assistance to governments and
organizations in the United States See Part lV, l ine 212 Grants and other assistarrce to individuals in the
U nitecl States See Part lY . line 223 Grantrs and other assistance to governments,
organizations, and individuals outside theUnitecl States See Part lV, l ines 15 and 16
4 Benefits paid to or for members5 Compensation of current officers, directors,
trustees, and key employees6 Compensation not included above, to disqualif ied
persons (as defined under section 4958(f)(1)) andpersons described in section a958(c)(3)(B)
7 Other salaries and wages8 Pension plan accruals and contributions (include
section 401(k) and 403(b) employer contributions)9 Other employee benefits
10 Payroll taxes'11 Fees for services (non-employees):
columns
Check if Schedule O contains a response to any question in this part lX
(D)Fundraising
2 7 2 1 7
42,339
abcdef
s1 21 31 41 51 61 71 8
1 92021222324
ManagementLegalAccountingLobbyingProfessional fundraising services. See Part lV, l ine 17Investment management feesOtherAdvertising and promotionOffice expenses .Inforrnation technologyRoyaltiesOccupancyTravelPayments of travel or entertainment expensesfor any federal, state, or local public officialsConferences, conventions, and meetingsInterestPayments to affi l iatesDepreciation, depletion, and amortizationInsuranceOther expenses ltemize expenses not coveredabove (List miscellaneous expenses in l ine 24e lfl ine 24e amount exceeds 10% of l ine 25, column(A) amount, l ist l ine 24e expenses on Schedule O )BOUL DER CHANGE VOUCHERS_qqu!'_rlIN_a-c.afirni.sa.ueAieN-i-qn-ETPAN:D.ib-F40liriES-._v_ELlQ_r=E. P_AE_(ry-G_,_[4tl_E_49_E, _E_IQ. _ _ _ _All other expenses
abcde
2526
2.3093.670
0
0787691
Joint costs. Complete this l ine only if theorganization reported in column (B) joint costsfrom a combined educational camoaion andfundraising solicitation, Check here
-t I ' t
rorm 990 lzor r 1
soP 98-2 YCA- I ZU
Form 990 (2011) BRIDGE
BalanceFRMLY THE CARRIAGE COMMUNITY TABLE 84-144
974
20,747
z J . o I I
z J . 6 t I
t o l
oooo
oG).==.sJ
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lt
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Cash-non-interest-bearino
Savings and temporary cash investmentsPledges and grants receivable, netAccounts receivable, net ,Receivables from current and former officers, directors, trustees, keyemployees, and highr:st compensated employees. Complete part l l of
Receivables from other disqualif ied persons (as defined under section4958(0(1)), persons described in section 4958(c)(3)(B), and contributingemployers and sponsioring organizations of section 501(c)(9) voluntaryemployees' beneficiary organizations (see instructions)Notes and loans receivable, netInventories for sale or usePrepaid expenses and deferred chargesLand, buildings, and r:quipment: cost orother basis Complete Part Vl of Schedule D | 10aLess: accumulated depreciat ionInvestments-publicl,y traded securit iesInvestments-other securit ies See Part lV, l ine 11Investments-program-related See Part lV, l ine 11
Other assets See Perrt lV, l ine 11Total assets. Add lines 1
24.257
17 Accounts payable and accrued expenses18 Grants payable .19 Deferred revenue20 Tax-exemot bond liabil i t ies21 Escrow or custodial erccount l iabil i ty Complete Part lV of Schedule D22 Payables to current aLnd former officers, directors, trustees, key
employees, highest crompensated employees, and disqualif iedpersons Complete Part l l of Schedule L
23 Secured mortgages and notes payable to unrelated third parties24 Unsecured notes ancl loans payable to unrelated third parties25 Other l iabil i t ies (including federal income tax, payables to related third
parties, and other l iabil i t ies not included on l ines 17-24) CompletePart X of Schedule DTotal l iabil i t ies. Add lines 17
Organizations that I 'ollow SFAS 117, check here > |T] anOcomplete l ines 27 through 29, and l ines 33 and 34.
27 Unrestricted net assets21, Temporarily restricted net assets21, Permanently restricterd net assets
Organizations that do not follow SFAS 117, check here )l-land complete l ines 30 through 34.
30 Capital stock or trust principal, or current funds ,31 Paid- in or capi ta l surp lus, or land, bui ld ing, or equipment fund3i2 Retained earnings, endowment, accumulated income, or olher funds33 Total net assets or fund balances
l iabi l i t ies and net
rorm 990 (zor rt
Form eeo (2011) BRIDGE HOUSIE, FRMLY THE CARRIAGE HOUSE COMMUNITY TABLE 84-1440292 eaoe 12ffi
Check if Schedu|: O contains a response to any question in this Part Xl . l_!
123456
Total revenue (must equal Part Vll l, column (A), l ine 12)Total expenses (must equal Part lX, column (A), l ine 25)Revenue less expenses. Subtract l ine 2 from line 1 .Net assets or fund balanc€s at beginning of year (must equal Part X, l ine 33, column (A))Other changes in net assets or fund balances (explain in Schedule O)Net assets or fund balances at end of year. Combine l ines 3, 4, and 5 (must equal Part X, l ine 33,column (B
Financial Statements and ReportingCheck if Schedule O contains a response to any question in this Part Xll
Accounting method used to prepare the Form 990: ! Casn lTlAccruall f the organization changed its method of accounting from a prior year or checked "Other," explain inSchedule OWere the organization's financial statements compiled or reviewed by an independent accountant?Were the organization's financial statements audited by an independent accountant?lf "Yes" to l ine 2a or 2b, does the organization have a committee that assumes responsibil i ty for oversight ofthe audit, review, or compilation of its f inancial statements and selection of an independent accountant? .lf the organization changed either its oversight process or selection process during the tax year, explain inSchedule Olf "Yes" to l ine 2a or 2b, check a box below to indicate whether the financial statements for the year wereissued on a separate basis. consolidated basis. or both:
[-l Separate basis [Tl Consolioated basis ! eotn consolidated and separate basis
As a result of a federal award, was the organization required to undergo an audit or audits as set forth inthe Single Audit Act and OMB Circular A-133? .lf "Yes," did the organization undergo the required audit or audits? lf the organization did not undergo the
audit or audi in Schedule O and describe anv steps taken to such audits
ovv . /cv
497
770.099
1 1 5
Other
2abc
3a
,"'" s)90-TDepartment of the Treasurylnternal Revenue Service
Exempt Organization Business Income Tax Return(and proxy tax under section 6033(e))
For cafendar yeat 2011 or other tax year beginning . _ - _ _ _ - - _ _ _ _ _ _, andend ing ) See instructions.
OMB No 1545-0687
2@11^ l-l Check bor rlA l-J address cha
B Exernpt under seclion
l T l uo , ( . l r 3 Il-l +oet"l l-l tzo(")! +oan ! sso1"1
s2e(a)
C Bool( value of all assets al t ion number i nstructionsend of year
/ / V J Y / O Other trust
H Describel the organization's primary unrelated business acttvity. )| D u r i n g t h e t a x y e a r , w a s t h e c o r p o r a t i o n a s u b s i d i a r y i n a n a f f i | i a t e d g r o u p o r a p a r e n t - s u b s i d i a r y c o n t r o | | e d g r o u p ? >
lf '-YegJ:nter the name and identifvinq number of the parent corporation )The books are in care of ) THOMAS C NELSON Telephone number ) (303) 442-8300
(c) Net
1 41 51 61 71 81 9202122232425262728293031323334
For Paroerwork Reduction Act Notice, see instructions.(HTA)
1 a Gross receipts or salesb l-ess returns and allowances
--Tl c Balance )
234 a
bc
5678
9
1 01 11 21 3 Total.
Cost of goods sold (Schedule A, l ine 7){3ross profit Subtract l ine 2 from line 1c{Japital gain net income (attach Schedule D)l\et gain (loss) (Form 4797,Pan ll, l ine 17) (attach Form 4797)tlaoital loss deduction for trustsIncome (loss) from partnerships and S corporations (attach statement)lRent rncome (Schedule C)Unrelated debt-financed income (Schedule E)Interes;t, annuities, royalties, and rents from controlled,crganizations (Schedule F)Investment income of a sect ion 501(c)(7) (9) , or (17)organization (Schedule G)Exploited exempt activity income (Schedule l)Advertising income (Schedule J)Other income (See instructions; attach schedule )
Deductions Not Taken Elsewhere (See instructions for limitations on deductions.) (Except for contributions,cleductions must be connected with the unrelated business income.
Compensation of officers, directors, and trustees (Schedule K)Salarir:s and wagesRepairs and maintenanceBad debtsI nterest (attach schedule)' laxes
and licensesCharitable contr ibutions (See instruct ions for l imitat ion rules )Depreciat ion (attach Form 4562)Less <ieoreciat ion claimed on Schedule A and elsewhere on return
Deolet ionContributions to deferred comoensation olansEmployee benefit programsExcesis exempt expenses (Schedule l)Exces;s readership costs (Schedule J)Other deductions (attach schedule)Tota l deduct ions. Add l ines 14 throuqh 28Unreliated business taxable income before net operating loss deduction Subtract l ine 29 from line 13Net operating loss deduction (l imited to the amount on l ine 30)Unrelated business taxable income before specific deduction Subtract l ine 31 from line 30Specific deduction (Generally $1,000, but see l ine 33 instructions for exceptions.)
Unrelated business taxable income. Subtract l ine 33 from line 32. lf l ine 33 is greater than lineof zero or l ine 32
identification number(Employees trusl. see inslructions)
84-1440292E Unrelated business activity codes
(See inslructions )
Name of organization ( [ Check box if name changed and see instructions )
HOUSE, FRMLY THE CARNumber, streel, and room or suite no lf a P O box, see instructions
City or town. state, and ZIP code
DER CO 80306
G Check organization type I I SOt 1c) corporation 501 (c) trust 401(a) t rust
Ulnrelated Trade or Business Income
rorm 990-T rzotr t
36
373839
1234 a
b5
Tax4 0 a
bcde
4142434 4 a
bcdels
45464748
Foreign tax credit (.orpoOther credits (see instruclions) .General business credit. Attach Form 3g00 (see instructions)Creditfor prior year minimum tax (attach Foim SeOi or gg27)Totaf credits. Add lines 40a through 40d . .
-. ' " r 'rvq l ISubtriact line 4Oe from line 39Othprt:rvoc l^hanr' rr, *.f-- ' l E^-- /^F- ^'-
'r i -
?HJil:: ::TllJ:?F":U 4,s1- ro- a'orii iorm e6g7 [ ro* eaoi ! omriattao*in.o,r.;Payments: A 2010 overpayment credited to 20112oir rastimatJi*olrl"".
H
Totat payments. Add rines 44a,f,drg'i';g -l
_ .':o: - | 44s I 0l
Est imertedlaxpenalty(seeinstrucl ioni l .Ctrecf f iForm222Oisattached. : . . . .>n
l?:,*.*:." fl:',"::]11" rhe.torai,of tines 43 ano +6, enter amount owed I
or otherr authority over a financiar account (bank, securities, or other) in "
for"iJ;'";ffi"ot'tulf YES, the organization may have to fire Form TD F 90-22.1, nepoi ot i"iiig" Bank andFinancial Accounts. lf yES, enter the name of the foreign country here )During the tax vear, did the organizatlon re.eiu" . ii.irilrti.i t r, .i '"rJit
rn" gianior df b?ii;i;6il 6,-; 6rds; fdt? , - - - -
. .
lf YES, see instructrons for other forms the organization may have to fire.
3"yljl311l1']lil" i: is rarser than rhe torarof rines +3 and 46,
"nt", "roui'r ouerpaii! v r q | v | | | | | g l i + J a r | o . + o | e n l e r a m o u n | o v e r p a i d . >-
l ' - ' -n"fundedru
3::[::fi*Jy"li: irjjflglt"::,oid rhe orsanization have an interest in or a sienarure
Inventory at beginning of year.PurchasesCost ol labor,Additional section 263A costs(attach schedule)Other costs (aftach schedule)'Iotal.
/\dd lines 1
ule
SignHere
PaidPreparrerUse ()nly
Unds pffitties ot p€rjury,ilo
6 Inventory at end ofyear7 Cost of goods sold. Subtract
line 6 from line b. Enter hereand in Part l, line 2 .
8 Do the rules of sestion ZOSA (witn@A toproperty produced or acquired for resale)
May the IRS disoss lhrs retum withSillnature of ofiicef
Frrm's EIN )
porm 990-T (eorrl
rjrT gg9-rjzol]) - BRIP9E HOUSE, FRMLY THE CARRIAGE HOUSE COMMUNTTY TABLE 8+-ra+OZgZ pan" 3
Schedule G-Rent Income (From Real Property and Personal Property Leased Witn neai property)
_Ggg1nstructions)L Description of properly
( 1 )
(2)
(3)
(3)
(4)
2, Rent received oraccrued
(al From personal property (if the percentage of rentfor personal properly is more than 10% but not
more than 50%)
Total
(c) Tolal income. Add totals of columns 2(a)and 2(b). Enterhere and on page 1, Part l, line 6, c;olumn
Scherdule E:-Unrelated Debt-Financed lncome see instructions
1. Description of debt-financed property
4, Amouni of averageacquisition debl on or
allocable to debt-financedproperty (attach schedule)
Total:;Total dividends-received deductions included in
Schedule Annu
3(a) Deductions dtrectly connected with the incomein columns 2(a) and 2(b) (attach schedule)
(b) Total deductions.Enter here and on page 1,
I l ine 6 column (B) >
3. Ooductions drrectly connected with or allocableto deblfinanced property
(3)
(4)
and Rents From Controlled nizationsControlled
(bl Other deductions(aitach schedule)
8. Alloc€ble deductions(column 6 x tolal of columns
3(a) and 3(b))
Enter here and on page 1,Part l, line 7, column (B)
1 1. Deduclions directlyconnecied with income in
column 10
Add cllumns 6 and 1'lEnter here and on page 1,Part l, line 8, mlumn (B)
( 1 )
(2)
(3)
(4 )
Controlled
7. Taxable Income
( 1 )
(21
(b) From real and personal property (if thepercentage of rent for personal property exceeds50% or if the rent is based on orofit or income)
2, Gross income from orallocable to deb!fi nanced
propeny
7. Gross income reportable( co lumn2xco lumnO)
Enter here and on page 1,Part l, line 7, column (A).
3, Net unrelated income(loss) (see inslructions)
5. Part of column 4 that isincluded in the conlrolling
8. Net unielated income(loss) (seje instruclions)
10. Part of column 9 that isincluded in the conirolling
Add columns 5 and 10Enter here and on page 1Part l, line E, column (A)
rorm 990-T rzot tt
(4)
FOTM 990-T (201I) BRIDGE HOUSE, FRMLY THE CARRIAGE HOUSE COMMUNITY TABLE 84-1440292 PAOC 4Scher lu |eGi_ |nves tment |ncomeofaSect l9qo!1(c ) (7 ) , (9 ) ,o r (17 |organ iza t ion( . " " in f f i
1 Desrcription of income5. Total deductions
and selasides (col 3
Enter here and on page 1Part l , l ine 9, column (B)
Than Advertis
1. Description of exploited activity
7, Excess exemplexpenses
(column 6 minuscolumn 5, but not
more thancolumn 4)
Totals
Scherclule Income (see instructionsFrom Perriodica on a Consol idated Basis
1. l, lame of periodical
7. Exess readershrpcosts (column 6minus column 5,
but not more lhancolumn 4)
to Part l l , l ine
Income From Perriodicals Reported on a Separate Basis (For each periodical listed in part ll,oolumns 2 - l ine basis
1 llame of periodical
7. Ex@ss readershrpcosts (column 6minus column 5
but not more lhancolumn 4)
Totals from Part I
Totals, Part ll
Enter here and
Par l l l , l i ne 27
Schedule K
1. Namr : 4 Compensation attribulable tounrelated business
( 3 )
(4)
(2\
(3)
4. Net income(loss) from
unrelated lradeor business
(column 2 minuscolumn 3) lf again, compute
cols 5 through 7
5. Gross incomefrom activity thatis not unrelated
business income
Enter here and onpage 1, Part I ,
hne 10, col (A)
Enter here and onpage 1 , Par t l ,
l i ne 10 , co l (B)
4 Advertisinggain or (loss) (col2 mrnus col 3) lfa garn, computecols 5 through 7
Enter here and onp a g e l , P a r t l ,
l ine 11, col (A)
Enter here and onpage 1 , Par t I ,
l i ne 11 , co l (B)
0
3. Percent oftime devoted to
ousrness
Total. E:nter here and on 1, Par t l l , l i ne 14
Trustees
Form fiISG)z Depreciation and Amortization(lncluding Information on Listed Property)
Department of lhe TreasuryInternal Revenue Seruice (gg) ) See instructions.
7891 01 11 21 3
14 Special depreciation allowance forqualif ied property (otherthan listed property) placed in serviceduring the tiax year (see instructions)
15 Property subject to section 168(0(1) election16 Otherr depreciation (includinq ACRS)
MACRS iartion (Do not include listed See instructions
> Attach to tax return.
See instructions
O M B N o 1 5 4 5 - 0 1 7 2
(9) Depreciation deduclion
12345
Name(s) :ihown crn return ldenti fying numberBRIDGE HOUSiE, FRMLY THE CARRIAGE H -1440292
Election To Expense Certain Property Under Section 179Note: /f you have any listed Paft V before
Maximum amount (see instructions)Total cost of section 179 prop,erly placed in service (see instructions)Threshold costof section 179 property before reduction in l imitation (see instructions) ,Reduction in l imitation, Subtract l ine 3 from line 2 lf zero or less, enter -0-Dollerr l imitation for tax year Siubtract l ine 4 from line 1 lf zero or less, enter -0- lf married fi l ing
(al Description of property
Listed property Enter the amount from line 29Total elected costof section 179 property Add amounts in column (c), l ines6 and 7Tentative dc.duction Enter thel smaller of l ine 5 or l ine 8Carnyover of disallowed deduction from line 13 of your 2010 Form 4562Bus iness income l im i ta t ion Er r te r the smal le ro f bus iness income (no t less than zero) o r l ine 5 (see ins t ruc t ions)S e c t i o n l T 9 l e x p e n s e d e d u c t i o n A d d l i n e s 9 a n d l 0 , b u t d o n o t e n t e r m o r e t h a n l i n e l l
o f d uction to 2012 Add l ines 9 and 1 l i ne 12ilt
Specia l iation Allowance and Other iation (Do not include listed
1 71 8
MACRS deductions for assets; placed in service in tax years beginning before 201 1l f you are electing to group arry assets placed in service during the tax year into one or moregenelral ass,et accounts, checl< here
Section B - Assets Placed in Service 20'l'l Tax Year Us the General ciation
(a) Classiif ication of property
t E
1 9 ab 5 -c 7
h Fiesidential rental
i Nlonresrr jential real
Section G - Assets Placed in Service 2011 Tax Year Usi the Alternative De20 a Class l i fe
b 1 2
See instructions.21 List<;d property Enter amount from line 2822Totat l . Add amountsf rom l ine 12, l ines l4 through 17, l ines 19 and 20 in column (g) , and l ine 21
Enterr here and on the approprriate l ines of your return Partnerships and S corporations - see instructions23 For assets shown above and placed in service during the current year, enter the portion
of the basrsi attributable to ser:tion 263A costsFor Paperuvork Reduction Act Notice, see separate instructions.lHTA\
(b) Cosl (business use only)
Section A
(c) Basis for depreciation(business/investment useonly-see instructions)
Form 4562 (201 1 )
I{':!?gL , , BRIpGE HOUSE, FRMLY rHE CARRTAGE HOUSE COMMUNITy t2 page 2f,fiUf-iCCdFrcFeltv for
entertainment, recreation, or amusement.)Note; For any veh,icle for which you are using the standard mileage rate or deducting lease expense, completeonlv 24a, 24b, columns (a) throuqh (c) of Section A, ail of Section B, and Section C if app.licabte
Section iat ion and tion (Caution: See lhe instructions automobiles24a Do you have evidence to support the business/investment use claimed? !v.r !No 24b lf "Yes," is the evidence written? !V." !Xo
{a }
TyF,e of proFrerty
(l ist vehicles first)
25 Special depreciation allowance for qualif ied l isted property placed in service duringthe tax yerar and used more than 50% in a oualif ied business instructions
useo bus iness use :2OO4 CHE\A/ VANOVEN
TORused 50% or less in a busrness use
Add amounts in column (h), l ines 25 through 27 Enter here and on l ine 21, page 1in column ( i ) , l ine 26 Enter here and on l ine 7 1
Section B-lnformation on Use of VehiclesComplete this sectlon for vehicles used by a sole proprietor, partner, or other "more than 5% owner," or related person lf you provided vehicles toyour employees, l i rst answer the questions in Section C to see i f you meet an exception to this section for those vehicles
Total business/investment miles driven duringther year (clo not include commuting miles)Total comrnuting miles driven cluring the year
Total other personal (noncomnruttng)
miles drivenTotal miles; driven during the yearAdd lines :]0 through 32Was the vehicle available for personal useduring off-duty hours?Was the vr:hicle used primarily by a more than50^ owo€r'or relaled oerson?ls ianolher vehicle available for
Section C-Questions for Employers Who Provide Vehicles for Use by Their EmployeesAnswer these questions to deterrnine if you meet an exception to completing Section B for vehicles used by employees whoare not more than 57o owners or related see Inslructrons
37 Dc, you m€tinlain a writ ten pol icy statement that prohibits al l personal use of vehicles, including commuling,by your enrployees?Do you maintain a writ ten pol icy statement that prohibits personal use of vehicles, except commuting, by your employees?See the instructions for vehicles used by corporate officers, directors, or 1!o or more ownersDc, you treat all use of vehicles by employees as personal use?Dc, you provide more than five vehicles to your employees, obtain information from your employees aboutthe use of the vehicles, and relain the information received?
41 Do you melet the requirements concerning qualified automobile demonstration use? (See instructions )Nctte: lf yctur answer to 37, 38, 39, 40, or 41 is "Yes," do not Section B for the covered vehicles
Amortization
2829
3132
3940
4344
30
( i )
Elected section 179
cost
(flAmortizalion for this year
33
34
35
38
(a )
Descflption of costs
Arnortization of 2011 tax see Instructrons
Arnortization of costs that began before your 2011 tax year
Form 4562 (201 1)
Totql. Add amounts in column (f). See the instructions for
SCHEDULE: A(Form 990 on 990-EZ)
Department of the Treasurylnternal Revenue
Name of the organization
BRIDGE HOIJSE FRMLY T
Public Charity Status and Public SupportComplete if the organization is a section 501(cX3) organization or a section
4947(aX1) nonexempt charitable trust.
>Attach to Form 990 or Form 990-EZ. >See instructions.
TReason for Public C Status izations must
The orsgnization is not a private foundation because it is: (For l ines 1 through '1 1, check only one box.)1 [-J A ohurch, convention of churches, or association of churches described in section 170(b)(lXAX|).2 [] A r;chool described irr section 170(bxlXAXii). (Attach Schedule E )
A ltospital ora coopelrative hospital service organization described in section 170(bxlXAXiii).
Amedical researchorganizat ionoperatedinconjunct ionwi thahospi ta l descr ibedin sect ionlTO(bXlXAXi i i ) .Enter thehospital 's name, city. and state
Employer identification number
See instructions
3 [ ]
4 [ ]
5 [ ]
6 [ ]
? l E
8 l le l f
An organization operated for the benefit of a college or university owned or operated by a governmental unit describedin section 170(bxlXAXiv). (Complete Part l l )A tederal, state, or local government or governmental unit described in section 170(bXlXA)(v).
An organization that normally receives a substantial part of its support from a governmental unit or from the general publicdescribed in sectionr 170(b)(1)(A)(vi). (Complete Part l l )A r:ommunity trust described in section 170(b)(1)(A)(vi). (Complete Part l l )Arr organization that normally receives: (1) more than 33 113% of its support from contributions, membership fees, and grossrer:eipts from activit ies related to its exempt functions-subject to certain exceptions, and (2) no more than 33 1/3% of itssupport from gross investment income and unrelated business taxable income (less section 511 tax) from businessesacquired by the organization afterJune 30, 1975 See section 509(a)(2). (Complete Part l l l )An organization orgernized and operated exclusrvely to test for public safety See section 509(aX4).
Arr organization orgernized and operated exclusively for the benefit of, to perform the functions of, or to carry out thepurposesof oneornnorepubl ic lysupportedorganizat ionsdescr ibedinsect ion509(a)(1)orsect ion509(a)(2) See sect ion509(aX3). Check ther box that describes the type of supporting organization and complete l ines 1 1e through 1 t ha ! r y p e t b ! Type ll c ! fyp" l l l-Functionally integrated O I fype l l l-Other
" l] gV checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualif iedpersons other than frrundation managers and other than one or more publicly supported organizations described in section509(aX1) or sect ion 509(a)(2)
lf the organization rerceived a written determination from the IRS that it is a Type l, Type ll, orType ll l supportingor'3anization, check this box L__lSince August 17 ,2006, has the organization accepted any gift or contribution from any of thefol lowing persons?(i) A person who direct ly or indirect ly controls, either alone or together with persons described in ( i i )
and (i i i) below, the governing body of the supported organization?(ii) A family memller of a person described in (i) above?(ii i) A 35% controlled entity of a person described in (i) or (i i) above?Provide the followinq information about the
(i) l lame of siupportedorganizalion
TotalFor Papenvonk Reduction Act Nrotice, see the Instructions forForm 990 or 990-EZ.(HTA)
1 01 1
url
(A)
(B)
(c)
(D )
(E)
(iii) Type of organization(described on lines 1-9above or IRC section(see instructions))
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form eeo oreel-EZ\2011 ARIDGE FIOUSE, FRMLY THE CARRIAGE HOUSE COMMUNITY TABLE 84-14402, 2 page 2
ftf,fl-"ppo't€ch-;A;E-d5ffi i)(Complete only if you checke<j the box on line 5, 7, or 8 of Part I or if the organization failed to qualify underP,art ll l. lf t[e olgrnization fails to qualifu under the tests listed below, please complete Pad lll.)
A. F,ublicCalenclar year (or f iscal year breginning in)
1 Gifts grants, contributions;, andrnembership fees receiverl (Do notinc lude any "unusual grants " )
2 -lax
revenues levied for the organtzation'sbenefit and either patd to or expended onits behalf'fhe
value of services or f,acilities1'urnishr,'d by a governmental unit to therorganization without charl3e'Iotal. l\dd l ines 1 through 3'The portion of total contri l lutions by eachperson (other than a goverrnmental unil l' r r publ ic ly suppo(ed organizat ion)included on l ine 1 that exr:eeds 2%of the ermount shown on l ine 1 1,column ( f )
6 Pub l ic 2.348,7
Sect i rcn B. ' Io ta lC a | e n d a r y e a r ( o r f i s c a | y e a r l r e g i n n i n g i n l 1 >
7 Amounts from line 48 Gross income from intererst, dividends,
payments received on securit ies loans,rents, royaltles and inconre from similarsources
9 Net inc;ome from unrelaterd businessactivit ir- 's, whether or not the business isregularly carried on
10 Other income Do not inr:lude gain orloss from the sale of cac,ital assets(Expla in in Par t lV )
11 Total $upport. Add lines, 7 through 1Ct12 Gross receipts from related activit ies, ,etc (see instructions)1 3 First f i ive years. l f the Form 990 is for the organ ization's f irst, second, th ird, fourth, or f i f th tax year as a section 501 (c)(3)
organi:zation, check this trox and stop here > Ll
Section G. Com ion ol f Publ ic Su Pe
Total
0
14 Public support percentage for 2011 ( lrrre 6, column (f) divided by l ine 11, column (f))
15 Pub l ic suppor t percentage f rom 2010 Schedu le A , Par t l l , l i ne 14
348 708
Total
2.348
2 471
98 42%83 35%
1 6a 33 113% support test-;201 1 . lf the organization did not check the box on l ine 1 3, and line 1 4 is 33 113"k or more, check th is boxa n d s t o p h e r e . T h e o r g e r n i z a t i o n q u a | i f i e s a s a p u b | i c l y s u p p o r t e d o r g a n i z a t i o n >
b 33 1/3% support test - t2010. l f the organizat ion d id not check a box on l ine 13 or 16a, and l ine 15 is 33 113% or more, check th ibox arrd stop here. The organization qualif ies as a publicly supported organization
17a 10%-fiacts-and-circums'tances test--2O11. lf the organization did not check a box on l ine 13, 16a, or 16b, and line '14
i s l 0o4o rmore ,and i f t heo rgan i za t i onmee ts the " fac t s -and -c i r cums tances " tes t , check th i sboxand s tophe re .Exp la in inPart l\/ how the organizartion meets the "facts-and-circumstances" test The organization qualif ies as a publicly supportedorganization
b 10%-facts-and-circumsitances test--2010. lf the organization did not check a box on l ine 13, 16a, 16b, or 17a, and line15 i s10%ormore ,and i f t heo rgan i za t i onmee ts the " fac t s -and -c i r cums tances " tes t , check th i sboxand s tophe re . Exp la in tnPart l\/ how the organizertion meets the "facts-and-circumstances" test The organization qualif ies as a publiclysupported organization
trnt__J
> T
Private foundation.instrur;t ions
l f the orqanizat icrn d id not check a box on l ine 13, 16a, 16b, 17a, or 17b, check th is box and see> T
> E
7 14,131
1 8
Schedule A (Form 990 or 990-EZ) 2011
5
7a
b
schedu leA(Fonneeooreeo-Ez) 2011 BRIDGE HOUSE, FRMLYTHE CARRIAGE HTf ,USE COMMUNITYTABLE 84-1440292 rase3
@[-Supportsch-A;f bf o-.o-rgarffi(Oomplete only if you checkeclthe box on line 9 of Part I or if tlre organization failed to qualify under Parl ll.
___llthe orqanization fails to quaiifu under the tests listed below, please complete Part ll.)A. F'ubl ic
Calendlar year (or f iscal year beginning in)
1 Gifts, grants, contributions, and membership feesrerceived (Do not include any "unusual grants ")
2 Gross receipts from admissions, merchandisesold or s€rrvices performed, or facilities furnished
Total
in any acl.ivity that is related to theorganization's tax-exempt purpose
Gross receipls from activities thal are not anunrelated trade or business under section 513 .Tax revenues levied for the organization'sbr-.nefit and either paid to or expended onits behalfThe value of services or facililiesfurnished by a governmental unit to theorganization without charge
Total. Add lines 1 through 5Amounts included on l ines 1. 2. and 3received from disqualified persons
Amounts included on lines 2 and 3 recervedfronr other than disqualified pL.rsons thatexceed lhe greater of $5,000 or 1 % of theamount on lrne 13 for the year
c Add lines 7a andTb8 Putr l ic support (Subtract l ine 7c from
line 6 )Sect ion B. l l 'otalSuCalendan yea r (o r f i sca l year beg inn ing in )
I A,mounts from line 610a Gross irlcome from interest. clividends.
payments received on securilies loans,rents, ro)falt ies and income from similar sourcesLlnrelated business taxable income (lesssection 5 1 1 taxes) from businessesacquired after June 30. 1975
Adcl l ines 10a and 10bflet income from unrelated businessactivi t ies not included in l ine 10b, whetheror not the business is regularly carried on
Other income Do not include garn orloss from the sale of caoital assets(Explain in Part lV )l'otal support. (Add lines 9, 10c, 1 1 ,encl 12)
'14 F: i rst f ive years. l f the Form 990 is for the organizat ion 's t l rs t , second, th i rd, fourth, or f i f th tax year as a sect ion 501(c)(3)organizat ion, check th is box and stop here
1 1
1 2
1 3
> TSectionr C. of Publ ic15 Public support percentage Iot 2011 ( l ine 8, 0olumn (f) divided by l ine' l6 Putr l ic from 2010 Schedule A. Part l l l . l ine 15
0 00%0 00%
Sectircnr D. l3om of lnvestmen't lncome Percen17 Investnrent income percentage for 2011 ( l ine 10c, column (f) divided by l ine 13, column (f1)18 lnvestment income oercentaoe from 20{0 S;chedule A, Part l l l . l ine 1719a i l3 113% support tests-2011. l f the organization did not check the box on l ine '14, and l ine 15 is more than 33 1/3%, and l ine 17 is
not mor€r than 33 ' l13%, check this box and stop here. The organization quali f ies as a publ icly supported organizationb 3 3 1 / 3 % s u p p o r t t e s t s - 2 0 1 0 . | f t h e o r g a n i z a t i o n d i d n o l c h e c k a b o x o n l i n e l 4 o r l i n e l 9 a , a n d l i n e l 6 i s m o r e t h a n 3 3 1 / 3 0 / o , a n d
l ine '18 isi nol more than 33 1/3%, check this box and stop here. The organization quali f ies as a publ icly supported organization
20 Private t loundation. l f the orqanization did not check a box on l ine 14, 19a, or 19b, check this box and see instruct ions
0 00%0.00%
> E
trT
Schedule A (Form 990 or 990-EZ) 201 1
Schedule A (Form 990 or 990-EZ) 2011 BRIDGE FRMLY THE TABLE 84-1440292Supplemental ln Complete this part to provide the explanations required by Part ll, line 1Part l l , l ine 17a or 17b, Part ll l, l ine 12. Also complete this part for any additional information. (See
Schedule A (Form 990 or 990'Ezl2011
SCHEDULE D(Form 990)
Department of the TreasuryIntemal Revmue Servic€
tho
BRIDGE FRMLY THEOrganizations ningthe answered
Purpose(s) of conservation easem(I I Preservation of land for public use
l--l Protection of natural habitat
l-l Pr"r"*ation of open spaceComplete l ines 2a through 2d if theeasement on the last day of the tax
abG
d
Total number of conservationTotal acreage restricted byNumber of conservation easementsNumber of conservation easements
following amounts required to beRevenues included in Form 990,Assets included in Form 990, Part X
For Paperwork Reduction Act Notice, see the{HTt,)
sup emental Financial StatementsOMB No 1545-0047
if the organization answered "Yes," to Form 990,Part lV, 6 , 7 , 8 ,9 , 10 , 11a, 11b, 1 ' l c , 11d, 1 le , 111,12a,or '12b.
to Form 990. ) See separate instructions.Employer identif i cation numbel
Advised Funds or Other milar or Accounts. Complete iflV. l ine 6.
2@11
Funds and other accounis
12345
Total number at end of year .
Aggregate contributions to (during
Aggregate grants from (during year)Aggregate value at end of year .Did the organization inform all donorsfunds are the organization's property,
donor advisors in writ ing that the assets held in donor advisedto the organization's exclusive legal control?
Did the organization inform all donors, and donor advisors in writ ing that grant funds can beused only for charitable purposes and for the benefit of the donor or donor advisor, or for any otherpurpose conferring impermissible benefit? .
if the "Yes" to Form 990. Part lV l ine 7 .
45
'r easementsa certified historic structure included in (a) .
in (c) acquired after 8/17106, and not on a
l l , l i ne 1 .> q
ab
! ves E ruo
held by the organization (check a]l that apply)., recreation or education) | | Preservation of an historically important land area
l-l Pr"s"r"tion of a certified historic structure
anization held a qualified conservation contribution in the form of a conservation
historic structure listed in the National
Number of conservation easements i f ied, transferred, released, extinguished, or terminated by the organization
during the tax yearNumber of states where property to conservation easement is locatedDoes the organization have a written regarding the periodic monitoring, inspection, handling of
! v e s E * oviolations, and enforcement of the easements it holds?Staff and volunteer hours devoted to
Amount of expenses incurred in> $
, inspecting, and enforcing conservation easements during the year
ooe. ""in
idnii*ii ion easemenl1 70(hX4XBXi) and section 1 70(hX4XIn Part XlV, describe how thebalance sheet, and include, if , the text of the footnote to the organization's financial statements that describes
ization'sOrganizations Maintaining of Art, Historical Treasures, or Other Similar Assets.
if the to Form 990. Part lV
1 a lf the organization elected, as under sFAS 116 (ASC 958), not to report in i ts revenue statement and balance sheel
works of art. historical treasures, or similar assets held for public exhibit ion, education, or research in furtheranceof public service, provide, in Part XIV the text of the footnote to its financial statements that describes these items
lf the organization elected, as under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet
works of art, historical treasures, orof public service, provide the followi(i) Revenues included in Form 990,
similar assets held for public exhibit ion, education, or research in furtheranceamounts relating to these items:
Vl l l , l ine 1 > $
( i i )Assets included in Form 990, Parts of art, historical treasrr"", oi other similar assets for ti^"n"]arl;i;,;.il;th-;lf the organization received or held
under SFAS 116 (ASC 958) relating to these items:
Held at the End of the Tax Yoal
for Form 990. Schedule D {Form 990} 2011
BRIDGE HOUSE. FRMLY THE CARRIAGE HOUSE COMMUNITY TABLE 84-1440292Schedule D (Form 990) 201'1
ns Maintaining Collections of Art, Historic tn
3 LJsing the organization's acquisit ion, accession, and other records, check any of the following that are a significant
urser of its collection items (check all that apply):
" [] Public exhibit ion d
b [] Scholany research e
. [] Preservation for future generationsprovide a description of the organization's collections and explain how they furtherthe organization's exempt purpose InPart XIV
During the year, did the organization solicit or receive donations of art, historical treasures, or other similar
assets, to be sold to raise funds rather than to be maintained as part of the organization's colle<lion? . ! V"" I to
EEEUI- Yesao Form 990' Parl___-lV, line 9, or reported an amount on Form 990, Part X' line 2'1 -1a ls the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
Itr
included on Form 990, Part X?
b l f "Yes;," explain the arrangement in Part XIV and complete the fol lowing table:
lSeg inn ing ba lance,Additi,cns during the yearDistributions during the yearErrding balance
Dir l the organizat ion inc lude an amount on Form 990, Par t X, l ine 21?
l f "Yes." explain the arra in Part XIV
Endowment Funds. Com if the nization answered "Yes" to Form 990 Part lV l ine 10
Berginning of year balanceContributions
d
e
Nt.'t investment earntngs, gatnsand lossesGrants or scholarshipsOither expenditures for facil i t iesarlo p,rogramsAdmi n istrative expensesErrd of year balanceprovide the estimated percentage of the current year end balance ( l ine 19, column (a)) held as:
Boanj designated or quasi-endowment %
Prgrmanent endowment > oh
Tr-.mporarily restricted endowmentTl ' re percentages in l ines 2a,2b, and 2c should equal 100%
3a Are tnere endowment funds not in the possession of the organization that are held and administered for the
organization by:( i ) unre latedorganizat ions( i i ) re latedorganizat ions
b lf ' ,Yes"to 3a(ii), arethe related organizations l isted as required on Schedule R?
Describe in Part XIV the uses of the o ndowment funds
Bui ld and uipment. See Form 990, Part X, l ine '10.
Description of properly
' la Lancl
b Bu i lc l ingsc Leasehold imorovements
d E,quipmente Otherr
Loan or exchange programs
Other
cdef
2ab
1 abc
tg
a
bc
I v " " I * o
(e) Four years back
(d) Book valu€
20.747
20.747
%
(b) Cost or o lherbasrs (other)
Total. /\dd l ines 1a throu Part X column , line 1
Schedule D (Form 990) 2011
BRIDGE HOUSE. FRMLY THE CARRIAGE HOUSE COMMUNITY TABLESchedule D (Form 990) 201 1
lnvestments-Other Securities. See Form 990, Part X, line 12.(a) Description of security or category
(including name of security)
(1 ) Financial derivatives(2) Closely-held equity interests(3)Other
| o t a | ' ( c o l u n n ( b ) m u s t e q u a l F o n 9 9 0 ' P a n x ' c o l ( B ) l i n e 1 2 ) >
ram Related. See Form 990. Part X, l ine 13.(al Description of investment type
1
T o | a | . ( c o | u m n ( b ) n u s ! e q u a l F o m 9 9 o , P a | 1 x ' c o l ( B ) l i n e 1 3 ) >
Other Assets. See Form 990,Part X. l ine 15.(a) Description
PREPAID RENTDEPOSIT
Total. Form ParI X. col line 1 4
Other Liabilities.See Form 990,Part X, l ine 25
84-1440292
(cl Method of valuation:Cost or end-of-year market value
(cl Method of valuation:
Cost or end-of-vear market value
Book value
92.894
0U
0
n
0
1 . (a| Description of l iabil i ty
1) Federal income taxesPAYABLE & ACCRUED PA
VOUCHERS PAYABLE
11
|o ta | . ( co tumn(b )nus teaua lFom99o ,PadX ,co | (B ) ] i ne25 )>
2. FIN 48 (ASC 740) Footnote In Part XlV, provide the text of the footnote to the organization's financial statements that reports theorqanization's l iabil i tv for uncertain tax positions under FIN 48 (ASC 740)
Schedule D (Form 990) 2011
12
34
12
34
BRIDGE HOUSE, FRMLYSchedule D (Form 990) 201 1
CARRIAGE HOUSE COMMUNITY TABLE 84-1440292
Net Assets from Form Financial Statements1 Total revenue (Form 990, Part Vll l,2 Total expenses (Form 990, Part lX,3 Excess or (deficit) for the year. Subtr4 Net unrealized gains (losses) on5 Donated services and use of facilities6 Investment expenses7 Prior period adjustments .8 Other (Describe in Part XlV.) .9 Total adlustments (net) Add lines 410 Excess or (deficit) for
Audited Financial Statements With Revenue ReturnTotal revenue, gains, and other oer audited financial statementsAmounts included on l ine 1 but not onNet unrealized gains on investments .Donated services and use of facilitiesRecoveries of prior year grants .Other (Describe in Part XIV )Add lines 2a through 2d .
990. Par t Vl l l , l ine 12:
Subtract line 2e from line 1 .Amounts included on Form 990, PartInvestment expenses not included on
, l ine 12, but not on l ine 1
abc
990. Part Vll l. l ine 7b .Other (Describe in Part XIV ) .Add lines 4a and 4bTotal revenue Add lines 3 and 4c. Form 990, Paft l, line 12.
Audited Financial Statements WithTotal expenses and losses per audited statementsAmounts included on l ine 1 but not on rm 990, Part lX, l ine 25:Donated services and use of facilities .Prior year adjustmentsOther losses .Other (Describe in Part XlV.)Add lines 2a through 2dSubtract line 2e from line 1 .Amounts included on Form 990, Part IInvestment expenses not included onOther (Describe in Part XIV ) .Add lines 4a and 4b
, l ine 25, but not on l ine 1:abc
990. Part Vll l. l ine 7b
Total Add lines 3 and 4c. must Form Paft l, Iine 18
Complete this part to provide the reouired for Part l l , l ines 3, 5, and 9; Part l l l , l ines 1a and 4; Part lV, l ines 1b
and 2b: Part V, l ine 4: Part X, l ine 2; Part Xl, 8: Part Xll, l ines 2d and 4b; and Part Xll l, l ines 2d and 4b. Also complete
this part to provide any additional informa
Part Xl l l L ine 2D FUNDRAISING EXPENSEREPORTED ON PART VIII 88
abcde
699,759
133.497
462462
133,959
699 759
585
abcde
PaTt XIII Line 48 SEE SCHEDULE D, PART XI LINE 8 ABOVE
Schedule D (Form 9901 2011
,",''8941Department of the Treasurylnlernal Revenue Service
Credit for Small Employer Health Insurance Premiums
> Attach to your tax return.
pt small employers, enter the smaller of l ine 16 or l ine 19 here and on Form 990-T,
OMB No 1545-2198
67
I9
1 0
Name(s) shown on return
FRMLY THE HOUSE COMMUNITY TABLE
Enter the number of individuals you employed during the tax year who are consideredemployees for purposes of this credit (see instructions)Enter the number of full{ ime equivalent employees you had for the tax year (see instructions) lfyou entered 25 or more, skip l ines 3 through 1 1 and enter -0- on l ine 1 2Average annual wages you paid for the tax year (see instructions) lf you entered $50,000 ormore, skip l ines 4 through 11 and enter -0- on l ine 12Premiums you paid during the tax year for employees included on l ine 1 for health insurancecoverage under a qualifying arrangement (see instructions)Premiums you would have entered on l ine 4 if the total premium for each employee equaled theaverage premium for the small group market in whrch you offered health insurance coverage(see instructions)Enter the smaller of l ine 4 or l ine 5Multiply l ine 6 by the applicable percentage:. Tax-exempt small employers, multiply l ine 6 by 25% (25). All other small employers, multiply l ine 6 by 35% ( 35)lf l ine 2 is'10 or less, enter the amount from line 7 Otherwise, see instructionslf l ine 3 is $25,000 or less, enter the amount from line I Otherwise, see instructionsEnter the total amount of any state premium subsidies paid and any state tax credits availableto you for premiums included on l ine 4 (see instructtons)
11 Subtract l ine 1 0 from line 4 lf zero or less, enter -0-
12 Enter the smal ler of l ine 9 or l ine 111 3 l f l i n e l 2 i s z e r o , s k i p l i n e s l 3 a n d l 4 a n d g o t o l i n e l 5 O t h e r w i s e , e n t e r t h e n u m b e r o f
employees included on l ine 1 for whom you paid premiums during the tax year for healthinsurance coverage under a qualifying arrangement (see instructions)
14 Enter the number of full{ ime equivalent employees you would have entered on l ine 2 if you onlyrncluded employees included on l ine 13
Credit for small employer health insurance premiums from partnerships, S corporations,cooperatives, estates, and trusts (see instructions)Add lines 12 and 15 Cooperatives, estates, and trusts, go to l ine 17 Tax-exempt small
employers, skip l ines 17 and 18 and go to l ine 19, Partnerships and S corporations, stop here
and report this amount on Schedule K. All others, stop here and report this amount on Form3800, l ine 4hAmount allocated to patrons of the cooperative or beneficiaries of the estate or trust (seeinstructions)Cooperatives, estates, and trusts, subtract l ine 17 from line 16 Stop here and reportthisamount on Form 3800, l ine 4h
19 Enter the amount you paid in 2011 for taxes considered payroll taxes for purposes of this credit(see instructions)
1 5
1 6
1 7
1 8
20 Tax-exemline 44f
For Paperwork Reduction Act Notice, see separate instructions.{HTA)
2@11Attachment
ldentirying number
rorm 8941 tzorrl
SCHEDULE G(Form 990 or 990-EZ)Oepanment of the TreasuryIntemal Revonue Service
BRIDGE
Complete if the answered "Yes' to Form 990, Part lV, lines 17, 18, or 19, or if theentered more than $15,000 on Form 990-EZ, line 6a.
FRMLY THE CARRIAGE 84-1Fundraising Activities. if the organization answered "Yes" to Form 990, Part lV, line 17.
emental Information Regardingdraising or Gaming Activities
OMB No 1545-0047
2@11
funds throughg;r of the following activities. Check all that applye I X I Solicitation of non-government grants
t I soticitation of government grants
g I Special fundraising events
'al agreement with any individual (including officers, directors, trusteeg iIVll) or entity in connection with professional fundraising services? [| V"s f] Ho
ls or entit ies (fundraisers) pursuant to agreements under which the fundraiser isorganization.
1abcd
2a
Indicate whether the oroanizationI u"it solicitations
[Tl Internet and email solicitations
I enone solicitationslTl ln-p"rron solicitationsDid the organization have a written orkey employees listed in Form 990, P
lf "Yes," l ist the ten highest paidto be compensated at least $5,000 by
(il Name and address of individualor entily (fundraise0
1 LESLIE ALLEN CONSULTING
2 PLAIN ENGLISH MARKETING1
Total3 List all states in which the
registration or l icensing.
(vil Amount paid to(or retained by)
organizaiion
1 0
is registered or licensed to solicit contributions or has been notified it is exempt from
(iiil Did fundraiser havecustody or control of
contributions?
Schedule G (Form 990 or 990-EZ) 201 1
c)f
0.)
0)E.
Schedule G (F,
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part lV, line 18, or reported
events with ipts qreater than $5,000(d) Total events
(add col (a) throughcol (c))
70,870
18 ,349
Gaming. Complete if the organization answered "Yes" to Form 990, Part lV, line 19, or reported more15 000 on Form 990-EZ. l ine 6a
(d) Total gaming (add
col (a) through col (c))
9 Enterr the state(s) in which the organization operates gaming activit ies
o0)acc)
XLU
o
o
o)
0)o)E
XtU
o)
o
a ls the organization l icensed to operate gaming activit ies in each of these states? l v e r E * ob l f "No, " exp la in
morethan$ l5 ,000of fundra is ingeventcont r ibu t ionsandgross incomeonF:orm990-EZ, l ines land6b L is t
1 Gross receipts2 Less: Charitable
contributions .3 Gross income (l ine 1
(a) Event #1
ANNUAL EVENT(b) Event #2 (c) Other events
NONE(total number)
4 Cash prizes
5 Noncash prizes
6 RenUfacility costs
7 Food and beverages
8 Entertainment
9 Other direct expenses
10 Direct expense summary Add lines 4 through 9 in column (d)11 Net income summarv Combine l ine 3 co lumn (d) . and l ine 10
(b ) Pu l l tabs / ins tan lbingo/progressive bingo
1 Gross revenue
2 Cash prizes
3 Noncash prizes
4 RenVfacility costs
7 Direct expense summary Add lines 2 through 5 in column (d)
8 Net oamino income summarv, Combine l ine 1. co lumn d. and l ine 7 .
10a Wereanyo f theo rgan i za t i on ' sgaming l i censes revoked ,suspendedo r te rm ina teddu r i ng the taxyea r?[ v e s E t ob l f "Yes." exola in:
Schedule G (Form 990 or 990-EZ) 2011
schedule c (Form eeo or eeo-Ez) 2011 BRIDGE HOUSE, FRMLY THE CARRIAGE HOUSE COMMUNITY TABLE 84-1440292 Pase 3'11 Does the organization operate gaming activit ies with nonmembers? I Yes n Ho
12 ls the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entityformed to administer charitable gaming?
13 Indicate the percentage of gaming activity operated in:a The organization's facil i ty .b An outside facility .
14 Enter the name and address of the person who prepares the organization's gaming/special eventsand records:
Name >
books
Address )
15a Does the organization have a contract with a third party from whom the organization receives gaming
revenue? !v"" Nob lf "Yes," enter the amount of gaming revenue received by the organization ) $
amount of gaming revenue retained by the third party > $ - - - - - - - - - - - - - -0- .
c lf "Yes," enter name and address of the third party:
0 and the
Name )
Address )
16 Gaming manager information
Name )
Gaming manager compensation > $
Description of services provided
l-l Director/officer l-l emptoyee f] tnoepenoent contractor
17 Mandatorydistributions:a ls the organization required under state law to make charitable distributions from the gaming proceeds to
f v e s E t oretain the state gaming license?b Enter the amount of distributions required under state law to be distributed to other exempt organizations
or gpent in the orqanization's own exempt activit ies during the tax vear ) $ 0Xp |ana t i ons requ i redbyPar t | , | i ne2b ,co |umns
( i i i ) and (v) , and Part l l l , l ines 9, 9b, 10b, 15b, 15c, 16, and 17b, as appl icable. Also complete th is par t to
orovide anv additional information (see instructions).
Schedule G (Form 990 or 990-EZ) 201 I
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SCHEDULE O(Form 990 or 990-EZ)
OMB No 1545-0047
Departmenl of the Treasurylntemal Revenue Seryic€
Name of the organization
HOUSE. FRMLY COMMUNITY T
DEPRECIATION METHODS
Form eeo Part Vl Section Q Lin-e 19-A-L-L-REqU!B-E-g-9-q9-tl[4EN-T$,F--o-L-19-l-E-9,IAX-B-E-TV-BN-q'-F:r-q.{ts-E-
AVAILABLE UPON REQUEST TO THE PUBLIC
-r-qry-9-e9-P-a-r!-!r-$-e-cJi-o-1-Q-Li!e-11-Wr:l-E-N-TH-E-e-qQlS-RE9-E!-YE-D-f-[g-r!t--rl-!E-A9-99UNTA-NI-B-qgP-gN-glqLF-
PROVIDED TO rHE TREASURER FOR APPROVALAI TLI-E,NEXT-q-OABD MEETINQ PB]9-B-T9-SUgJvllq.S-lqN T9--r-F-l-E---
-F-qrrrr-999-P-arll!-Line-? F-E9-AN-ANEW-"EFAQY--I-9:W-o-BKl-BB-gqBArVr-19499-19-IlYrF-M-B-ERqlN I-BAN9!T!-oNrN9-
Supplemental Information to Form 990 or 990-EZComplete to provide informatlon lor responses to specific questions on
Form 990 or 990-EZ or to provlde any additional information.> Attach to Form 990 or 990-EZ.
2@11
For Papenrvork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.(HTA)
Schedule O (Form 990 or 990'EZ) (2011)