Return of Organization Exempt From Income Tax
990
Form
Ill> Do not enter Soclal Security numbers on this form as It may be made public. Ill> Information about Form 990 and Its Instructions Is at www.lrs.gov/form990.
Department of the Treasury lntemal Revenue Service
A For the 2015 calendar year, or tax year beginning
c
B
Chock H 1ppficoblo·
-
N•m e chtl~
IRoom/suite
f--
3201 EAST COLONIAL DRIVE,
lnlll•I return f--
09/30. 20 16 0 Employer Identification number
INC.
Doing Business As Number and street (or P.O. box if mall ls not delivered to street address)
cMng e
f--
10/01, 2015, and ending
Name of organization HISPANIC BUSINESS INITIATIVE FUND OF FLORIDA,
Addr ..a
~@ 15
Under section 501(c) , 527 , or 4947(a)(1) of the Internal Revenue Code (except private foundations)
SUITE A20
59 - 3341405 E Telephone number (407)
428 - 5872
City or town , state or province, country, and ZIP or foreign postal code
Te tmln•ted f--
Amended
ORLANDO,
return
f--
Applice1 lon pend ing
FL 32803
G Gross receipts $
F Name and address of principal officer:
-
Tax-exempt status: Website :
K
Form of organization:
•:.. . .. • •
)
"'4
(insert no.)
I I 4947(a)(1) or I I 527
I L Year of formation : 19 9 Si M
Ill>
FL
Summary
Ch;ckthls-b-;,; -.; Qif-th;~r;;niz~ti~n-dl;~~~n-u~dii;~~e~,rtk,~;~r-dls~~d~f~~r;;h~~25o/.~ri~~;t-a~;ets~ -- - -- -- ---------
ASSISTANCE TO HISPANIC ENTREPRENEURS TRYING TO ESTABLISH OR EXPAND
~
(!)
ell
~"'
:~ u
<
•. :S c
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).
4
5
Total number of individuals employed in calendar year 2015 (Part V, line 2a) .
5
31.
6
Total number of volunteers (estimate if necessary) • • . • . . . .
6
217 .
7a Total unrelated business revenue from Part VII I, column (C) , line 12
7a
b Net unrelated business taxable income from Form 990· T, line 34
7b
8 9
~
~ 10
27 · 27.
9,410 - 20
Prior Year
I
Contributions and grants (Part VIII , line 1 h) ' •• ' ' ' ' ' ' ' ' ' COPY FOR Program service revenue (Part VIII , line 2g) ' ' ' ' ' ' ' ' ' ' ' ' ' ' PUBLIC INSPECTION Investment Income (Part VIII, column (A) , lines 3, 4, and 7d) . . . . . ~------~11
Current Year
2,705,942.
2,927,414
0.
0
837.
1, 011
11
Other revenue (Part VIII , column (A) , lines 5, 6d, Be, 9c, 10c, and 11e).
. •. .
47,843.
49,410
12
Total revenue • add lines 8 through 11 (must equal Part VIII column (A), line 12) .
2,754,622.
2,977,835 353,588
13
Grants and similar amounts paid (Part IX. column (A) , lines 1·3) . . .
. ••.
236,575.
14
Benefits paid to or for members (Part IX, column (A), line 4). . .
. ...•.•
0 .
0
15
Salaries , other compensation , employee benefits (Part IX, column (A), lines 5-10) ,
1,320,616.
1,642,930
0 .
0
~ 16 a Professional fundraising fees (Part IX, column (A), line 11e). . . . . . ••. ~ b Total fundraising expenses (Part IX, column (0), line 25) 1111> _ _ _ _ _ _ _5_6_2_,_8}_4_: ___ __ _ Other expenses (Part IX, column (A), lines 11a· 11d, 11f·24e) . • . . • .
825,581.
974,019
18
Total expenses . Add lines 13·17 (must equal Part IX, column (A), line 25)
2,382,772.
2,970,537
19
Revenue less expenses . Subtract line 18 from line 12 .
w 17
371,850.
7,298
Beginning of Current Year
0 ..
.'!!
20
Total assets (Part X, line 16) • • •
21
Total liabilities (Part X, line 26).
.....
Net assets or fund balances . Subtract line 21 from line 20.
z ,? 22
·~
Ill>
State of legal domicile:
2
c
"'c
~-g
No
Briefly describe the organization's mission or most significant activities: -~~I_1:_ _I_S_~- ~~.?~.?~!~_ _£>~~~!:'~!,>~~~'!:!. __________ _ NONPROFIT ORGANIZATION IN FLORIDA SPECIALIZING IN PROVIDING BILINGUAL
u
.. ....:;1 ;zg
No
Yes
If "No." attach a list. (see Instructions) H(c) Group exemption number
I X I Corporation I I Trust I I Association I I Other
Yes
1 G>
~
I I 501 (c)(
WWW . PROSPERAUSA. ORG
J
1111>
I X I 501 (c)(3)
CJ CJ
3,188,533.
H(a) Is this a group return f0< sub0
. • . •
End of Yea r
2,141,856.
. ••.•. . ...
2,158,734
448,588.
440,098
1,693,268.
1,718,636
S ignature Block
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.
Sign Here
~
Signature of officer
~
Type or print name and title
Date
Print/Type preparers name
Date Check if PTI N Paid ANNE MCHUGH, CPA 05/15/2017 self-employed P01066774 Preparer 1---------'---------"...c-=~==---.:...;==-LC:::;t'-----'--...:....-'---...-....1.----......1.-------~ Use Only Firm's name Ill> BDO USA, LLP Firm's EIN Ill> 13 - 5 3 815 9 0 Flrm'saddress .... 201 s. ORANGE AV E .. SUT TE 800 ORLANDO , F'L 3 2 May the IRS discuss this return with the preparer shown above? (see instruction )
Phone no.
J
• • • • • • . . . . . . . . . • . . .
For Paperwork Reduction Act Notice, see the separate Instructions. JSA
5 10651
E
~~23KK
049A
5/3 ~ldBlJGil~ISCLOSURE
407 - 841 - 6930 X
Yes Form
COPY
No
990 (2015)
PAGE 2
Page
Form 990 (2015)
IQftiii!I
2
Statement of Program Service Accomplishments
D
Check if Schedule 0 contains a response or note to any line in this Part Ill Briefly describe the organization's mission:
TO STRENGTHEN THE ECONOMY OF FLORIDA THROUGH QUALITY BUSINESS DEVELOPMENT AND TRAINING TO HISPANIC ENTREPRENEURS.
2
3
4
Did the organization undertake any significant program services during the year which were not listed on the Yes [!] No prior Form 990 or 990-EZ?. . . . . . . . . . . . . . . . . . . . . . . . . . . • . . • . . • • . • . . . . . . . . . . If "Yes," describe these new services on Schedule 0 . Did the organization cease conducting , or make significant changes in how it conducts , any program Yes [!] No services?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . . . . . . . . . . . . . . . . . If "Yes ," describe these changes on Schedule 0 . Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501 (c)(3) and 501 (c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported .
D D
4a (Code:
) (Expenses$
789, 644.
including grants of$
) (Revenue$
ONE - ON-ONE CONSULTING: HBIF STAFF MEET WITH BUSINESS OWNERS TO ASSESS THE VIABILITY OF THE BUSINESS IDEA AND THE JOB CREATION POTENTIAL OF THE BUSINESS VENTURE. IN-HOUSE STAFF ADVISE CLIENTS AS TO THE GENERAL BUSINESS PRACTICES , FINANCIALS, LICENSES/PERMITS, AND ACCESS TO CAPITAL , AMONG OTHERS. IN-HOUSE CONSULTING IS PROVIDED BILINGUAL AND FREE OF CHARGE TO THE BUSINESS OWNER. HBIF ASSISTED 1,921 BUSINESS OWNERS ACROSS THE STATE OF FLORIDA.
4b (Code:
) (Expenses $
122, 142.
includ ing grants of$
353. 588.
)
-------
(Revenue $ _ _ _ _ _ __
ENTREPRENEURIAL GRANTS: HBIF'S GRANTS ALLOW STARTUPS AND EXISTING BUSINESSES TO RECEIVE ADVANCED BUSINESS DEVELOPMENT SERVICES AT NO OR MINIMAL COST, COMPLETED BY SUBCONTRACTED PROVIDERS PAID BY HBIF. THE GRANTS OFFERED BY HBIF INCLUDE: LEGAL STRUCTURE ASSESSMENT, ACCOUNTING ASSESSMENT, BUSINESS PLAN DEVELOPMENT, MARKETING PLAN, CORPORATE BRANDING, WEB PAGE CREATION, QUICKBOOKS TRAINING, AND LOAN APPLICATION PREPARATION. HBIF AWARDED ENTREPRENEURIAL GRANTS TO 481 BUSINESSES.
4c (Code:
) (Expenses $
682, 569.
including grants of$
) (Revenue $ _ _ _ _ _ __
EDUCATIONAL ASSISTANCE: ORIENTATION SESSIONS PROVIDE BASIC INFORMATION ABOUT HOW TO START A BUSINESS. THE HISPANIC BUSINESS WORKSHOP SERIES OFFERS TRAINING ON SPECIFIC TOPICS THAT ASSIST ENTREPRENEURS IN MAKING CRITICAL DECISIONS TO ACHIEVE SUCCESS. HBIF HAD OVER 4,695 ATTENDEES TO THE EDUCATIONAL SESSIONS OFFERED IN SPANISH AND FREE OF CHARGE.
4d Other program services (Describe in Schedule 0 .)
(Expenses$
including grants of$
4e Total program service expenses ~
~~~ 0201 ·~~23KK
049A
) (Revenue$
2, 194, 955.
5/3 9>LJBllGd~ISCLQSLJRE
CQPY
Form
990 (2015) PAGE 3
Form 990 (2015) ~:r.1••l••
Page 3
Checklist of Reauired Schedules Yes
1 2 3 4 5
complete Schedule A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)?• . . . . . . . .
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 . . . . . . . . . . . . . . . . . . . . . . . . . . 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 . . . . . . . . . . .. . . . . . . . . . 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,
7 8
x x
1 2 3
x
4
x
5
x
"Yes," complete Schedule D, Part I. • . . . . . . . . . . . . . . . . . . . • . . . . . . . . . . . . . . . . . . . . .
6
x
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 . . . . . . . . . Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
7
x
complete Schedule D, Part Ill . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
x
9
x
10
x
Part Ill . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
No
Is the organization described in section 501 (c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes,"
Did the organization maintain any donor advised funds or any similar funds or accounts for wh ich donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If
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 . . . . . . . . . . . . . . . . . . . . . . . . . . 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. . . . . . . 11 If the organization's 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 1O? If "Yes," complete Schedule D, Part VI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 . . . . . . . . . . . . . . . . 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 . . . . . . .. . . . . . . . . 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 . . . . . . . . . . . . . . . . . . . . . . . . . . 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 organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes,• complete Schedule D, Part X . . . . •. 12a Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes,• complete Schedule D, Parts XI and XII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 12a, 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?. . . . . . . . . . . . b Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising , business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100 ,000 or more? If "Yes," complete Schedule F, Parts I and IV . . . . . . . . . . 15 Did the organiza tion report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If "Yes," complete Schedule F, Parts II and IV . . . . . . . . . • . . . . . . . . . . . 16 Did the organization report on Part IX, column (A), line 3, more than $5 ,000 of aggregate grants or other assistance to or for foreign individuals? If "Yes," complete Schedule F, Parts Ill and IV .. . . . , . . . . . . . . . 17 Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions) .. . . . . . . . . . . 18 Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1 c and Ba? If "Yes," complete Schedule G, Part II . . .. . . • . . . .. . . . . . . , . . . . . . . . 19 Did the organization report more than $15 ,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part Ill • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
l_J
,_ 11a
x
11 b
x
11c
x
11 d 11e
x x
11f
x
12a
x
12b 13 14a
X X X
14b
X
15
X
16
X
17
x
18
x x
19 Form
990
(2015)
JSA
5E 1021 1.000
2423KK 049A
s/3~UBllGif;)ISCLOSURE
COPY
PAGE 4
Form 990 (2015)
•:r.1.-u•
Page Yes
20 a b 21 22 23
24a
b c d 25 a b
26
27
28 a b c 29 30 31 32 33 34 35a b 36 37
38
JSA
10301
No
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H. . . . . . . . . . . . . 20a X If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? .. ......2_o_b-+---+--Did the organization report more than $5 ,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If "Yes," complete Schedule I, Parts I and JI. • . • . . . . . . 21 X Did the organization report more than $5 ,000 of grants or other assistance to or for domestic ind ividuals on Part IX, column (A), line 2? If "Yes," complete Schedule I, Parts I and JI/. • • • • • • • • • • • • • • . • • • • • • • • 22 X Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 X Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If "Yes," answer lines 24b through 24d and complete Schedule K. If "No," go to line 25a . . . . . . . . • • . . . . . . . . . . . . . . . . . . 24a X Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?. . . . . . . ,_2_4_b-+---+--Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exem pt bonds? . . . . . . . . . . . . . . . . • . . . . . . . • . . . . . . . . . . . . . . . . . . ,_2_4_c-+---+--Did the organization act as an "on behalf of' issuer for bonds outstanding at any time during the year? . . . . . . t-2:....4;..:d-+---+--Section 501 (c)(3), 501 (c)(4), and 501 (c)(29) organizations. Did the organization engage in an excess benefit X transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I . . . . . . . . . . . . 25a Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25b X Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or 2_ 6 -+---+--xdisqualified persons? If "Yes," complete Schedule L, Part II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Did 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 Ill . . . . • . . . . . . . . . . ___ 21_ _ _ x_,__ Was the organization a party to a business transaction with one of the fol lowing parties (see Schedule L, I Part IV instructions for applicable filing thresholds, conditions, and exceptions): X A current or former officer, director, trustee, or key employee? lf"Yes," complete Schedule L, Part IV . . . . . . . 28a A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV . . . . . . . . . . . . . . .. . . . . . • . . . . . . , . . . . . . . . .. , . . . . . . . . . . . 28b X An entity of which a current or former officer, director, trustee, or key employee (or a family mem ber thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV • . . . . . . .. t-2_8_c-+---+--XDid the organization receive more than $25 ,000 in non-cash contributions? If "Yes," complete Schedule M . .. . 1-29- -+--X-+-Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified x_ conservation contributions? If "Yes," complete Schedule M . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3_o_ _ _ _ Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, 31--+--+-xPart I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . . . . . . 1-Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes,• complete Schedule N, Part JI . . . . • • . . . . • • • . . . • • • • • • • • • • . • • . • • • • • • • • • . • . • . . • 32 X Did the organization own 100% of an entity disregarded as separate from the organization under Regulations X sections 301 .7701 -2 and 301.7701-3? If "Yes," complete Schedule R, Part I . . . . . . . . . . . . • . . . . . . . 33 Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part JI, Ill, or IV, and Part V, line 1 . . • . . • . . . . . . . . . . . . . . . . . . . . • . . . . . . . • . . . . . . • . • . • . . . >-34_ _x__,___ Did the organization have a controlled entity within the meaning of section 512(b)(13)? . . . . . . . . . . . . . . ,_3_5_a-+--X-+--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 . . . . . ,_3_5_b-+-_-+-_x_ Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable 36"--+--+--Xrelated organization? If "Yes,• complete Schedule R, Part V. line 2 . . . . . . . . . . . . . . . . . . . . . . . . . . ;-.:.. 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, 37- -+--+--x_ Part VI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . • . • • • • • • • • • • • • . • • • • . • • 1-Did the organization complete Schedule 0 and provide explanations in Schedule O for Part VI, lines 11 b and x 38 19? Note. All Form 990 filers are reauired to comolete Schedule 0 . Form
SE
4
Checklist of Required Schedules (continued)
~~23KK
049A
5/3 ,RU
BllGil~I SCLOS uRE c0 PY
990
(2015)
PAGE 5
Page
Form 990 (2015)
IQMW
Statements Regarding Other IRS Filings and Tax Compliance Check if Schedule 0 contains a resoonse or note to anv line in this Part V .
5
.n Yes
No
36 I 1a I 1 a Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable . . . . • . . . 0. 1b b Enter the number of Forms W-2G included in line 1a. Enter-0- if not applicable . . . . . . . c Did the organization comply with backup withholding rules for reportable payments to vendors and x reportable gaming (gambling) winnings to prize winners? . . . . • . . . . . • . . . . . . . . . . . . . . . . . . . 1c 2a Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return . 2a 31 x 2b 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 1a and 2a is greater than 250 , you may be required toe-file (see instructions) . . . . . . . x 3a Did the organization have unrelated business gross income of $1,000 or more during the year? . . . . . . . • . . 3a x 3b b If "Yes ," has it filed a Form 990-T for this year? If "No" to line 3b, provide an explanation in Schedule 0 . . . . . . . . 1---1---1--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)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . t--4_a-+---+--X--.. b If "Yes ," enter the name of the foreign country: .,.. - - - - - - - - - - - - - - - - - - - - - - I See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). Sa Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? . . . . . . . . . ,__s_a-+-_-+-_x_ b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? 1-5-"' b-+---+--Xc If "Yes" to line 5a or 5b, did the organization file Form 8886-T?.. . . . . . . . . . . . . . . . .. .. . . . . . . . . 1-S_c-+---+--6a Does the organization have annual gross receipts that are normally greater than $100 ,000 , and did the organization solicit any contributions that were not tax deductible as charitable contributions? . . . .. . . . . . . ,__6_a-+-_-+-_x_ b If "Yes," did the organization include with every so licitation an express statement that such contributions or gifts were not tax deductible?. . . . . . . . . . . . . . . . . .. .. . . . . . . . . . . . . . . . . . . .. .. . . . . 1-6_b-+---+--... 7 Orga nizations t hat 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 x and services provided to the payor? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . 7a x b If "Yes," did the organization notify the donor of the value of the goods or services provided? . . . . . . . . . . . . 7b
I I
-
J
_J
c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was
I · ·I · · · · · · ·
7c required to file Form 8282? . . . . . . . · · · · · · · · · · · · · · · · · · · · · · · · · · · · · d If "Yes," indicate the number of Forms 8282 filed during the year .. . . . . . . . . . . . . . . '-'7d= -..1------i e Did the organization receive any funds, directly or Indirectly, to pay premiums on a personal benefit contract? 7e f Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? . . . . . 7f 7g g If the organ ization received a contribution of qualified Intellectual property, did the organization file Form 8899 as required ? 7h h If the organization received a contribu tion of cars, boats, airplanes, or other veh icles, did the organization file a Form 1098-C? 8
9 a b 10
a b
Sponsoring organizations ma intaining donor advised f unds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? . . . . . . . . . . . . . . . . . Sponsoring organizations maintaining donor advised funds. Did the sponsoring organization make any taxable distributions under section 4966?. . . . . . . . Did the sponsoring organization make a distribution to a donor, donor advisor, or related person? . Section 501(c)(7) organizations. Enter: I10a I Initiation fees and capital contributions included on Part VIII , line 12 . . . . . . . . . . 10b Gross receipts , included on Form 990, Part VIII , line 12, for public use of club facilities.
x
-
x
I
x
J 8
J 9a 9b
11
Section 501(c)(12) orga nizations. Enter: a Gross income from members or shareholders . . . . . . . . . . . . . . . . . • . . . . . . . . . 1-1'-1:..:a:..+-- - - --1 b Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them .) . .. . . . .. . . . . . .. . . . . . . . . . . . . '-1'-1:..:b' - ' - - - - - - i 12a Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in liel u of !Form 1041? ,_1_2_a_ __,___ b If "Yes," enter the amount of tax-exe mpt interest received or accrued during the year. . . . . '-1_2-'b'-'-------1 13 Section 501(c)(29) qualif ied nonprofit hea lth insurance Issuers. 13a a Is the organization licensed to issue qualified health plans in more than one state? . . . . . . . . . . . . . . . ' ' • 1---1---1--Note. See the instructions for additional information the organization must report on Schedule 0 . 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 . . . . . . . . . . . . . . . . . . . 11-1:..:3:..:b:..;l.__ _ _--t c Enter the amount of reserves on hand. . . . . . . . . . . . . . . . . . . . . . . . • . . . . . '-1.;_3.;_c'--'------+--+- -+-x 14a Did the organization receive any payments for indoor tanning services during the tax year? . . . .. . . . . . . 14a 14b b If "Yes " has it filed a Form 720 to reoort these navments? If "No "nrovide an exnfanation in Schedule 0 1--~1---1---
JSA
SE
10401
·~~23KK
049A
5/3 ~lJB L IGd~ISCLOSURE
COPY
Form
99 0 (2 01 5) PAGE 6
Page 6 Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to line Ba, Bb, or 1Ob below, describe the circumstances, processes, or changes in Schedule 0 . See instructions. Check if Schedule 0 conta ins a response or note to any line in this Part VI . . . . . . . . . . . . . . . . . . . . . . . . [XJ
Form 990 (2015)
l:t!ff fJI
Section A. Governlna Bodv and Manaaement Yes
1a
1a
Enter the number of voting members of the governing body at the end of the tax year
No
I
21
If there are material differences in voting rights among members of the governing body, or If the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule 0 .
2'J
1b b Enter the num ber of voting members included in line 1a, above, who are independent . . . . . Did any officer, director , trustee, or key employee have a fam ily rela tionship or a business re lationship with 2 any other officer, director, trustee, or key employee? . . . . . . .. .. . .. . . . . . . . . . . . . . . . . . . . Did the organization delegate control over management duties customarily performed by or under the d irect 3 supervision of officers, directors, or trustees, or key emplo yees to a manage ment 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 orga nization 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 mem bers of the governing body? .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . b Are any governance decisions of the organization reserved to (or su bject to approval by) members, stockho lders, or persons other than the governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Did the organization contemporaneously document the meetings held or written actions undertaken during 8 the year by the follo wing : a The governing body?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Each committee with authority to act on behalf of the governing body? . . . . . . . . . . . . . . . . . . . . . . 9 Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization's mailinq address? If "Yes," orovide the names and addresses in Schedule 0 . . . . . . . . . . .
2
x
3 4 5 6
x x x x
7a
x
7b
x
Ba
x
Sb
x
I x
9
Section B. Policies (This Section B reauests information about oolicies not reauired bv the Internal Revenue Code.) Yes
1Oa 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 operatio ns are consistent with the organization's 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. 12a Did the organization have a written conflict of interest policy? If "No," go to line 13 . . . . . . . . . . . . . . . . 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 O how this was done . . . . . . . . . . . . . . . . . . . . . 13 Did the organization have a written whistleblower policy? . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . 14 Did the organization have a written document retention and destruction po licy? . . . . . . . . . . . . . . . .. . 15 Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision? a The organization's CEO, Executive Director, or top management official . . . . . . b Other officers or key employees of the organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . If "Yes" to line 15a or 15b, describe the process in Schedule 0 (see instructions). 16 a 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 organ ization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization's exempt status with respect to such arrangements? .. . . . . . . . . . . . . . . . . . . . . . . .
No
10a
x
10b 11a
x
12a
x
12b
x
12c 13 14
x
1 Sa 15b
x
16a
x x
x x
16b
Section C. Disclosure 17
List the states with which a copy of this Form 990 is required to be filed .,. _F_L_,_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
18
Section 6104 requires an organiza tion to make its Forms 1 023 (or 1024 if applicable), 990 , and 990-T (Section 501 (c)(3)s only) available for public ins~tion . Indicate how you made these available. Check all that apply. Own website ~ Another's website Upon request Other (explain in Schedule 0)
0 19
20
[!]
0
Describe in Schedule O whether (and if so , how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year. State the name,_?ddress_, and teleohone number of the oerson who possesses the oraanization's books and records: ..,. AUGUSTO SAr
l0? - 428 -5872
Form 990 (2015)
JSA 5E1042 1.000
2423KK 049A
s13 J;tUBLIGil~ISCLOSURE
COPY
PAGE 7
Page 7 Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors Check if Schedule 0 contains a response or note to any line in this Part VII . . . . . . . . . . ... .
Form 990 (2015)
IQM(111
D
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization's tax year. • List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation . Enter -0- in columns (D), (E), and (F) if no compensation was paid . • List all of the organization's current key employees, if any. See instructions for definition of "key employee." • List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee) who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100 ,000 from the organization and any related organizations. • List all of the organization's former officers, key employees , and highest compensated employees who received more than $100 ,000 of reportable compensation from the organization and any related organizations . • List all of the organization's former directors or trustees that received , in the capacity as a former director or trustee of the organization, more than $10 ,000 of reportable compensation from the organization and any related organizations. List persons in the following order: ind ividual compensated employees; and former such persons.
0
trustees or directors; institutional
trustees; officers: key employees; highest
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee. (C) Position (do not check more than one Average box, unless person Is both an hours per week (list any officer and a dire ctor/trustee) hours for o- :; 0 :c "Tl ~ 'C"'3 clS' related "'~ i6 9, org anizations ~ c . g: 3 ~!II. '2. ~ 8 below dotted Q et. 0 3 2 et. line) -m !II. 2 ~
(D)
(E)
(F)
Reportable compensation from the organ ization
Reportable c ompensation from related organi zations
Estimated amount of other compensation from the organ ization and related organ izations
(B)
(A) Nam e and Title
~
~
[ "'
(W-2/1099-MISC)
(W-2/1099-MISC)
"
"'"'
la"
!II.
~
1[
2. 00
_ iD~~-~~~~~~- - ----- --- ------- --- - -----I MMEDIATE PAST CHAIR 0. x _ !~ ~~~~ - ~~!
____________________ ---2.00 - -- -
o.
o.
0
x
x
0.
0.
0
x .so _ !'!)~~~~~ ~~~~ ----------------- ------x DIRECTOR 0. . so _ i~~9~~~~~ --- - --- -- ------ - ------ ------DIRECTOR 0. x .so _ ifil~~~- ~~~~~~ -~~~~~~ ----- - ------- ------0. DIRECTOR x
x
0.
0.
0
0.
0.
0
0.
0.
0
o.
0.
0
0.
0.
0
0.
o.
0
o.
0.
0
0.
0.
0
0.
0.
0
0.
0.
0
0.
0.
0
0.
o.
SECRETARY
- 1~~9~!~-~~!~~~ ---------------- TREASURER
_ iD~!~~- ~~ -~~~~~~~~ ------- - DIRECTOR AT LARGE
_ !~~!~!~~-~ ~~~ -----------------CHAIR
0. 2 . 00 ------0.
2 . 00 ------0. 2 . 00 0.
x
------- x
x
. so _ !{!)~~!~-~~~~~~ -- - ---- - ------------ ------o. x DIRECTOR 2 .00 11QJ~9~~~~!!~~~ ---------------- ------DIRECTOR 0. x .so 11V!~!~-~~~~ ----------- - -------- ------DIRECTOR 0. x .so 11~~9~~~~~~~~ ------ - ------------ ------x DIRECTOR 0. .so 11~9~~!~~-~~~~~~~ -~~~~~~ -------- ------DIRECTOR AT LARGE 0. x 2.00
111)~~~~ ~ - ~~~~~ -- -------- --- ------ - - -----DIRECTOR AT LARGE o. x
0 Form
JSA
5E 1041 1.000
2 4 2 3KK 049A
s/3 ~UBllG1 [i)ISCLOSURE
COPY
990
(2 015)
PAGE 8
Page 8
Form 990 (2015)
-·
Section A Officers, Directors, Trustees Kev Employees, and Hiahest Compensated Employees (continued) (A)
(B)
(C)
Name and title
Average
Position (do not check more than one box, unless person Is both an officer and a director/trustee)
hours per week {list any hoursfoc related organizations below dotted line)
Q
5.
a
~~
c. s;i ~
2
IQ.
~
.so ---------------------------------- ------0. .so ---------------------------------- ------0. . so ---------------------------------------0. DIRECTOR
15) CRISTINA ABREU DIRECTOR 16) MERCEDES ANGELL DIRECTOR 17) FREDDY BAL SERA
:::> Ill
~ 8' ~
2
....
IQ.
0
~
~ .. 3
"2. 0
l
.. J: 3
l ~sit ~ 8 'O
-n
i
(D) (E) Reportable Reportable compensation compensation from from related the organizations organization (W-2/1099-MISC) (W -2/1099-MISC)
3 ~
(F) Estimated amount of other compensation from the organization and related organizations
:::>
,..c.fC
x
0.
0.
0.
x
0.
0.
0.
0.
0.
0.
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
x .so ------0. x .so ------o. x .so ------o. x .so ------0. x .so ------0. x .so ------0. x .so ------0. x
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
o.
0.
0.
0.
0.
o.
0.
0.
0.
0.
----------------------------------
2.00 ------0.
0. 0. 184,473. 184,473 .
0. 0. 0. 0.
0. 0. 28 , S60 . 28,S60.
18) SOPHIE COELLO DIRECTOR 19) DELVIS DIAZ DIRECTOR 20) ALEX GLENN DIRECTOR 21) LILLY GONZALEZ DIRECTOR 22) CRISTINA ICE DIRECTOR 23) MARK LOPEZ DIRECTOR 24) MARCIELA MEDRANO DE LUNA DIRECTOR 2S) LOURDES MOLA DIRECTOR
1 b Sub-total c Total from continuation sheets to Part VII, Section A d Total (add lines 1 b and 1c) .
x
... ... ...
2
Total number of individuals (including but not limited to those listed above) who received more than $100 ,000 of reportable compensation from the organization .,. 1
3
Did the organization list any former officer, director, or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual .. .. . . . . . . . • . . . . . . . . . . . . . .
3
For any individual listed on line 1 a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150 ,000? If "Yes," complete Schedule J for such individual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
Yes
4
5
Did any person listed on line 1 a receive or accrue compensation from any unrelated organization or individual for services rendered to the orqanization? If 'Yes," complete Schedule J for such oerson Section B. Independent Contractors
1
2 JSA
~E
.. ...... .. ... . ..
No
x x
5
x
Complete this table for your five highest compensated independent contractors that received more than $100 ,000 of compensation from the organization. Report compensation for the calendar year ending with or w ith in the organizat ion's tax year. (A)
(B)
(C)
Name and business address
Description of services
Compensation
Total number of independent contra ctors (including but not limited to those listed above) who rece ived more than $100 ,000 in compensation from the organization .,. 0.
10551 000
·
2423KK 049A
S/3 ~u BLIGil;)ISCLosu RE
co PY
I Form 990 (2 015) PAGE 9
Page
Form 990 (2015)
•:.F.Tia'.41•
8
Section A. Officers, Directors, Trustees, Kev Emplovees, and Hiohest Compensated Emplovees (continued) (E) (F) (B) (0) (A) (C) Name and title
Average
hours per week (list any hours for
Position (do not check more than one box, unless person Is both an officer and a director/trustee)
related
Qa_
organizations
9: [ ~ c. 0 !!!.
below dotted line)
""gc :::>
~~
!!!.
!d
~
"'"'
.so CHRIS MOYA ---------------------------------------0. DIRECTOR .so 27) YO VANNIE RODRIGUEZ ---------------------------------------0. DIRECTOR .so 28) ARMANDO RODRIGUEZ-FEO ---------------------------------------0. DIRECTOR
:::> ~
0
~
~ "'3
"l2. 0
l
*"'
"':I: 3
%~ ~ 5't
.,, ~ ~
Reportable Reportable compensation compensation from from related organizations the organization (W-2/1099-MISC) (W -2/1099-MISC)
"'8 3 i:::>
Estimated amount of other com pen sat ion from the organization and related organizations
IC
[
26)
29) AUGUSTO SANABRIA ----PREsioiN"T"/c_E_o __________________
40 . 00 ------0.
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------
x
0.
0.
0.
x
o.
0.
0.
x
0.
0.
0.
184,473.
0.
28,S60.
x
-------------------------------------
....
1b Sub-total .... c Total from continuation sheets to Part VII , Section A d Total (add lines 1b and 1c) . 2 Total number of individuals (including but not limited to those listed above) who received more than $100 ,000 of reportable compensation from the organization .,.. 1
....
Yes
3
4
Did the organization list any former officer, director , or trustee, key employee, or highest compensated employee on line 1a? If "Yes,• complete Schedule J for such individual . .. . . . . . .. .. . . . . . . . . . . . . . .
3
For any individual listed on line 1 a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150 ,000? If "Yes," complete Schedule J for such individual . . . . . . . . . . . . . . . . . . . . • • . . . . . . • . . . . . . . . . . . • . . . . . . . . . . . . . . . . . .
4
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person Section B. Independent Contractors
5
1
2
.... . .. . ..... .. .
No
x x
5
x
Complete this table for your five highest compensated independent contractors that received more than $100 ,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year. (A)
(B)
(C)
Name and business address
Description of services
Compensation
Total number of independent contractors (including but not limited to those listed above) who received more than $100 ,000 in compensation from the organization .,..
JSA
SE 1055 1.000
2423KK 049A
S/3 ~UBL.JGil~ISCLOSURE
COPY
i!
Form 990 (2015) PAGE 10
Page
Form 990 (2015)
l:Jifiif1111
Statement of Revenue
.n
Check if Schedule 0 contains a response or note to any line in this Part VIII.
.
J!!J!l c; c; "' 0 :I ...
i~
Federated campaigns
1a
b
Membership dues .
1b
c
Fundraising events
1c
d
Related organizations
1d
e
Government gra nts (contributions) •
1e
f
All other contributions, gifts, grants, and similar amounts not Included above
1f
1a
e:> E (3~
uiE c; ·-
.2~ ..... ".r:.
..c_ 0
:s
c; "O 0 c;
g
..
(,)"'
.... a:
h
(0) Revenue excluded from tax under sections 512-514
2,066,310.
577,298. 116,292.
Noncash contributions included in lines 1a-1f. $ Total. Add lines 1a-1f •
....
~
-
2,927,414 .
Business Code
c;
..
Total revenue
(C) Unrelated business revenue
283,806.
:I
>
(B) Related or exempt function revenue
(A)
9
2a b
u
..
·~
c
VJ
d
E
e f g
~
Cl
~
0..
3
All other program service revenue • Total. Add lines 2a-2f • Investment
Income
....
(including
dividends,
..
and other similar amounts).
4 5
....
o.
....
0.
....
0.
....
0.
Gross rents .
b
Less: rental expenses
c
Rental income or (loss) Net rental income or (loss).
d 7a
l, 011 .
1, 011.
....
Income from investment of tax-exempt bond proceeds Royalties • (II) Personal (i)Real
6a
0.
interest,
(I) Securities
Gross amount from sales of
(II) Other
assets other than inventory b
Less: cost or other basis and sales expenses
c
..
..a:..... .. :I
d 8a
c;
Gain or (loss) Net gain or (loss) Gross income from fundraising events (not including $
>
ATCH 1
283,806.
of contributions reported on line 1c). See Part IV, line 18
.r:.
b c
0
9a b c 1 Oa b c
Less: direct expenses • • • • • • • . Net income or (loss) from fundraising
b
210,698.
b
210,698.
events .~rr:Gli .~
Gross income from gaming activities. See Part IV, line 19
Gross sales of Inventory, returns and allowances
....
o.
....
0.
....
0.
a
b Less: direct expenses Net Income or (loss) from gaming activities. less a
b Less: cost of goods sold • Net income or (loss) from sales of inventory, Miscellaneous Revenue
11a
a
Business Code
ADVERTISING/SPONSORSllIPS
900099
9,410.
OTHER MISC INCOME
900099
40,000.
9,410. 40,000 .
c d
All other revenue
e
Total. Add lines 11a-11d Total revenue. See instructions.
12
....
....
49,410. 2,977,835.
40,000.
JSA 5E1051 1.000
2423KK 049A
1, 011 .
9,410.
Form
S/3 j;llJBLIGil~ISCLOSURE
COPY
990 (2015) PAGE 11
Page
Form 990 (2015)
10
Statement of Functional Ex enses Section 501 (c)(3) and 501 (c)(4) organizations must complete all columns. All other organizations must complete column (A)
I I
Check if Schedule O contains a response or note to any line in this Part IX
Do not Include amounts reported on lines 6b, 7b, Bb, 9b, and 10b o f Part VIII. 1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 . 2 Grants and other assistance Individuals. See Part IV, line 22 .
to
(A)
(B)
Total expenses
Program sef\lice expenses
35 3 , 5 88.
(C) Management and general expenses
(D)
Fundraislng expenses
I
3 53, 5 88.
I
domestic
I
0.
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 .
0.
I
4 Benefits paid to or for members .
0.
I
5 Compensation of current officers, directors, trustees, and key employees 6 Compensation not Included above, to disqualified persons (as defined under section 4956(1)(1)) and persons described In section 4956(c)(3)(B) . 7 Other salaries and wages . 8 Pension plan accruals and contributions (include section 401 (k) and 403(b) employer contributions) 9 Other employee benefits . 10 Payroll taxes • 11
25 2,146 .
3 8,6 53 .
128 ,95 3.
90 8, 114 .
73 8,965.
5 9,307.
10 9,8 42 .
29 t 661. 1 88 ,16 3 .
1 8, 5 7 2. 144 , 2 70. 7 4, 96 7 .
6 , 258 . 13 , 9 8 6 . 6 , 231 .
4 t 83 1. 29 , 9 0 7.
0.
97 ,240.
Fees for services (non-employees): a Management
..
21 ,479.
1 5, 5 76 .
2 ,864.
3,03 9 .
35,1 2 6.
2 1,898.
1 1,94 3 .
1 , 285 .
d Lobbying
0.
e Professional fundralslng sef\lices. See Part IV, line 17. f Investment management fees
0.
g
Other.
(If
line 11g amount exceeds 10% of line
16 ,04 2 .
0.
b Legal c Accounting
41 9 ,752.
25,
0.
column
expenses on Schedule 0 .). 12 Advertising and promotion .
1 00 ,826 . 153 , 9 8 6 .
10 ,08 9 . 106 ,47 6 .
4 , 2 04 . 5,665.
86 , 533. 41 , 845.
13 Office expenses
220 , 5 17 .
13 6, 795 . 21 , 8 87.
18 ,988.
64 ,73 4.
4,338 .
1,442 .
(A) amount. list line 11g
14 Information technology.
0.
15 Royalties. 16 Occupancy
..
17 Travel . 18
27 , 667 .
Payments of travel or entertainment expenses for any federal, state, or local public officials
19 Conferences, conventions, and meetings 20 Interest
171 , 3 86.
149 ,46 3 .
8 , 49 1.
1 3 ,4 32 .
100 , 3 6 2 .
58 , 623 .
11 , 446 .
30,293 .
51 , 9 07.
10 , 557 .
14,551.
o. 77,015. 78 .
78.
0.
21
Payments to affiliates.
22
Depreciation, depletion, and amortization .
39 ,1 59.
29 t 7 61.
4 , 699.
4,699.
Insurance
12 , 2 66.
9, 499.
1 ,4 20 .
1 , 347 .
14 , 152 .
473 .
3 , 620 .
10 , 059 .
2,970 , 53 7 .
2,19 4, 955.
212 , 748 .
562 , 83 4.
23
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 ~~s_c~~~~~Qg~---- ------------
b ____________________________ c ---------------------------d ____________________________
e All other expenses---- - - - - - - - - - - - - 25 Total functional exDenses. Add lines 1 throuah 24e 26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational carnpai Dand fundraising solicitation. Check here ~ if following SOP 98-2 (ASC 958-720).
0.
JSA 5E 1052 1.000
2423KK 0 4 9A
Form 990 (201 5)
5/3~1JBll G1 DISCLOSURE
COPY
PA GE 12
Form 990 (201 5) 1:.1:1••---
Page
Balance Sheet Check if Schedule 0 contains a resoonse or note to anv line in this Part X.
. ....
Cash - non-interest-bearing . . Savings and temporary cash investments. Pledges and grants receivable, net . Accounts receivable , net Loans and other receivables from current and former officers , directors, trustees , key employees, and highest compensated employees. Complete Part II of Schedule L 6 Loans and other receivables from othe~ dlsquaiified pe;s~ns (~s· defin~d· u~de; section 4958(f)(1 )), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501 (c)(9) voluntary employees' beneficiary organizations (see instructions). Complete Part II of Schedule L. U) a; 7 Notes and loans receivable, net .• . U) U) < 8 Inventories for sale or use 9 Prepaid expenses and deferred charges 10 a Land , buildings, and equipment: cost or 248 , 820 . 10a other basis . Complete Part VI of Schedule D 120 , 155. 10b b Less : accumulated depreciation . 11 Investments - publicly traded securities 12 Investments - other securities. See Part IV, line 11 . 13 Investments - program-related. See Part IV, line 11 14 Intangible assets . . . . 15 Other assets. See Part IV, line 11 16 Total assets. Add lines 1throuqh15 (must eoual line 34) 17 Accounts payable and accrued expenses. 18 Grants payable . .... 19 Deferred revenue 20 Tax-exempt bond liabilities 21 Escrow or custodial account liability. Complete Part IV of Schedule D U) 22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and :cIll disqualified persons. Complete Part II of Schedule L . . . . . . :J 23 Secured mortgages and notes payable to unrelated third parties . . .. 24 Unsecured notes and loans payable to unrelated third parties. 25 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 . . . . . .. ... . . .. . . Total liabilities. Add lines 17 through 25. 26 . . Organizations that follow SFAS 117 (ASC 958), check here and U) complete lines 27 through 29, and lines 33 and 34. QI u c: Unrestricted net assets Ill 27 iV 28 Temporarily restricted net assets . 1 2 3 4 5
. . . . . . ... 0
.....
..
.. ....
. .... . . . . . . ... ... . . . . . ...
.. .
~
(B)
Beginning of year
End of year
1 2 3 4
334 ' 65 1. 555 , 434. 49 , 34 6 .
0.
5
0.
0. 0. 0. 79,902.
6 7 8 9
0. 0. 0. 93 ,67 9.
131 , 751. 10c o. 11 0. 12 0 . 13 0 . 14 0 . 15 2,141 , 856 . 16 275,830. 17 0. 18 1 7 2,758 . 19 0. 20 0. 21
al
c: 29
"O
::I
u..
...0 U)
a; U) U)
< a; z
30 31 32 33 34
. . ... .. . . . . . ..... ..
Permanently restricted net assets . Organizations that do not follow SFAS 117 (ASC 958), check here complete lines 30 through 34 .
.. . . .
.. .... [j ~~d
.
..
.. .. ..... . . ..
o. 0. 0.
o. 2,158,734. 2 7 2 , 845 . 0. 167 , 253.
o. 0.
0. 0. 0.
0. 25 448 , 588. 26
0. 440,098 .
1,588 , 768. 27 104 , 500. 28 0 . 29
1,633 , 636. 85 , 000. 0.
.
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 assets/fund balances . . . ... .
128 , 666 . 369,149.
0. 22 o. 23 0. 24
. . ..
. .. . . . .. . . . .. . . . ... .... l..!J
6 27 , 8 0 9.
1 , 156 , 434 . 233 ,7 96 . 501 ,8 9 0. 3 8,08 3 .
..
.
. . . .. I I
(A)
0
... .. . . .
..
. ..
11
1 , 693 , 268. 2 , 141 , 856.
30 31 32 33 34
1,718 , 636. 2 , 158 , 734. Form 990 (2 015)
JSA
5 1053 1
E
~~23KK
049A
5/3 ~LJBllGili) IS C LOSURE
COPY
PAGE 13
Page
Form 990 (2015)
14ffif31 2 3 4
5 6 7
8 9 10
Reconciliation of Net Assets Check if Schedule 0 contains a res onse or note to an line in this Part XI
Total revenue (must equal Part VIII, column (A), line 12) . Total expenses (must equal Part IX, column (A), line 25) . . . . . . Revenue less expenses. Subtract line 2 from line 1 • . . . . . . . . Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) Net unrealized gains (losses) on investments Donated services and use of facilities Investment expenses . . . . . . . . . • . . . Prior period adjustments . . . . . . . . . . . Other changes in net assets or fund balances (explain in Schedule 0) . Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......
8 9
2,977, 83 5 . 2 , 970, 53 7. 7 , 298 . 1 , 693,268 . - 8 , 670 . 26, 740 . 0. 0. 0.
10
1 , 718 , 636 .
2 3 4 5 6 7
Financial Statements and Reporting Check if Schedule 0 contains a response or note to anv line in this Part XII ..
0
QD
0
No
x
2a
0
Separate basis Consolidated basis Both consolidated and separate basis b Were the organization's 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 s~rate basis, consolidated basis, or both: ~ Separate basis Consolidated basis Both consolidated and separate basis
0
... n Yes
0
Accounting method used to prepare the Form 990: Cash Accrual Other -----If the organization changed its method of accounting from a prior year or checked "Other," explain in Schedule 0. 2a Were the organization's 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:
0
12
2b
x
2c
X
0
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 0 . 3a 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 reauired audit or audits, explain why in Schedule 0 and describe any steps taken to underao such audits.
I x
3a 3b Form
990
(201 5)
JSA
5E 1054 1.000
2423KK 049A
5/3J;lUBllGifi)ISCLOSURE COPY
PAGE 14
SCHEDULE A (Form 990 or 990-EZ)
Public Charity Status and Public Support
OMB No. 1545·0047
Complete If the organization Is a section 501 (c)(J) organization or a section 4947(a)(1) nonexempt charitable trust.
~@ 15
Ooen to Public Attach to Form 990 or Form 990-EZ. Department of the Treasury Inspection Internal Revenue Sel'llice 1111> Information about Schedule A (Form 990 or 990-EZ) and Its Instructions Is at www.lrs.gov/form990. Name of the organization HI S PAN IC BUSI NE SS INITIAT I VE FUND Employer Identification number OF FLORIDA, I NC . 59-33 414 05 1111>
Reason for Public Charit Status (All or anizations must complete this part.) See instructions. The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.) 1 ~A church , convention of churches , or association of churches described in section 170(b)(1)(A)(i). 2 A school described in section 170(b)(1 )(A)( ii). (Attach Schedule E (Form 990 or 990-EZ).) 3 A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(lil). 4 A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(ili). Enter the hospital's name , city, and state : 5 An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1}(A}(lv). (Complete Part 11.) 6 A federal , state, or local government or governmental unit described in section 170(b)(1 )(A)(v). 7 An organization that normally receives a substantial part of Its support from a governmental unit or from the general pub lic described in section 170(b)(1)(A)(vi). (Complete Part II.) 8 A community trust described in section 170(b)(1)(A)(vl). (Complete Part 11.) 9 An organization that normally receives: (1) more than 331 /3 % of its support from contributions, membership fees , and gross receipts from activities related to its exempt functions - subject to certain exceptions, and (2) no more than 331 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(a)(4) . 11 An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2) . See section 509(a)(3) . Check the box in lines 11 a through 11 d that describes the type of supporting organization and complete lines 11 e, 11 f, and 11 g.
D D
[I]
D
D
D
D
a
b
c d
e
g
D
Type I. A supporting organization operated , supervised, or controlled by its supported organization(s) , typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B. Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C. Type Ill functionally Integrated. A supporting organization operated in connection with , and functionally integrated with , Its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E. Type Ill non-functionally integrated . A supporting organization operated in connection with its supported organization(s) that is not functionally Integrated . The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V. Check this box if the organization received a written determination from the IRS that it is a Type I, Type II , Type Ill functionally integrated , or Type Iii non-functionally integrated supporting organization . Enter the number of supported organizations . . . . . . .. . .. . . . . . . .. . . . . . . .. . . . . . . .. . . . . . I~--~ Provide the following information about the supported organization(s) . (I) Name of supported organization (II) EIN (Ill} Type of organization (Iv) Is the organization (v) Amount of monetary (vi) Amount of (described on lines 1-9 listed In your goveming support (see other support (see above (see instructions)) document? Instructions) Instructions)
D
D D
D
Yes
No
(A) (B) (C)
(D) (E)
Total For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
;~~ 2101 · 000 2423KK
049A
5/3 ~1JBLIG 1 ~ISCLOSURE
Schedule A (Form 990 or 990-EZ) 2015
COPY
PAGE 15
2
Page
Schedule A (Form 990 or 990-EZ) 2015
1@111
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 Il l. If the organization fails to qualify under the tests listed below, please complete Part Ill. ) Section A. Public Support Calendar year (or fiscal year beginning In) Iii1
2
3
4 5
6
Gifts, grants, contributions, and membership fees received . (Do not include any "unusual grants.") . . . • • •
(a) 2011
1,531,931.
(b) 2012
1,875,933.
(c) 2013
2 , 135,265 .
{d) 2014
(e) 2015
2,927,414.
2,705,942.
(f) Total
11,176,485.
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf . . . • . • . The value of services or facilities furnished by a governmental unit to the organization without charge . . • • • • . Total. Add lines 1 through 3 . . . . . • .
0.
0. 1,531,931.
1,875,933.
2, 135 , 265.
2,705,942.
2,927 , 414.
The portion of total contributions by each person (other than a or publicly governmental unit supported organization) included on line 1 that exceeds 2% of the amount shown on line 11 , column (f).A.T9I;! .1. . Publlc support. Subtract line 5 from line 4.
11,176,485.
548,832. 10,627,653.
Sec ti on BTtlS oa up po rt Calendar year (or flscal year beginning In) Iii7 8
9
..
Amounts from line 4 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources . . . Net income from unrelated business activities, whether or not the business Is regularly carried on . .
.
10
11 12 13
(a) 2011
(b) 2012
(c) 2013
(d) 2014
(e) 2015
(f) Total
1, 531, 931.
1,875,933 .
2,135,265.
2,705,942.
2,927,414.
11,176,485 .
1,055 .
1,363.
381.
837 .
l, 011.
4' 647.
11,255 .
11,811.
2,492.
7,620.
9,410.
42,588 .
1,449.
8,286.
724.
40,000.
Other income. Do not include gain or loss from the sale of capital assets 155. (Explain in Part VI. ) Total support. Add lines 7 through 10. Gross receipts from related activities, etc. (see instructions) .
50,614. 11,274,334 .
12
I
1,114,770.
n
First five years. If the Form ggo is for the organization's first, second, third, fourth , .or. f.ift.h ta·x· y.ear as .a. sec.tio. n. 5. 0 1( c)(~ organization , check this box and stop here . . . • . . • . . . . • . . • . • • . . • ...- _ 0
0
Section C. Com utation of Public Su
0 0
ort Percenta e
14 Public sup port percentage for 2015 (line 6, column (f) divided by line 11 , co lumn (f)) . . . . . . . . 14 94 · 26 % 15 Public support percentage from 2014 Schedule A, Part II , line 14 • • . . . . . . . . . . . . . . . . . 15 93 · 23 % 16a 331/3 % support test • 2015 . If the organization did not check the box on line 13, and line 14 is 33113 % or more, c heck this box and stop here. The organization qualifies as a publicly supported organization . • . . • . . . . • . . . . . • . • 1111b 331/3% support test . 2014. If the organization did not check a box on line 13 or 16a, and line 15 is 33113%or more, check this box and stop here. The organization qualifies as a publicly supported organization . . . . • • • • . • • . • • . Iii17a 10%-facts-and-circumstances test • 2015 . If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check th is box and stop here . Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization. . . . . . . . . • . . . • . . . . . . • • . . . . . . . . . . • . . . • • • . . . • • . . . . . . . . . . . . . . . 1111b 10%-facts-and-ci rcumstances test • 2014. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly 18
supported organization . . . . . . . . . . . . . . . . • . . . . • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions • . . . . . . . . . . • . • . • . . . . • • . • . . . . . . • • • . . . • • . . • • • • • • .
1111-
[]]
D D D D
Schedule A (Form 990 or 990-EZ) 2015
JSA
5E 1220 1.000
2423KK 049A
s/3 ~UBllGil~ISCLOSURE
COPY
PAGE 16
Schedule A (Form 990 or990-EZ) 2015
Page
3
l:lffil!!I
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.) Section A. Public Suooort Calendar year (or fiscal year beginning In) ... ~_(_a_ )2_0_1_1~~~(b_)_ 2_ 01_2~~~(c_)_ 2_ 01_3~~~(d_)_2_0_ 14~~~-(e~)_2_0_ 15~~~-'~ Q_T_o_ ta_I~ 1
Gifts, grants, contributions, and membership fees received . (Do not include any "unusual grants.")
2
Gross receipts from admissions, merchandise sold
or services
performed, or
facilities
furnished In any activity that Is related to the organ ization's tax-exempt purpose . • . 3
. .
Gross receipts from activities that are not an unrelated trade or business under section 51 3
4
Tax
revenues
levied
for
the
organization's benefit and either paid to or expended on Its behalf . . . 5
The
value
of
services
or
. .
facilities
furnished by a governmental unit to the 6
organization w ithout charge . . .
. .
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 $5 ,000 or 1% of the amount on line 13 for the year 8
c Add lines 7a and 7b. . . • . • •.•. Public support. (Subtract line 7c from line 6.) . • .
. .
. . . .
. .
. .
Section B Total Suooort Ca~ndar year (or fisc~ year beg~n~g In) ... ~~ (a_)_ 2_ 0_ 11_~__(_ b_ ) 2_0_1_2_~-~(c~)_2_0_1_ 3 _~_(~d~ )_ 20_1_4_~-~(e~)_2_0_1_5_-+--~(Q ~To_ ta_I~
9 Amounts from line 6. . . . ..... • 1 Oa Gross income from interest, dividends, payments received on securities loans, rents , royalties and income from si milar sources. . • . . . • . . . • . . . b Unrelated business taxable income (less section
511
taxes)
from
acquired after June 30, 1 g75 c Add lines 1 Oa and 1 Ob 11
12
. . .
businesses . .
. .
. .
. . r------+-------+-------+-------+-------+-------
Net income from unrelated business activities not included in line 1 Ob, whether or not the business is regularly carried on · · · · • · • · · • · Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI. ) . • • • , • . ,
13
Total su pport. (Add lines 9 , 1De, 11 ,
14
and 12.) • • . . . . . . . • ... First five years . If the Form 9go is for the organization's first, second, third , fourth, or fifth tax year as a section 501 (c)(3)
........ . . o
organ ization , check th is box and stop here . . • . . . . • . • . . . . . . . • .
Section C. Com utation of Public Su
ort Percenta e
15
Public support percentage for 2015 (l ine 8, column (f) divided by line 13, column (f)).
15
16
Public support percentage from 2014 Schedule A, Part Ill, line 15 . . . . . . • . • .
16
% %
Section D. Com utation of Investment Income Percenta e 17
Investment income percentage for 2015 (line 1 De , column (f) divided by line 13, column {f)) .
17
18
Investment Income percentage from 2014 Schedule A, Part Ill, line 17 • . . . . . . . . . •
18
% %
19 a 331 /3 % s upport tests - 2015 . If the organ ization did not check the box on line 14, and line 15 is more than 331 /3 %, and line
17 is not more than 331/3 %, check th is box and stop here. The organization qualifies as a publicly supported organization
.. o
b 331 /3 % support tests - 2014 . if the organ ization did not check a box on line 14 or line 19a, and line 16 is more than 331 /3 %, and line 18 is not more than 33 1/3 %, check this box and stop here. The organization qualifies as a publicly supported organization
...
Private foundation . If the organization did not check a box on line 14 , 19a, or 19b, check this box and see instructions ... JSA 99 990 5E1221 1.000 P V hed ul e A (Form 2423KK 049A 20
5/3 ~lJ
BlJG1[;)I SC LQS LJ RE ( Q
0
or ;~~: ~7
Page 4 Supporting Organizations (Complete only if you checked a box in line 11 of Part I. If you checked 11 a of Part I, complete Sections A and B. If you checked 11 b of Part I, complete Sections A and C. If you checked 11 c of Part I, complete Sections A, D, and E. If you checked 11 d of Part I, complete Sections A and D, and complete Part V.) Section A All Supporting Organizations Yes No
Schedule A (Form 990 or 990-EZ) 2015
ldUlJ
1
Are all of the organization 's supported organizations listed by name in the organization's governing documents? If "No," describe in Part VI how the supported organizations are designated. If designated by
.,._1_,___,___
class or purpose, describe the designation. If historic and con tinuing relationship, explain.
I
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a}(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported
2
.,._2_,___,___
organization was described in section 509(a)(1) or (2) .
3a
t-3a--t--+---
(b) and (c) below.
b
J
Did the organization have a supported organization described in section 501(c)(4), (5) , or (6)? lf " Yes," answer Did the organization confirm that each supported organization qualified under section 501 (c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the
t-3_b-+---+--Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? lf"Yes," explain in Part VI what controls the organization put in place to ensure such use. .,._3_c-+---+--Was any supported organization not organized in the United States ("foreign supported organization")? If J " Yes," and if you checked 11a or 11b in Part I, answer (b) and (c) below. t--4_a-+-- -+-- Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If " Yes," describe in Part VI how the organization had such control and discretion t-4-'b-+---+--despite being controlled or supervised by or in connection with its supported organizations. organization made the determination .
c 4a b
c
to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes. 5a
'
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501 (c)(3) and 509(a)(1) or (2)? If " Yes," explain in Part VI what controls the organization used 4c
I
Did the organization add , substitute , or remove any supported organizations during the tax year? If " Yes,"
answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document) . .,._S_a_ _ _ __
b c 6
Type I or Type II only. Was any added or substituted supported organization part of a class already .,._ S_b-+---+--designated in the organization's organizing document? Sc Substitutions only. Was the substitution the result of an event beyond the organization's control? Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization's supported organizations? lf " Yes," provide detail in Part VI.
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)) , a family member of a substantial contributor, or a 35% controlled entity with t--7-t---t--regard to a substantial contributor? If "Yes," complete Part I of Schedule L (Form 990 or 990-EZ) .
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7?
,___s_____
lf"Yes," complete Part I of Schedule L (Form 990 or 990-EZ) .
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defi ned in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? lf"Yes,'' provide detail in Part VI. ,___ 9a--+---+---
b
Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? lf " Yes,'' provide detail in Part VI. t-9-'b-+---+--Did a disqua lified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit t-9_c-+---+--from , assets in which the supporting organization also had an interest? /f " Yes," provide detail in Part VI. Was the organization subject to the excess business holdings rules of section 4 943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type Ill non-functionally integrated ,_1_0_a--+---+--supporting organizations)? If " Yes,'' answer 1 Ob below. Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings.) 1 Ob
c 1Oa
b
Schedule A (Form 990 or 990-EZ) 2015
JSA 5 12291 000 E
6
'
2423KK 049A
5/3j;lUBllG1(;)ISCLOSURE COPY
PAGE 18
Page
5
continued Yes No 11 a b c
Has the organization accepted a gift or contribution from any of the following persons? A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization? A family member of a person described in (a) above? A 35% controlled entit of a erson described in a or b above? If "Yes" to a b or c rovide detail in Part VI.
~1;_1;...;:a'-+---+--~1;_1;...;:b'-+---+---
11 c
Sect on B. Type I Supporting Organizations Yes No 1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization's directors or trustees at all times during the tax year? If "No," describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization 's activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
2
-
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated , supervised , or controlled the supporting organization? /f"Yes," explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised, or controlled the supporting organization.
2
Section C. Type II Support ng Organ zat ons Yes No 1
Were a majority of the organization's directors or trustees during the tax year also a majority of the directors or trustees of each of the organization's supported organization(s)? If "No," describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
Section D All Type Ill Suooorting Organizations Yes No Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization's tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization's governing documents in effect on the date of notification, to the extent not previously provided? Were any of the organization's officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how
2
the organization maintained
3
a close and continuous working relationship with the supported organization(s).
2
By reason of the relationship described in (2), did the organization's supported organizations have a significant voice in the organization's investment policies and in directing the use of the organization's income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization's supported organizations played in this regard.
3
Section E. Type Ill Functionally-Integrated Supporting Organizations 1
a b c 2 a
H D
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions): The organization satisfied the Activities Test. Complete line 2 below. The organization is the parent of each of its supported organizations. Complete line 3 below. The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see Instructions).
those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
b
a
b
2a
Did the activities described in (a) constitute activities that, but for the organization's involvement, one or more of the organization's supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization 's position that its supported organization(s) would have engaged in these activities but for the organization's involvement.
3
Yes No
Activities Test. Answer (a) and (b) below. Did substantially all of the organization's activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify
Parent of Supported Organizations. Answer (a) and (b) below. Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI. Did the organization exercise a substantial degree of direction over the policies, programs, and activities of each of its suooorted oroanizations? If "Yes "describe in Part VI the role olaved bv the oraanizatlon in this reaard.
2b
3a
3b
Sc hedule A (Form 990 or 990-EZ) 2015
JSA
5E 1230 1.000
2423KK 049A
s/3~1JBLIGili)ISCLOSURE
COPY
PAGE 19
Page
Schedule A (Form 990 or 990-EZ) 2015
6
Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All I S ect1ons A t hroug h E other T ype Ill non-f unct1ona II1y .integrated suooort1ng organizations must compete (B) Current Year Section A - Adj usted Net Income (A) Prior Year (optional) 1 Net short-term capital Qain
2 3 4 5
Recoveries of prior-year distributions Other oross income (see instructions) Add lines 1 throuoh 3 Depreciation and depletion
1
2 3 4 5
6 Portion of operating expenses paid or incurred for production or
collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 7 Other expenses (see instructions) 8 Adiusted Net Income (subtract lines 5 6 and 7 from line 4)
6
7 8
S ection B - Minimum Asset Amount
(A) Prior Year
(B) Current Year (optional)
1 Aggregate fair market value of all non-exempt-use assets (see
instructions for short tax year or assets held for part of year): a Averaoe monthly value of securities b Average monthly cash balances c Fair market value of other non-exempt-use assets d Total (add lines 1a, 1b, and 1c) e Discount claimed for blockage or other factors (explain in detail in Part VI): 2 Acquisition indebtedness aoolicable to non-exempt-use assets 3 Subtract line 2 from line 1d 4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). 5 Net value of non-exempt-use assets (subtract line 4 from line 3) 6 Multiply line 5 by .035 7 Recoveries of prior-year distributions 8 Minim um Asset Am ount (add line 7 to line 6)
I 1a 1b 1c 1d
I 2 3
4 5 6 7 8
Current Year
Section C - Distributable Amount 1 Adjusted net income for prior year (from Section A, line 8, Column A)
1
Enter 85% of line 1 Minimum asset amount for prior year (from Section B, line 8, Column A) Enter greater of line 2 or line 3 Income tax imposed in prior year 6 D istributable Am ount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)
2 3 4 5
2 3 4 5
7
6
LJ Check here if the current year is the organization's first as a non-functionally-integrated Type Ill supporting organization (see instructions . Sc hedule A (Form 990 or 990-EZ) 2015
JSA
5 12311
e
~~23KK
049A
s/3J;tlJ Bll Gi(~ I SC LQS LJ RE ( QPY
PAGE 20
..,.
Page 7
Schedule A (Form 990 or 990-EZ) 2015 -~.-
Type Ill Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued) Current Year
Section D - Distributions 1 Amounts oaid to suooorted oroanizations to accomolish exemot ourooses 2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity 3 Administrative exoenses oaid to accomolish exemot ourooses of sunnorted oroanizations 4 Amounts paid to acquire exemot-use assets 5 Qualified set-aside amounts (prior IRS aooroval required) 6 Other distributions (describe in Part VI). See instructions. 7 Total annual distributions. Add lines 1 through 6. 8 Distributions to attentive supported organizations to which the organization is responsive (orovide details in Part VI). See instructions. 9 Distributable amount for 2015 from Section C, line 6 10 Line 8 amount divided by Line 9 amount Section E - Distribution Allocations (see instructions) 1 2
(i) Excess Distributions
(ii) Underdistributions Pre-2015
Distributable amount for 2015 from Section C, line 6 Underdistributions, if any, for years prior to 2015 (reasonable cause required-see instructions) Excess distributions carryover, if any, to 2015:
3
I
I I I I
a b
c d e f g h i j
4 a b
c 5
6
7 8 a b c d
e
(iii)
Distributable Amount for 2015
I
From 2013 . • . . • . . . From 2014 .. . . . . . . Total of lines 3a through e Applied to underdistributions of prior years Applied to 2015 distributable amount Carryover from 2010 not applied (see instructions) Remainder. Subtract lines 3g , 3h, and 3i from 3f. Distributions for 2015 from Section D, line 7: $ Applied to underdistributions of prior years Applied to 2015 distributable amount Remainder. Subtract lines 4a and 4b from 4. Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions). Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) . Excess distributions carryover to 2016. Add lines 3j and 4c. Breakdown of line 7:
I I I
I !
I
Excess from 2013 . Excess from 2014 . Excess from 2015 . Sc hedule A (Form 990 or 990-EZ) 2015
JSA
SE
12321
~~23KK
049A
5/3 ~UBL.JGil~ISCLOSURE
COPY
PAGE 21
Schedule A (Form 990 or 990-EZ) 2015
1@191
Page
8
Supplemental Information. Provide the explanations required by Part 11 , line 1O; Part 11, line 17a or 17b; and Part Ill , line 12 . Also complete this part for any additional information . (See instructions).
ATTACHMENT 1 SCHEDULE A, PART II - EXCESS CONTRIBUTIONS (NOT OPEN TO PUBLIC INSPECTION) TOTAL CONTRIBUTION
CONTRIBUTOR NAME
LESS 2% OF LINE 11 (F)
EXCESS CONTRIBUTION AMOUNT
BANK OF AMERICA FOUNDATION
420,000.
225,487.
194,513 .
WALT DISNEY WORLD
454,293 .
225,487 .
228,806 .
WELLS FARGO FOUNDATION
351,000.
225,487.
125,513.
TOTAL
1,225,293 .
548,832.
Sc hedule A (Form 990 or 990-EZ) 2015
JSA
5E 1225 1 .000
2423KK 049A
5/3 ~1JBLIGil;)ISCLOSURE
COPY
PAGE 22
Schedule B
OMB No. 1545-0047
Schedule of Contributors
(Form 990, 990-EZ, or 990-PF)
..,.. Attach to Form 990, Form 990-EZ, or Form 990-PF.
Department of the Treasury Internal Revenue Service .... Information about Sc hedu le B (Form 990 , 990-EZ, or 990-PF) and Its Instructions Is at www.lrs.gov/form990.
Name of the organization
Ci))f(Y
(5WJ
15
Employer Identification number
HISPANIC BUSINE SS I NITIAT I VE FUND OF FLORIDA, I NC.
59-33414 05
Organization type (check one): Filers of:
Section:
Form 990 or 990-EZ
[RJ
Form 990-PF
D D D
501 (c)( 3
) (enter number) organization
4947(a)(1) nonexempt charitable trust not treated as a private foundation 527 political organization 501(c)(3) exempt private foundation
D
4947(a)(1) nonexempt charitable trust treated as a private foundation
D
501 (c)(3) taxable private foundation
Check if your organization is covered by the General Rule or a Special Rule . Note. Only a section 501 (c)(7) , (8) , or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions. General Rule
D
For an organization filing Form 990 , 990-EZ , or 990-PF that received , during the year, contributions totaling $5 ,000 or more (in money or property) from any one contributor . Complete Parts I and II. See instructions for determining a contributor's total contributions .
Special Rules
[R]
D D
For an organization described in section 501 (c)(3) filing Form 990 or 990-EZ that met the 33 1/3 % support test of the regulations under sections 509(a)(1) and 170(b)(1 )(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that rece ived from any one contributor, during the year, total contributions of the greater of (1) $5 ,000 or (2) 2% of the amount on (i) Form 990 , Part VIII , line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II. For an organization described in section 501 (c)(7 ), (8) , or (10) filing Form 990 or 990-EZ that received from any one contributor, during the year, total contributions of more than $1 ,000 exclusively for religious , charitable, scientific, literary, or educational purposes , or for the prevention of cruelty to children or animals . Complete Parts I, II , and Ill. For an organization described in section 501 {c)(7 ), (8) , or (10) filing Form 990 or 990-EZ that received from any one contributor, during the year, contributions exclusively for rel igious , charitable , etc ., purposes, but no such contributions totaled more than $1 ,000 . If this box is checked , enter here the total contributions that were rece ived during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively rel igious , charitable , etc ., contributions totaling $5 ,000 or more during the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..,.. $ ______________ _
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990 , 990-EZ, or 990-PF), but it must answer "No" on Part IV, line 2, of its Form 990; or check the box on line Hof its Form 990-EZ or on its Form 990-PF , Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF). For Paperwork Reduction Act Notice, see the Instructions for Form 990 , 990-EZ, or 990-PF .
Schedule B (Fonm 990 , 990-EZ, or 990-PF) (2015)
JSA
5E1251 2.000
2423KK 049A
s/3J;tUBL.JG1[i)ISCLOSURE COPY
PAGE 23
Page 2 Employer Identification number
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
Name of organization
59-3341405
OF FLORIDA, INC .
lmJ
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (c) Total contributions
(b) Name, address, and ZIP + 4
(a) No.
- -11,503,297.
$
(d) Type of contribution Person Payroll Noncash
§
(Complete Part II for noncash contributions.) (b) Name, address, and ZIP + 4
(a) No.
(c) Total contributions
- -2185,289.
$
(d) Type of contribution Person Payroll Noncash
~
(Complete Part II for noncash contributions.) (b) Name, address, and ZIP + 4
(a) No.
(c) Total contributions
3 - -85,000.
$
(d) Type of contribution Person Payroll Noncash
§
(Complete Part II for noncash contributions.) (a) No.
{b) Name, address, and ZIP + 4
(c) Total contributions
- -4155,000.
$
(d) Type of contribution Person Payroll Noncash
§
(Complete Part II for noncash contributions.) (a) No.
(b) Name, address, and ZIP + 4
(c) Total contributions
5 - -150 , 900 .
$
(d) Type of contribution Person Payroll Noncash
§
(Complete Part II for noncash contributions.) (a) No.
(b) Name, address, and ZIP + 4
(c) Total contributions
- -6$
128,460.
(d) Type of contribution Person Payroll Noncash
§
(Complete Part II for noncash contributions.) Schedule B (Form 990, 990-EZ. or990-PF) (2015)
JSA
5E 1253 2.000
2423KK 049A
5/3~UBL.JG1 [;)ISCLOSURE
COPY
PAGE 24
Page 2 Employer Identification number
Schedule B (Form 990, 990-EZ, or990-PF) (2015)
Name of organization
59-3 341405
OF FLORIDA, I NC .
lml
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (b) Name, address, and ZIP + 4
(a) No.
(c) Total contributions
- -7-
(d) Type of contribution Person Payroll
7 9 , 553 .
$
Noncash
§
(Complete Part II for noncash contributions.) (a) No.
(b) Name, address, and ZIP + 4
(c) Total contributions
(d) Type of contribution Person Payroll Noncash
---
$
§
(Complete Part II for noncash contributions.) (a) No.
(c) Total contributions
(b) Name, address, and ZIP + 4
---
(d) Type of contribution Person Payroll Noncash
$
§
(Complete Part II for noncash contributions.) (a) No.
(b) Name, address, and ZIP + 4
(c) Total contributions
(d) Type of contribution Person
---
Payroll Noncash
$
§
(Complete Part II for noncash contributions.) (b) Name, address, and ZIP + 4
(a) No.
(c) Total contributions
---
(d) Type of contribution Person Payroll Noncash
$
§
(Complete Part II for noncash contributions.) (a) No.
(b) Name, address, and ZIP + 4
(c) Total contributions
---
(d) Type of contribution Person Payroll Noncash
$
§
(Complete Part II for noncash contri butions.) Schedu le B (Form 990 , 990-EZ, or 990-PF) (2015)
JSA
5E 1253 2.000
2423KK 049A
5/3~UBllGif~ISCLOSURE
COPY
PAGE 25
Schedule B (Form 990, 990-EZ, or990-PF) (2015)
Name of organization
1@111
Page
3
Employer Identification number
HISPANIC BUSINESS INITIATIVE FUND OF FLORIDA, INC.
59-3341405
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed .
(a) No. from Part I
(c) FMV (or estimate) (see Instructions)
(b) Description of noncash property given
(d) Date received
EVENT FOOD AND BEVERAGE 2
--116,292.
$ (a) No. from Part I
12/14/2015
(c) FMV (or estimate) (see Instructions)
(d) Date received
(c) FMV (or estimate) (see Instructions)
(d) Date received
(c) FMV (or estimate) (see instructions)
(d) Date received
(c) FMV (or estimate) (see Instructions)
(d) Date received
(c) FMV (or estimate) (see Instructions)
(d) Date received
(b) Description of noncash property given
--$ (a) No. from Part I
(b) Description of noncash property given
.
--$ (a) No. from Part I
(b) Description of noncash property given
--$ (a) No. from Part I
(b) Description of noncash property given
--$ (a) No. from Part I
(b) Description of noncash property given
--$ JSA 5E 1254 2.000
2423KK 049A
Sc hedule B (Form 990, 990-EZ, or 990-PF) (2015)
5/3J;iUBllGil~ISCLOSURE
COPY
PAGE 26
Page 4 HISPANI C BUS I NESS I NITIATIVE FUND Employer Identification number OF FLORIDA, I NC. 5 9- 334140 5 Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part Ill, enter the total of exclusively religious , charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Ill-$ Use d up Iicate copies of Part Ill if add 1t1ona '. I space .1s nee ded. -------
Schedule B (Form 990 , 990-EZ, or 990-PF) (2015)
Name of organization
(a) No. from Part I
(b) Purpose of gift
(c) Use of gift
(d) Description of how gift Is held
--(e) Transfer of gift Relationship of transferor to transferee
Transferee's name, address, and ZIP+ 4
(a) No. from Part I
(b) Purpose of gift
(c) Use of gift
(d) Description of how gift Is held
--(e) Transfer of gift Relatlonshlp of transferor to transferee
Transferee 's name, address, and ZIP+ 4
(a) No. from Part I
(b) Purpose of gift
(c) Use of gift
(d) Description of how gift Is held
--(e) Transfer of gift Relationship of transferor to transferee
Transferee's name, address, and ZIP+ 4
(a) No. from Part I
(b) Purpose of gift
(c) Use of gift
(d) Description of how gift Is held
--(e) Transfer of gift Transferee's name, address, and ZIP+ 4
Relations hip of transferor to transferee
Schedule B (Form 990 , 990-EZ, or 990-PF) (2015)
JSA
5E 1255 3.000
2423KK 049A
PAGE 27
SCHEDULE D (Form 990)
OMB No.
Supplemental Financial Statements
1545-0047
~@ 15
.... Complete If the organization answered "Yes" on Form 990, Part IV, line 6, 7, 8, 9, 10, 11a, 11 b, 11c, 11d, 11e, 11f, 12a, or 12b. .... Attach to Form 990. Open to Public Oepartment of the Treasury .... Information about Schedule D (Form 990) and Its Instructions Is at www.lrs.gov/form990. Inspection Intemal Revenue Service Name of the organization HI SPANIC BUS I NESS INITI ATIVE FUND Employer Identification number OF FLORIDA, I NC . 5 9- 3341405
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6. (a) Donor advised funds 1
(b) Funds and other accounts
Total number at end of year . . . . . . . . . . . Aggregate value of contributions to (during year) Aggregate value of grants from (during year) Aggregate value at end of year • . . . . . . . . . Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization's property, subject to the organization's exclusive legal control? .. . . . . . . . . . 0 Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferrin im ermissible rivate benefit? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
3 4 5 6
D
Yes
D
No
Yes
D
No
Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7. P§r ose(s) of conservation easements held by the organization (check all that apply). Preservation of land for public use (e.g., recreation or education) Preservation of a historically important land area Protection of natural habitat Preservation of a certified historic structure Preservation of open space Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation Held at the End of the Tax Year easement on the last day of the tax year. 2a Total number of conservation easements . . . . . . . . . • . . . • . . . . . . . . . 2b Total acreage restricted by conservation easements . . . . . . . . . . . . . . . . . 2c Number of conservation easements on a certified historic structure included in (a). Number of conservation easements included in (c) acquired after 8/17/06, and not on a 2d historic structure listed in the National Register . . . . . . . . . . . . . . . . . . . . . . . . Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
D D
2 a b
c d
3
6
tax year ..,.. - - - - - - - - Number of states where property subject to conservation easement is located ..,.. - - - - - - - - Does the organization have a written policy regarding the periodic monitoring , inspection, handling of violations , and enforcement of the conservation easements it holds? . . . . • . . . . . . . . . . . . . . . . . Yes No Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
7
Amount of expenses incurred in monitoring , inspecting, handling of violations, and enforcing conservation easements during the year
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? . . . . . . . . . . . . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes 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 organization's financial statements that describes the anization's accountin for conservation easements.
4
D
5
....
_________
.... $ - - - - - - - - -
D
9
m!l•lf 1a b
2 a b For
D
D No
Or ganizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets. Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
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. If the organization elected, as permitted under SFAS 116 (ASC 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) Revenue included in Form 990, Part VIII, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ""' $ - - - - - - (Ii) Assets included in Form 990, Part X. . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . . .... $ - - - - - - If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the following amounts required to be reported under SFAS 116 (ASC 958) relating to these items: Revenue included in Form 990, Part VIII, line 1 . . . . . . . . ..,.. $ - - - - - - Assets included in Form 990, Part X. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .... $ Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule D (Form 990) 2015
~~~ 268 1 ~~23KK
049A
5/3~UB LIGif~ISCLOSURE COPY
PAGE 28
Schedule D (Form 990) 2015
Page
2
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued} 3 Using the organization's acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply): Public exhibition a Loan or exchange programs d Scholarly research b Other e Preservation for future generations c 4 Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part XIII. 5 During the year, did the organization solicit or receive donations of art, historical treasures, or other similar Yes No assets to be sold to raise funds rather than to be maintained as part of the organization's collection? . . . . Escrow and Custodial Arrangements . Com plete if the organization answered "Yes" on Form 990 , Part IV, line 9, or reported an amount on Form 990 , Part X, line 21 .
D D
§
--------------------
1 a Is the organization an agent, trustee , custodian or other intermediary for contributions or other assets not included on Form 990, Part X? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount c Beginning balance 1c d Additions during the year 1d e Distributions during the year . 1e f Ending balance . 1f 2a Did the organization include an amount on Form 990 , Part X, line 21, for escrow or custodial account liability? LJ Yes .HNo b If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided on Part XIII ·~,~··· Endowment Funds. Complete 1f the organization answered "Yes" on Form 990 , Part IV, line 10. (a) Current year (b) Prior year (c) Two years back (d) Three years back (e} Four years back
D
D
..
1a 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 . g End of year balance. 2 Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as: a Board designated or quasi-endowment ""' % b Permanent endowment ""' % ----c Temporarily restricted endowment ""' % The percentages on lines 2a , 2b , and 2c should equal 100%. 3a Are there endowment funds not in the possession of the organization that are held and administered for the Yes organization by: 3a(i) (i) unrelated organizations . . . . . . . . . . • . . . . . . . . . . . . . . . . . . . . . 3a(li) (ii) related organizations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3b b If "Yes" on line 3a(ii), are the related organizations listed as required on Schedule R? . 4 Describe in Part XIII the intended uses of the or anization's endowment funds. Land, Buildings, and Equipment. c omp Ie te 1'f tft e orqarnzat1on . answere d "Yes II on Form 990 p art IV ('me 11 a. see Form 990 p art x ('1ne 10
..
...
.. .... ..... ..
..
No
I
Description of property
(a) Cost or other basis (Investment)
(b} Cost or other basis (other)
(c) Accumulated depreciation
(d) Book value
....... .. . ....
1a Land b Buildings c Leasehold improvements. 25,659. d Equipment 223 , 162 . .. . e Other . . . .... . Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B) , line 10c.).
.
... ..
15,212 104,943.
. . . . . ....
10,447. 118,219 . 128 , 666 . Schedule D (Form 990) 2015
JSA
5E 1269 1.000
2423KK 049A
5/3 ~UBLIGil;)ISCLOSURE
COPY
PAGE 29
Schedule D (Form 990) 2015
1¢t'il911
Page
3
Investments - Other Securities. Complete if the organization answered "Yes" on Form 990, Part IV, line 11 b. See Form 990, Part X, line 12. {b) Book value
(a) Description of security or category (including name of security)
(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives . . . . (2) Closely-held equity interests . . • . . (3)0ther ______________________________ -+-~~~~~~-+-~~~~~~~~~~~~~~~~~~-
__ !f:) _________________________________ -t-------+----------------~ __ 1~----------------------------------1-~~~~~---;r-~~~~~~~~~~~~~~~~-
__ 19_________________________________ -+-~-~~--+----------------~
__ 1~)_---------------------------------1-~~-~~-t-----------------~ __ Ji:,J J~----------------------------------r--------t---------------__ _________________________________ _,__ _ _ _ _..,.__ _ _ _ _ _ _ _ _ _ _ _ __ __ 1~)_ _______________________________________,__ _ _ _ _ _ _ _ _ _ _ __ __ 1'i)_________________________________ ~~~~~~~-+-~~~~~~~~~~~~~~~~Total. (Column (bJ must equal Form 990, Part X, col. (BJ line 12.) Ill> •~1••u11•
Investments - Program Related. Complete if the organization answered "Yes" on Form 990, Part IV, line 11 c. See Form 990, Part X, line 13. (a) Description of investment
(b) Book value
(c) Method of valuation : Cost or end-of-year market value
(1) (2)
(3)
(4) (5)
(6) (7) (8)
(9)
Total. (Column (bJ must equal Form 990, Part X, col. (BJ l/ne 13.J
•':.1-;Ti••"•
...
Other Assets. Complete if the organization answered "Yes" on Form 990, Part IV, line 11 d. See Form 990, Part X, line 15. (a) Description
(b) Book value
(1)
(2)
(3)
(4) (5) (6)
(7) (8)
(9) Total. (Column (b) must equal Form 990, Part X, co/. (B) line 15.).
•·.s:Ti•--
. . . . . . . . . . . . . .... . ...... ....
Other Liabilities. Complete 1f the organization answered "Yes" on Form 990, Part IV, line 11 e or 11 f. See Form 990, Part X, line 25.
1.
(a) Description of liability
(b) Book value
( 1) Federal income taxes
(2) (3) (4) (5) (6) (7) (8) (9) Total. (Column (b) must equal Form 990, Part X, col. (B) line 25.)
...
2. Llablllty for uncertain tax positions . In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740) . Check here if the text of the footnote has been provided in Part XIII
~~~ 2101 ~~23KK
049A
s/3 ~UBLIGil;)ISCLOSURE
COPY
[XJ
Schedule D (Form 990) 2015 PA GE 30
Page 4
Schedule D (Form 990) 201 5
l@lf31 1 2 a b c d e 3 4 a b c 5
Total revenue , gains , and other support per audited financial statements Amounts included on line 1 but not on Form 990 , Part VIII , line 12: Net unrealized gains (losses) on investments Donated services and use of facilities Recoveries of prior year grants. Other (Describe in Part XIII.} Add lines 2a through 2d Subtract line 2e from line 1 Amounts included on Form 990 , Part VIII , line 12, but not on line 1: Investment expenses not included on Form 990 , Part VIII, line 7b . Other (Describe in Part XIII.} Add lines 4a and 4b Total revenue . Add lines 3 and 4c. rTh/s must eaual Form 990 Part I line 12.l
• :0..:11111 • .•I•
1 2 a b c d e 3 4 a b c 5
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered "Yes" on Form 990, Part IV, line 12a.
2a 2b 2c 2d
1
2 , 995 , 905.
2e 3
18,0 7 0. 2 , 9 77 ,835.
4c 5
2 , 977,835.
-8 , 670 . 26 ,7 40 .
4a 4b
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete 1f the organization answered "Yes" on Form 990 , Part IV, line 12a.
Total expenses and losses per audited financial statements Amounts included on line 1 but not on Form 990 , Part IX, line 25 : Donated services and use of facilities Prior year adjustments Other losses . Other (Describe in Part XIII. } Add lines 2a through 2d Subtract line 2e from line 1 Amounts included on Form 990 , Part IX, line 25 , but not on line 1: Investment expenses not included on Form 990, Part VIII, line 7b . Other (Describe in Part XII I. } Add lines 4a and 4b Total expenses . Add lines 3 and 4c . fTh is must eaual Form 990 Part I line 18.l
·~•11111•···~·
..
1
2 , 9 7 0,537 .
2e 3
2,970,537 .
4c 5
2 , 970,537.
2a 2b 2c 2d
4a 4b
Supplemental Information.
Provid e the descriptions required for Part II , lines 3, 5, and 9; Part Ill , lines 1a and 4; Part IV, lines 1band 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.
SEE PAGE 5
JSA 5E 1271 1 .000
2423KK 049A
Sc hedu le D (Form 990) 2015
5/3 ~UBllGifi)ISCLOSURE
COPY
PAGE 31
Schedule D (Form 990) 2015
Page
5
PART X, LINE 2: THE ORGANIZATION IDENTIFIES AND EVALUATES UNCERTAIN TAX POSITIONS, IF ANY, AND RECOGNIZES THE IMPACT OF UNCERTAIN TAX POSITIONS FOR WHICH THERE IS A LESS THAN MORE-LIKELY - THAN-NOT PROBABILITY OF THE POSITION BEING UPHELD WHEN REVIEWED BY THE RELEVANT TAXING AUTHORITY. SUCH POSITIONS ARE DEEMED TO BE UNRECOGNIZED TAX BENEFITS AND A CORRESPONDING LIABILITY IS ESTABLISHED ON THE STATEMENT OF FINANCIAL POSITION. THE ORGANIZATION HAS NOT RECOGNIZED A LIABILITY FOR UNCERTAIN TAX POSITIONS. IF THERE WERE AN UNRECOGNIZED TAX BENEFIT , THE ORGANIZATION WOULD RECOGNIZE INTEREST ACCRUED RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN OPERATING EXPENSES. THE ORGANIZATION'S TAX YEARS SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE GENERALLY REMAIN OPEN FOR THREE YEARS FROM THE DATE OF FILING.
Schedule D (Form 990) 2015 JSA
5E1226 1.000
2423KK 049A
5/3 ~UBllGil~ISCLOSURE
COPY
PAGE 32
Supplemental Information Regarding Fundraising or Gaming Activities
SCHEDULE G
Name of th e organization
OF FLORIDA,
~@ 15
Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or If the organization entered more than $15,000 on Form 990-EZ, line 6a .
(Form 990 or 990-EZ) Depart ment of the Treasury Intemal Revenue Service
OM B No. 1545-00 47
.... Attach to Form 990 or Form 990-EZ.
Open to Public
.... Information about Schedule G (Form 990 or 990-EZ) and Its Instructions Is at www.lrs .gov/form990 .
HISPAN I C BUS INESS INITIATIVE FUND
Inspection
Employer Identification number
INC .
59- 334 1 40 5
Fundraising Activities. Complete if the organization answered "Yes" on Form 990 , Part IV, line 17. Form 990-EZ filers are not required to complete this part. a b c d
Indicate whether the organization ra ised funds through a§ ~ Mail solicitations e f Internet and email solicitations Phone solicitations g In-person solicitations
of the following activities. Check all that apply. Solicitation of non-government grants Solicitation of government grants Special fundraising events
D
D
2a Did th e 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? Yes No b If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is to be compensated at least $5 ,000 by the organization.
(I) Name and address of ind ivid ual or entity (fundraiser)
(II) Acti vity
(Ill) Did fund raiser have cus tody or control of contributions?
Yes
(Iv) Gross receipts fro m activity
(v) Am ount paid to (or retained by) fundraiser listed in col. (I)
(vi) Amou nt paid to (or retained by) organization
No
1 2
3 4
5 6 7
8 9
10
...... ..
. .. . . . . . . . . . . . . . . .
Total .... 3 List all states in which th e orga niza tion is registered or licensed to solicit contributions or has bee n notified it is exempt from reg istra tion or lice nsing .
For Paperwork Reduction Act Notice, see the Instructions fo r Form 990 or 990-EZ.
Schedule G (Form 990 or 990-EZ) 2015
~~~ 2811 ~~23KK 049A 5/3J;lLJBLIGil~ISCLOSURE COPY
PAGE 33
Schedule G (Form 990 or 990-EZ) 2015
1@111
Page 2
Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15 ,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000. (a) Event #1 SUCCESS STORIES
(b) Event #2 DON QUIJOTE
(event type)
(c) Other events
AW
(event type)
1. (total number)
(d) Total events (add col. (a) through col. (c))
Q)
::J
c:
.........
2 28,789.
1 67,165 .
98,550.
494,504
.....
129,335.
80,283.
74,188.
283,806
9 9 ,454 .
86,882 .
24 ,362.
210,698
. . . ........
1,794 .
2 , 072 .
14,478.
18,344
........
6,820 .
7,397.
3 ,084.
17,301
7 Food and beverages .
44,686.
6 2 ,74 9 .
5,500.
112 935
....
2,600 .
8,6 1 0.
43,554.
6,054 .
1 Gross receipts . . .
Q)
> Q) 0:::
2 Less : Contributions 3 Gross income (line 1 minus line 2). . ..
4 Cash prizes .
. .. . .. . .
. . ...........
5 Noncash prizes. Vl
Q)
6 Rent/facility costs .
Vl
c:
.
Q)
a. x w
I
t5
~
8 Entertainment
i5
9 Other direct expenses .
.......
11, 210 1,300.
50,908
. . . . . . . . . . . . . . . . . . ....
10 Direct expense summary. Add lines 4 through 9 in column {d) . . . 11 Net income summary. Subtract line 10 from line 3, column (d) . . . . . . . . . . . . . . . . . . . _ .
El•
2 10,698
.,..
Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a .
Q)
(b) Pull tabs/Instant bingo/progressive bingo
(a) Bingo
::J
c:
(d) Total gaming (add col. (a) through col. (c))
(c) Other gaming
Q)
> Q) 0:::
1 Gross revenue .
2 Cash prizes .
Vl
Q)
Vl
..
. . . ....
..
c:
Q)
a. x w
t5 ~
3 Noncash prizes
4 Rent/facility costs .
i5
..
5 Other direct expenses .
6 Volunteer labor
.. . . . .. . .
HYes
0
/c
No
7 Direct expense summary. Add lines 2 through 5 in column (d)
HYes No
%
HYes
%
No
....
..
....
8 Net gaming income summary. Subtract line 7 from line 1, column (d) 9
Enter the state(s) in which the organization conducts gaming activities: - - -- - - - - - - - - - - - . . . - - . - - - . - - . - a Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . . • . . . . . • . . Yes No
LJ
LJ
b If "No ," explain: - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - -
10 a Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year?. b If "Yes," explain:
U ves U
No
Schedule G (Form 990 or 990-EZ) 2015 J SA
5E1282 1.000
2423 KK 049A
5/3 ~UBLIGili)ISCLOSURE
COPY
PAGE 3 4
Compensation Information
SCHEDULEJ (Form 990)
oMe No. 1545.0047
Department of the Treasury Internal Revenue Service
For certain Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees .... Complete If the organization answered "Yes" on Form 990, Part IV, line 23. .... Attach to Form 990 . .... Information about Schedule J (F orm 990) and Its Instruction s Is at www.lrs.gov/form990 .
Name of the organization
HISPANIC BUSINESS INITIATIVE FUND
U))'Q' 15
@;,~
Open to Public Inspection
Employer Identifi ca tion numbe r
OF FLORIDA, INC. Questions Re arding Com ensation
59-3341405 Yes
No
1a Check the appropriate box( es) if the organization provided any of the fol lowing to or for a person listed on Form 990 , Part VII, Section A, line 1a. Complete Part Ill to provide any relevant information regarding these items.
~
First-class or charter travel Tra vel for companions Tax indemnification and gross-up payments Discretionary spending account
~
Compensation committee Independent compensation consultant Form 990 of other organizations
~ Housing allowance or residence for personal use Payments for business use of personal residence Health or social club dues or initiation fees Personal services (e.g ., maid, chauffeur, chef)
b If any of the boxes on line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part Ill to explain . . . . . . . . . . . . . . . • . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11_b-i---i--..,. 2 Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all directors, trustees, and officers, including the CEO/Executive Director, regarding the items checked in line 1a? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2-1---11-3 Indicate which , if any, of the following the filing organization used to establish the compensation of the organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part Il l.
4
~ Written employment contract X X
Compensation survey or study Approval by the board or compensation committee
During the year, did any person listed on Form 990, Part VII , Section A, line 1a, with respect to the filing organization or a related organization: a Receive a severance payment or change-of-control payment? . . . . . . .. . . . .. . b Participate in, or receive payment from , a supplemental nonqualified retirement plan?. c Participate in, or receive payment from , an equity-based compensation arrangement? . If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part Ill.
5 a b
6 a b 7
8
9
Only section 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete li nes 5-9. For persons listed on Form 990 , Part VII , Section A, line 1a, did the organization pay or accrue any compensation contingent on the revenues of: The organization? . . . . . . . . . . . . . . Any related organization? . . . . . . . . . . . If "Yes" to line 5a or 5b , describe in Part Ill. For persons listed on Form 990, Part VII , Section A, line 1a, did the organization pay or accrue any co mpensation contingent on the net earnings of: The organization? . . . . . . . . . . . . . . Any related organization? .. . . . . . . . . . . . If "Yes" on line 6a or 6b, describe in Part Ill. For persons listed on Form 990 , Part VII, Section A, line 1a, did the organization provide any non-fixed payments not described on lines 5 and 6? If "Yes," describe in Part Ill. . . . . . . . . . . . . . . . . . . . . . . . Were any amounts reported on Form 990 , Part VII , paid or accrued pursuant to a contract that was subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe in Part Ill . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? . . . . . . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . . . . .
For Paperwork Reductio n Act Notice, see the Instructions for Form 990.
4a 4b 4c
x x x
Sa Sb
x
6a 6b
x
7
X
8
X
x
x
9
Sc hed ul e J (Form 990) 201 5
JSA
5 1 2901
E
'~~2 3KK
049A
5/3 J;tUB l l G d~ISCLOSURE
COPY
PAGE 35
Schedule J (Form 990) 2015
1@111
Page
2
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the instructions , on row (ii) . Do not list any individuals that are not listed on Form 990 , Part Vil. Note: The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII , Section A, line 1a, applicable column (D) and (E) amounts for that individual. {B) Breakdown of W-2 a nd/or 1099-MISC compensation (A) Name and nUe
Pl Base
(ii) Bonus & incentive
(iii) Other
compensation
compensation
reportable compensation
AUGUSTO SANABRIA 1PRESIDENT/CEO
(i)
161 , 973 .
(ii)
0.
2
(ii)
3
(ii)
4
(ii)
5
(ii)
6
(ii)
7
(ii)
8
(ii)
9
(ii)
10
(ii)
11
(ii)
12
(ii)
13
(ii)
14
(ii)
15
(ii)
16
(ii)
22 , 500 . 0.
(CJ Retirement and other deferred compensation
0. 0.
(DJ Nontaxable benefits
5 , 705 . 0.
(E) Total of columns (B)(i}-(0)
22 , 855 .
213 , 033 .
0.
0.
(F) Compensation in column (B) reported as deferred on prior Form 990
0. 0.
(i)
(i)
(i)
(i)
(i)
(i)
(i)
(i)
(i) (i)
(i)
(i)
(i)
(i)
(i)
Schedule J (Form 990) 2015 J SA SE129 11.000
2423KK 049A
5/3/2017
8 : 28 : 11 ~BLIC
DISCLOSURE COPY
PAGE 36
Transactions With Interested Persons
SCHEDULE L
OMB No. 1545-0047
~@ 15
(Form 990 or 990-EZ) .,.. Complete If the organization answered "Yes" on Form 990, Part IV, line 25a, 25b, 26, 27, 28a, 28b, or 28c , or Form 990-EZ, Part V, line 38a or 40b . .,.Attach to Form 990 or Form 990-EZ. Department of the Treasury .... Information about Schedule L (Form 990 or 990-EZ) and Its Instructions Is at www.lrs.gov/form990. Intemal Revenue Service Name of the organization
HISPANIC BUSINESS INITIATIVE FUND
Employer Identification number
OF FLORIDA, INC.
59-3341405
Excess Benefit Tra nsactions (section 501(c)(3) , section 501(c)(4) , and 501(c)(29) organizations only). Complete if the organization answered "Yes " on Form 990 , Part IV, line 25a or 25b , or Form 990- EZ, Part V, line 40b. (a) Name of dlsquallfled person
1
(b) Relationship between dlsquallfled person and organization
(d) ""'"""' ....---
(c) Description of transaction
Yes No
(1)
(2) (3) (4) (5) (6)
2
Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958 . . . . . • . . • . • . . . . . . . . . • . . . . . . . . • . . .
.,.. $
3
Enter the amount of tax, if any, on line 2, above , reimbursed by the organization.
.,..
IQftil!I
-------
$ -------
Loans to and/or From Interested Persons. Complete if the organization answered "Yes" on Form 990- EZ, Part V, line 38a or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990 , Part X, line 5, 6, or 22 .
(a) Name of Interested person
(b) Relationship with organization
(c) Purpose of
loan
Loan to or from the organization?
(d)
To
(e) Original principal amount
(f) Balance due
(g) In default? (h) Approved
by board or committee?
From
Yes
No
Yes
No
(I) Written agreement? Yes
No
(1)
(2) (3) (4) (5) (6) (7)
'
(8) (9) (10) Total
. . ... . ... . .............. . ........ ............
•~u• ll •
$
Grants or Assistance Benefiting Interested Persons. Complete if the organization answered "Yes " on Form 990, Part IV, line 27.
(a) Name of Interested person
( 1) ASP SUPPLY, INC .
(b) Relationship between interested (c) Amount of assistance person and the organization SEE PART V
(d) Type of assistance
(e) Purpose of assistance ENTREPRENEURIAL GRANT
1.100 . GRANT
(2) (3)
(4) (5) (6) (7) (8) (9) (10) For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Schedule L (Form 990 or 990-EZ) 2015
JSA
SE 1297 1.000
2423KK 049A
5/3 ~LJBLIGif;)IS C LO SU RE
COPY
PAGE
37
Page 2
Schedule L (Form 990 or 990-EZ) 2015
lillfiiUtj
Business Transactions Involving Interested Persons. Complete if the organiza tion answered "Yes" on Form 990, Part IV, line 28a , 28b, or 28c. (a) Name of interested person
(b) Relationship between Interested person and the organization
(c) Amount of transaction
(d) Description of transaction
(e) Sharing of organization's revenues?
Yes
No
(1) (2)
(3) (4) (5)
(6) (7)
(8) (9)
.
10
Supplemental Information Provide additional information for responses to questions on Schedule L (see instructions).
FORM 990, SCH L, PART III , LINE 1 , COLUMN B: OWNED BY SON OF FORMER BOARD CHAIR.
5E15~~~ .ooo 2423KK
049A
5/3 j;llJ BL.JGil~1 ISCLOSU RE
COPYcheduleL(Form 990or99;~~:0~58
SCHEDULE M (Form 990) Oepartment of lhe Treasury Intemal Revenue Service Name of the organization
Iii- Complete If the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30. Iii- Attac h to Form 990. Iii- Information about Schedu le M (Form 990) and Its instructions is at www.lrs.gov/form990.
6 7 8 9 10 11 12 13
Art - Works of art. . . . . Art - Historical treasures . Art - Fractional interests . Books and publications Clothing and household goods . . . . . . . . . . Cars and other vehicles Boats and planes . . • . Intellectual property .. Securities - Publicly traded Securities - Closely held stock . Securities - Partnership, LLC, or trust interests . .. . . . Securities - Miscellaneous . Qualified conservation contribution - Historic structures . . . . . . . Qualified conservation contribution - Other .. Real estate - Residential . Real estate - Commercial Real estate - Other . Collectibles .. .. . . . . Food inventory . . . . . . Drugs and medical supplies . Taxidermy . . . . . . Historical artifacts . . . Scientific specimens .. Archeological artifacts. Other Iii- ( ATCH 1 Other Iii- ( Other Iii- ( Other Iii-(
-~@15 IT:lli•..-i•W
~II
111 1-, •i'1•n•••l
59-3341405
•:J;'T7••
(a) Check if applicable
OMB No. 1545-0047
IEmployer Identification number
HISPANIC BUSINESS INITIATIVE FUND OF FLORIDA , INC. Types of Property
1 2 3 4 5
I
Noncash Contributions
(b) Number of contributions or items contributed
(c) Noncash contribution amounts reported on Form 990, Part VIII , line 1g
(d) Method of determining noncash contribution amounts
.. ....
14 15 16
17 18 19 20 21 22 23 24 25 26 27 28 29
)
116,292.
1.
) ) )
Number of Forms 8283 received by the organization during the tax year for contributions for which the organization completed Form 8283 , Part IV, Donee Acknowledgement . . . . . . . .
..
29 1 Yes
30a During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28 , that it must hold for at least three years from the date of the initial contribution, and which is not required to be used for exempt purposes for the entire holding period ? . . . . . . . . . ....... 30a b If "Yes ," describe the arrangement in Part II. 31 Does the organization have a gift acceptance policy that requires the review of any non-standard 31 . .. . .. . . contributions? . . . . . . .. . . ...
....... . ... .
. .. .
. . . . ........ . .
...
. . . . . . . ......
No
x x
32a Does the organization hire or use third parties or related organizations to solicit, process , or sell noncash x 32a contributions? . . . . .. . . . b If "Yes," describe in Part II. 33 If the organiza tion did not report an amount in column (c) for a type of property for which co lumn (a) is checked , describe in Part II. For Paperwork Reduction Act Notice, see the Instructions for Form 990 . Schedule M (Form 990) (2015)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...... . .. .....
JSA
5 12981 00
E
' ~423KK
049A
5/3 ~U B L.JGi[~ ISCLOSURE
COPY
PAGE 39
Schedule M (Form 990) (2015)
IQftii!i
Page
2
Supplemental Information. Complete this part to provide the information required by Part I, lines 30b , 32b, and 33 , and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received , or a combination of both . Also complete this part for any additional information . ATTACHMENT 1
SCHEDULE M, PART I - OTHER NONCASH CONTRIBUTIONS
DESCRIPTION
(A) CHECK
DINNER FOR DON QUIJOTE EV TOTALS
x
(B) NUMBER OF CONTRIBUTIONS
( C) REVENUES REPORTED
1. 1.
116,292.
(D) METHOD OF DETERMINING VALUE PER DONOR
116,292.
Schedule M (Form 990) (2015)
JSA
5E1 508 1.000
2 4 23 KK 04 9A
5/3 ~UBllGif~ISCLOSURE
COPY
PAGE 40
SCHEDULE 0 (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Name of the organization
Supplemental Information to 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. 1111- Attach to Form 990 or 990-EZ.
HISPANIC BUSINESS INITIATIVE FUND
OM B No. 1545-0047
~@ 15 Open to Public Inspection
Employer ldentlflcatlon number
59 - 3341405
OF FLORIDA , INC .
FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: THEIR BUSINESS IN FLORIDA. HBIF ' S QUALITY YEAR-ROUND PROFESSIONAL SERVICES INCLUDE EDUCATIONAL PROGRAMS, INDIVIDUAL CONSULTING AND TECHNICAL ASSISTANCE, ENTREPRENEURIAL GRANTS FOR SUBCONTRACTED SERVICES, AND LOAN FACILITATION.
FORM 990, PART VI, SECTION B, LINE 11 : THE PRESIDENT/CEO AND BOARD TREASURER REVIEW FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C : THE ORGANIZATION HOLDS ANNUAL REFRESH COURSES ON CONFIDENTIALITY AND CONFLICT OF INTEREST FOR ALL EMPLOYEES AND THE BOARD OF DIRECTORS.
THEY
EMPOWER AND ENCOURAGE EVERYONE TO SHARE ANY CONCERNS REGARDING COMPLIANCE WITH THE SET POLICY ON A REGULAR BASIS.
FORM 990, PART VI, SECTION B, LINE 15A: THE PRESIDENT/CEO'S SALARY AND PERFORMANCE REVIEW IS DONE BY THE EXECUTIVE COMMITTEE OF THE BOARD ON AN ANNUAL BASIS. AS PART OF THE REVIEW, AN INDEPENDENT COMPENSATION CONSULTANT WAS HIRED, WHICH RESEARCH INCLUDED LOCAL AND NATIONAL COMPENSATION PACKAGES AWARDED TO OTHER NON-PROFIT ORGANIZATIONS REPORTED ON SALARY SURVEYS AND FORM 990S.
FORM 990, PART VI, SECTION C, LINE 19: THE ORGANIZATION MAKES ITS RECORDS AVAILABLE UPON REQUEST.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
2211
~~~ ·~~23KK
049A
Schedule O (Form 990 or 990-EZ) (2015)
5/3J;tUBLIGil;)ISCLOSURE COPY
PAGE 41
Schedu le 0 (Form 990 or 990-EZ) 2015 Name of th e organization
Page 2
HISPANIC BUSINESS INITIATIVE FUND
Employer Identifica tion number
OF FLORIDA, INC. ATTACHMENT 1 FORM 990, PART VIII - EXCLUDED CONTRIBUTIONS DESCRIPTION
AMOUNT
FUNDRAISING EVENTS
283,806 .
TOTAL
283,806 .
ATTACHMENT 2 FORM 990, PART VIII - FUNDRAISING EVENTS
GROSS I NCOME
DESCRIPTION
DIRECT EXPENSES
FUNDRAISING EVENTS
210,698 .
210 , 698 .
TOTALS
210,698.
210,698.
Schedu le 0 (Form 990 or 990-EZ) 2015
JSA
5 E 1228 1 .000
24 23 KK 049A
S/3 ~UBlJG1 ~ISCLOSURE
COPY
PAGE 42
SCHEDULER (Form 990)
OM B No. 1545-0047
Related Organizations and Unrelated Partnersh ips
~@ 15
._Complete if the organ ization answered " Yes " on Form 990, Part IV, line 33, 34, 35b, 36, or 37. ._Attach to Form 990.
Department of the Treasury
._ Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.
Internal Revenue Service
Name of the organization
Employer Identification number
HISPANIC BUSINESS INITIATIVE FUND
59 - 3341405
OF FLORIDA , INC . Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33. (b) Primary activity
(a)
Name. address . and EIN
(~applicable)
of disregarded enttty
(d) Total income
(c) Legal domicile (state or foreign country)
(e) End-of-year assets
(f) Direct controlling enttty
(1)
(2)
(3) (4) (5)
(6)
1@111
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year. (b) Primary activity
(a) Name. address. and EIN of related organization
(c) Legal domicile (state or forei gn country)
(d) Exempt Code section
(e) Public chartty status (if section 501 (cX3))
(f) Direct controlling entity
(g)
Section 512(b)(13) controlled entity?
Yes ( 1 ) HISPANIC BUS. INITIATIVE FUND NATIONICDE: 3201 E:. COLONIAL DR SUITE: A20
ORLANDO,
No
04 - 3589150 FL 32806
SEE PART VII
FL
501 (C) (3)
7
HBIF
x
(2) ( 3)
(4) (5) (6 )
(7) Schedule R (Form 990) 2015
For Paperwork Redu ct ion Act Notice, see the Instructions for Form 990. JSA SE1307 1.000
24 2 3KK 0 49A
5/3/ 2 017
8 : 28 : 1 B l 1 B L I C
DISCLOSURE COPY
PAGE 43
Page
Schedule R (Form 990) 2015
1@1111
2
Identification of Related Organizations Taxable as a Partnership Compl ete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partn ership during the tax year.
(a) Name, address, and EIN of related organization
(b) Primary activity
(c)
Legat domicile (state or foreign country)
(d) Direct controUing entity
(e) Predominant income (related, unrelated , excluded from tax under sections 5 12-5 14)
(f) Share of total
income
(g) Share of end-0fyear assets
0........ (h)
,
Yes
No
(I) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)
(j) General or
managiig partner?
Yes
(k) Percentage O'Mlersh ip
No
(1) ( 2) ( 3)
(4) (5) (6)
(71
l@INI
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year. (a) Name, address, and EIN of related organization
(b) Primary activity
(c) Leg al domicie (state or foreign country)
(d ) Direct controlling en t ity
(e) Type of entity (C corp, S corp, or trust)
(f) Share of total income
(g) Share of end-of-year assets
(h) (I) Percentage Section 512(b)(13) o'Mlership controlled entitv?
Yes No
(11 121 (31 (41 (5)
(6) ( 7) Schedule R (Form 990) 2015
JSA SE13081.000
2423KK 049A
5/3/2017
8 : 28:1 R l 1 B L I C
DISCLOSURE COPY
PAGE 44
Sched ule R (Foon 990) 2015
l@fi
Page
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, Ill, or N of this schedule. 1 During the tax year, did the organization engage in any of the following transactions with one or more related organizations listed in Parts 11-N? a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity. b Gift , grant, or cap ital contribution to related organization(s) c 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) f
9 h i j k I m n 0
3
Yes No
1a 1b 1c 1d 1e
x x x x x
Divide nds from related organiza tion(s). Sale of assets to related organization(s). Purchase of assets from related organization(s). Exchange of assets with related organization{s). Lease of facilities, equipment, or other assets to related organization(s) .
1f 1a 1h 1i 1i
x x x x x
Lease of facilities , equipment, or other assets from related organization{s) Performance of services or membership or fundrais ing solicitations for related organization{s) Performance of services or membership or fundra ising solicitations by related organization(s). Sharing of facilities, equipment, mailing lists, or other assets with related organization{s) Sha ring of paid employees with rela ted organization(s)
1k 11 1m 1n 1o
x x x x x
1p 1q
x x
p Reimbursement pa id to related organization{s) fo r expenses. q Reimburseme nt paid by related organization(s) for expenses
-
r
Other transfer of cash or property to related organization{s) . 1r s Other transfer of cash or property from related organization{s}. 1s 2 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. (a) Name of related organization
(b) Transaction type (a-s)
(c) Amount involved
x x
(d) Method of determining amount involved
(1)
(2)
(3) (4)
(5) (6) Schedule R (Form 990) 2015
J SA SE1309 1.000
2423KK 049A
5/3/2017
8 : 28 : 1 ~ B L IC
DISCLOSURE COPY
PAGE 4 5
Schedule R (Form 990) 2015
l@@I
Page 4
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on 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 investme nt partnerships. (a)
Name. address. and EIN of entity
(b) Primary activity
(c) Legal domicile (state or foreign country)
(d) Predominant income (related, unrelated, exduded from tax under sections 512-514)
(e) Are all partners section 501(c)(3) organizations?
Yes
(I) Share of total income
(g) Share of end-of-year assets
No
(h)
OJ
Ul
Olsproport.or.te
CodeV-UBI amount in box 20 of Sclledule K-1 (Form 1065)
General or
altoc..tJOns?
Yes
No
managing
(k) Percentage ownership
partne
Yes
No
(1) (2) (3) (4) (5) (6) (7) (8)
(9) (10) (11) (12) (13) (14) (15) (16) Schedule R (Fonn 990) 2015
JSA 5E1310 1.000
2423KK 049A 5/3/2017
8 : 28 : 1 RW B L I C
DISCLOSURE COPY
PAGE 46
Schedule R (Form 990) 2015
IUMIWI
Page 5
Supplemental Information Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
FORM 990, SCH R, PART II, LINE 1
1
COLUMN B:
SIMILAR OPERATIONS OUTSIDE OF THE STATE OF FLORIDA.
Schedule R (Form 990) 2015 5E1510 1.000
2423KK 049A
s/3 ~1JBLIGil~ISCLOSURE
COPY
PAGE 47
