Farm Return of Organization Exempt From Income …990s.foundationcenter.org/990_pdf_archive/364/364506347/...Form 990(2002) Page 2 Part I I Statement of All orpauulmrtt mist complete

OMB No 15 45-0047

Farm 990 Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung

benefit trust or pinvate foundation) Department of Ne 7reeavy nlemei Revenue SeMCe t The organization may haroe b use a copy al this reWrn W sassy state raporeng requirements

Open to Public Inspection

and ending , 20 D Employer Identlflfatlon number

* For the 2002 calendar y,

B cnxk a ananfeie plea"' we IRS F~ Addresschange label or

F-] Name change Hc~

Prim

2IniLalleNm SpacRa

F]Finalretum untr � o.

FJA-ended return b.

S AND FAMILIES 36-4506347 to street address) Room/suite E Telephone nui it and street (or PO box it mail is not

E 22ND STREET town state 0! country, and ZIP h 4

FI end I ere not applicable to section 527 organizations H(e) I5 this a group return for affiliates? [_]Yes [j]No H(b) If 'Yes' enter number of affiliates l

H(c) Are all affiliates included Yes QNo (if 'No,' attach a list See instructions

H(d) Is this a separate return filed by an organization covered by a qrouo rulinu7 n Yes nNo

F~Applicahon pending ' Section ̀ +01(c)(3) organizations end 496rye)(1) nonexempt charitable taste must attach a completed Schedule A (Form 990 or89bEZ)

G Web site

J Organization type (check only one) " IX I 501 (c) ( 3 ) " (insert no 4947(a)(1) or n 527

K Chock here Be F]iltheaganizanonsgmssreceiplsararwrmallynotmorolhan525,000Theargan¢auon need not fle a return with the IRS but d the organization received a Form 990 Package in the mail it should file a return without financial dale Some states requires complete return I Enter 4-di

M Check 10- d the organization is not required to attach 90 990-EZ or 990-PF) ;-17 of the instructions )

L Gross receipts Add lines 6b BD 9b, and 10b to I ine 12

1 Contributions, gills, grants, and similar amounts received a Direct public support 1a b Indirect public support 1 b c Government contributions (grants) 1c 762 , 848 d Total (add lines 1a through 1c) (cash $ 762,A48 noncash $ )

2 Program service revenue including government fees and contracts (from Part VII, line 93) 3 Membership dues and assessments 4 Interest on savings and temporary cash investments 5 Dividends and interest from securities

p 6a Gross rents 6a b Less rental expenses 6b c Net rental income or (loss) (subtract line 6b from line 6a) m

C') on 7 Other investment income (describe Ba Gross amount from sales of assets sec~n~es e otne~~

other than inventory Ba o b Less cost a other basis and sales openses 8b °,, c Gain or (lass) (attach schedule) 8c

d Net gain or (loss) (combine line Bc, columns (A) and (B)) 9 Special events and activities (attach schedule) a Gross revenue (not including $ of

contributions reported on line 1a) 9a b Less direct expenses other than fundraising expenses 9b c Net income or (loss) from special events (subtract line 9b from line 9a)

10a Gross sales of inventory, less returns and allowances 10a b Less cost of goods sold 10b c Gross profit a Qoss) from sales of inventory (attach schedule) (subtract line 1

17 Other revenue (from Part VII, tine 103) ,~ ~~ZII

7

is rrogram services prom fine aa, column (n)) o 14 Management and general (from line 44, column (C)) can

g 15 Fundraising (from line 44, column (D)) IRS 16 Payments to affiliates (attach schedule) ~A 17 Total expenses add lines 16 and 44, column A > 18 Excess or (deficit) for the year (subtract line 17 from line 12)~ ~ 19 Net assets or fund balances at beginning of year (from line

" cdlumpL

20 Other changes in net assets or fund balances (attach explan b 4 L 21 Net assets or fund balances at end of year (combine lines 18, 19, and 20)

For Paperwork Reduction Act Notice, sae the separate instructions ISA SW FED1977F 1

15 16 17 773 197 18 10 349 19 20 10 ,3 4 9 I21 I o

Form 990 (4002)

LOOL

Of X27(

F Accounting method

Form 990(2002) Page 2

Part I I Statement of All orpauulmrtt mist complete wham (A) Cohims (B), (C), ad (D) are required for section 501(t)(3) and (4) orgaraAws arid Functional Exoenses section asa7(a)(1)narxernptcharitable trusts butopumal for others (Seepage 21 of theinsmaions)

(W Total I (B) Program I (C) Management I (D) Fundraising service and general

d

44 Total functional experuRS (add lines 22 Hvagh 43) Qyardrahau oampklagcdums(B) " (D/,carry View fadstolmesll " 1S 144 I 773,1971 773,0871 1101

Joint Costs Check li~ 0 if you are following SOP 98-2 Are arryjomt costs from a combined educational campaign and fundraising solicitation reported in (B) Program services? ~ Yes E] No If 'Yes,* enter (i) the aggregate amount of these point costs $ NBA , (it) the amount allocated to Program services $ N/A ,

(w) the amount allocated to Management and general $ N/A , and (iv) the amount allocated to Fundraising $

Part III Statement of Program Service Accomplishments See page 24 of the instructions What is the organizations primary exempt purpose? " SUPPORT THE SISTERS OF CHARITY OF ST AUGUSTI E Pro6ramService AllorgaruzationsmusidescnbetherexemplpurposeachevementsmadeaandconasemannaSlatethenumbgofclientsseved,pudicatiau issued, etc Discuss achievements that are not measurable (Section 501(c)(3) and (4) arganazabons and 4947(a)(1) rmnexernpt charitable !nuts (l'°°" must also enter the amount of grants and allocations to others ) ~ ~~xa~.+i

THE_SOUTH_CAROL INA_CENTER FOR FATHERS AND FAMILIES WAS ESTABLISHED ON_ dV.X31$T_23. 14Q2_9 Q _IS AMTNISSRY_QF_THE SSSTERS_QF_CHBRIT't 4F a T, _ _ _ _ _ _ _ _ _ b11Gll~TIdE, _ THE_CENTEB'S_£PLUS_IS_TD_PR4l'IQF- LE2IQERSHIP ._ h1ENTQRLNG- _ _ _ _ _ _ _ _ _ TECHNICAL ASSISTANCE AND Grants and allocations $ 756 947 762 , 738 FUNDING TO 503 SC~_ L3j ORGANIZATION_S_INVOLVE D_IN_FATHERHOOD D_ PROGRAMS-WHICH ESSS S.T_ LOYI _;NGPMF~ FATHERS At9R EAMSLIE~_ SQL THE_STBTE_4F_S.0[1TH_CAHQI.INA- - - - - - - - TFi-SOLE MEMHEFLQF_THE CENTER I~_ THE-SISTERS 4F_ CHA8I7'Y FQUNaATIQN_QF_ _ _ _ _ _ _ _ SOUTH CAROLINA WHICH Grants and allocations $ PR_EVI_OUS_LY -SUPPORTED_ THIS -FATHERHOOD-INITIATIVE_ ------------------------------------------------------ ------------------------------------------------------

Grants and allocations $

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Grants and allocations $

e Other program services attach schedule Grants and allocations $

f Total of Program Service Expenses (should equal line 44, column (8), Program services) " 762,738 Form 990 (2002)

STF FED7B2JF 2

Do not include amounts reported on line 6b, 8b, 9b, 10b, or 16 of Part I

(cash $ 756,497 f10nC35h$ 23 Specific assistance to individuals (attach schedule) 24 Benefits paid to or for members (attach schedule) 25 Compensation of officers, directors, etc 26 Other salaries and wages 27 Pension plan contributions 28 Other employee benefits 29 Payroll taxes 30 Professional fundraising fees 31 Accounting fees 32 Legal fees 33 Supplies 34 Telephone 35 Postage and shipping 36 Occupancy 37 Equipment rental and maintenance 38 Punting and publications 39 Travel 40 Conferences, conventions, and meetings 41 Interest 42 Depreciation, depletion, etc (attach schedule) 43 Other eVenses not cawed above (itemize) a OTHER

b

Form 990 (2002) page 3

Part IV Balance Sheets (See page 24 of the instructions )

Note where required, attached schedules and amounts within the descrption (A) (5) column should be for end-of-year amounts only Beginning of year End of year

45 Cash-non-interest-bearing 0 45 49 454 46 Savings and temporary cash investments 46

47a Accounts receivable 47a b Less allowance for doubtful accounts 47b 47c

48a Pledges receivable 48a b Less allowance for doubtful accounts 48b 48c

49 Grants receivable 49 50 Recervables from officers, directors, trustees, and key employees

(attach schedule) 50 51a Other notes and loans receivable (attach

schedule) 51a u b Less allowance for doubtful accounts 57b 51c

52 Inventories for sale or use 52 53 Prepaid expenses and deferred charges 53 54 Investments-securities (attach schedule) " E] Cost ~ FMV 54 55a Investments-land, buildings , and

equipment basis SSa b Less accumulated depreciation (attach

schedule) SSb SSc 56 Investments - other (attach schedule) 56 57a Land, buildings, and equipment basis 57a b Less accumulated depreciation (attach

schedule) 57b 57c 58 Other assets (describe ji~ ) 58

59 Total assets (add lines 45 through 58) (must equal line 74) 0 59 49 454 60 Accounts payable and accrued expenses 0 60 1 , 855 61 Grants payable 61 62 Deferred revenue o 62 47, 599

m 63 Loans from officers, directors, trustees, and key employees (attach schedule) 63

64a Tax-exempt bond liabilities (attach schedule) 64a b Mortgages and other notes payable (attach schedule) 64b

65 Other liabilities (describe ji~ ) 65

66 Total liabilities (add lines 60 through 65) 0 66 49 959 Organizations that follow SFAS 117, check here 0. F&] and complete

lines 67 through 69 and lines 73 and 74 67 Unrestricted 67

m 68 Temporarily restricted 68 69 Permanently restricted 69 Organizations that do not follow SFAS 717, check here j~ E]and

complete lines 70 through 74 0 70 Capital stock, trust principal, or current funds 70

71 Paid-in or capital surplus, or land, building, and equipment fund 71 y 72 Retained earnings, endowment, accumulated income, or other funds 72 d 73 Total net assets or fund balances (add lines 67 through 69 or

lines 70 through 72, column (A) must equal line 19, column (B) must equal line 21) 73

74 Total liabilities and net assets/fund balances (add lines 66 and 73) p 74 49 , 454 Form 990 is available for public inspection and, for some people, serves as the primary or sole source of information about a

particular organization How the public perceives an organization in such cases may be determined by the information presented on its return Therefore, please make sure the return is complete and accurate and fully describes, in Part III, the organizations programs and accomplishments 57F FE01923F 3

Page 4 Form 990 (2002)

a Total revenue, gans, and other support per audited financial statements

b Amounts included on line a but not on line 12, Form 990

(1) Net unrealized gains on investments $

(2) Donated services and use of facilities $

(3) Recoveries of prior year grants $

(4) Other (specify)

a Total expenses and losses per audited financial statements

b Amounts included an line a but not on line 17, Form 990

(1) Donated services and use of facilities $

(2) Pnor year adjustments reported on line 20, Form 990 E

(3)Losses reported on line 20, Form 990 $

(4) Other (specify)

5 E Add amounts on tines (1) and (2) " d Add amounts on lines (1) and (2) " d

e Total revenue per line 12, Form 990 e Total expenses per line 17, Form 990 (line c plus line d) " e 762 848 (line c plus line d) " e 773 197

Part V List of Officers, Directors, Trustees, and Key Employees (List each one even d not compensated, seepage 26 of

(a) Tide and average hours per I (G) Compensation (D)CoMdLOrs b (~ F~ense

week devoted to position (II not pall, mpbyre baeM plain 6 account and other enter-0" ) ENCraCmrtoesalan alloxarices

- - - - - - - - - - - - - - - - - - - - - - - - - - -

STF FED7923F 4

Reconciliation of Revenue per Audited Financial Statements with Revenue per

Part IV-B Reconciliation of Expenses per Audited Financial Statements with Expenses per

5 Add amounts on lines (1) through (4)1w b $

Add amounts on lines (1) through (4) ii~ c Line a minus line b ji~ c 762 , 848 c Line a minus line b d Amounts included on line 12, d Amounts included on line 17,

Form 990 but not on line a " Form 990 but not on line a: (1) Investment expenses (1) Investment expenses

not included on line not included on line 6b, Form 990 E 6b, Form 990

(2) Other (specify) (2) Other (specify)

(A) Name and address

SEE- ATTACHED-LISTING

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75 Did arty officer, director, trustee, or key employee receive aggregate compensation of more than $100,000 from your organization and all related organizations, of which more than $10,000 was provided by the related organizations? ~ (0 Yes E] No If 'Yes," attach schedule- see page 26 of the instructions

Form 990 (2002)

89a 501(c)(3) organizations Enter Amount of tax imposed on the organization during the year under section 4911 mi~ NBA , section 4912 1 NBA , section 4955 li~ N/A

b 501(c)(3) and 501(c)(4) orgs Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year? If "Yes; attach a statement explaining each transaction 89b x

c Enter Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958 t N/A

d Enter Amount of lax on line B9c, above, reimbursed by the organization ~ N/A

90a List the states with which a copy of this return is filed ~ SOUTH CAROLINA b Number of employees employed in the pay period that includes March 12, 2002 (See instructions ) I 90bl 0

91 The books are in care O( " JOHN T FAULSTICH Telephone no 1 216-696-5560

Located elP~ 2351 E 22ND STREET CLEVELAND, OH ZIP +41 49115

92 Section 4947(a)(1) nonexempt charitable trusts filing Form 990 in lieu of Form 1041-Check here t and enter the amount of tax-exempt interest received or accrued during the lax year p.1 92 I N/A

Form 990 (2002) 57F FED1973F 5

Form 990 (2002) 1 Page 5 Part VI Other Information See page 27 of the instructions Yes No 76 ad the organization engage in arty activity not previously reported to the IRS If 'Yes,' attach a detailed description of each activity 76 X 77 Were any changes made in the organizing or governing documents but not reported to the IRS? 77 x

If "Yes," attach a conformed copy of the changes 78a ad the organization have unrelated business gross income of $1,000 or more dunrg the year covered by this return? 78a x

b If "Yes," has it filed a tax return on Form 990-7 for this year? 78b 79 Was there a liquidation, dissolution, termination, w substantial contraction during the year? If 'Yes; attach a statement 79 x BOa Is the organization related (other than by association with a statewide a nationwide organization) through common membership,

goverrurg bodies, trustees, officers, etc , to any other exempt w nonexempt organization? 80a x b If "Yes," enter (h0 name 01 the organization 1, SEE ATTACHED STATEMENT

and check whether d is ~ exempt or ~ nonexempt 81a Enter direct or indirect political expenditures See line 81 instructions 81a NONE

b Did the organization file Form 1120-POL for this year? 87b x 82a Did the organization receive donated services or the use of materials, equipment, or facilities at no charge or

at substantially less than fair rental values 82a x b If "Yes," you may indicate the value of these items here Do not include this amount

as revenue in Part I or as an expense in Part II (See instructions in Part III ) 82b N/A 83a Did the organization comply with the public inspection requirements for returns and exemption applications 83a x

b Did the organization comply with the disclosure requirements relating to quid pro quo contributions 83b x 84a Did the organization solicit any contributions or gifts that were not tax deductibles 84a x

b If 'Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? 84b N/A

85 501(c)(4), (5), or (6) organizations a Were substantially all dues nondeductible by members? 85a N/A b Did the organization make only in-house lobbying expenditures of $2,000 or less? 85b N/A

If "Yes" was answered to either 85a or 85b, do not complete 85c through 85h below unless the organization received a waiver for proxy tax owed for the prior year

c Dues, assessments, and similar amounts from members 85C N /A d Section 162(e) lobbying and political expenditures 85d N/A e Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices 85e N /A f Taxable amount of lobbying and political expenditures (line 85d less 85e) 85f NONE g Does the organization elect to pay the section 6033(e) tax on the amount on line 85f? 8 N/A h If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount on line 85f to

its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year? SSh N/A

86 501(c)(7) orgs Enter a Initiation fees and capital contributions included on line 12 86a N/A b Gross receipts, included on line 12, for public use of club facilities 86b N / A

87 501(c)(12) orgs Enter a Gross income from members or shareholders 87a N/A b Gross income from other sources (DO not net amounts due or paid to other

sources against amounts due or received from them ) 87b N/A 88 At any time during the year, did the organization own a 50% or greater interest in a taxable corporation or

partnership, or an entity disregarded as separate from the organization under Regulations sections 301 7701-2 and 301 7701-37 If "Yes," complete Part IX

6

a : er gross amourn s un ss o erivise indicated (A) (B) 93 Program service revenue Business code Amount

a b C d 0 - - If Medicare/Medicaid payments I g Fees and contracts from government agencies

94 Membership dues and assessments 95 Interest on savings and temporary cash investments 96 Dividends and interest from securities 97 Net rental income or (loss) from real estate a debt-financed property b not debt-financed property

98 Net rental income or ooss) from personal property 99 Other investment income 100 Gain or Ooss) from sales of assets other than inventory 101 Net income or (loss) from special events 102 Gross profit or (loss) from sales of inventory 103 Other revenue a

b C d a

1D4 Subtotal (add columns (B), (D), and (E)) 106 Total (add line 104, columns (B), (D), and (E)) Note, Line 105 Dlus line 1d. Part L should eatial the amount on line 12 . Part I

lll~

address, and EIN of corporation,

Please belie i s~true,

1~

A~al a Declaration of preparer (other th Sign

"Sgriattee A~oo~., er j H

6 ere i F STI)H

Type or pnnt namband-We

Paid Preparers

Preparer's -5'gnabure FirFn's name (or yours k

Use Only self-employed) I '.'ddrws and ZIP -4 _BP Teme

STFFED1923FB 200 Public Square, 27th Cle'lifeland, OH 44114-2

Form 990

Not Ent t 1~ th Unrelated business income eAwa .o tiry secOon 512 51 3, ix 514 Related or

(C) (D) exempt function sioncode Amount Income

Part VIII Relationship of Activities to the Accc Line No Explain how each activity for which income is

ment of Exempt Purposes (See page 32 otthe instructions) in column (E) of Part VII contributed importantlyto the accomplishment

32 of the instructions

of I Nature of actmlies I Total income

Part X j Information Regarding Transfers Associated vAth (a) Did the orgaroza6on, during the year, receive any funds, directly or uduect~ (b) Did the organization, during the year, pay premiums, direcll Note. II "Yes'to (b). ale Form 8870 and Form 4720 /see instruct

0

enter "None '

(c) Compensation

Total number of others receiving over $50,000 for

For Papenwrk Reduction Act Notice, see the Instructions for Forth 990 and Form 9i

Isn STF FED 1955F 1

Schedule A (Form 990 or 990.E Y002

SCHEDULE A Organization Exempt Under Section 501(c)(3) OMB NO 15150047

(Forth 990 or 990-EZ) (Except Private Foundation) and Section 507(e), W1(f), 501(k), 507(n), or Section 4947(a)(1) Nonexempt charitable Trust

Supplementary Information -(See separate instructions ) DeparManl of lie Trmaury Internal Revenue saMm " MUST be completed by the above organizations and attached W then Forth 990 or 990-EZ Name of tie organization Employer identification number

SOUTH CAROLINA CENTER FOR FATHERS AND FAMILIES 36-9506347 Part I Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees

See page 1 of the instructions List each one If there are none, enter "None " (a) Name and address of each employee paid more (6) Title and average hours

lal CmmbuUms m (e) E)ipanse

than $50.000 per week devoted to position «) Compensabon employee eenesl pans a account and other _.- -- -1.- .. . .

NONE

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Total number of other employees paid

See page 2 of the instructions List each one whether individuals or firms If there are (a) Name and address of each independent contractor paid more wan 550 000 (b) Type al semce

NONE

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Part III Statements About Activities (See page 2 of the instructions ) No

3 Does the organization make grants for scholarships, fellowships, student loans, etc ? (See Note below ) 3 x 4 Do you have a section 403(b) annuity plan for your employees? 4 x

Note: Attach a statement to explain how the organization determines that individuals or organizations receiving grants or loans from it in furtherance of its charitable programs "qualify" to receive payments

Part IV Reason for Non-Private Foundation Status (See pages 3 through 5 of the instructions )

The organization is not a private foundation because it is (Please check only ONE applicable box ) 5 ~ A church, convention of churches, or association of churches Section 170(b)(1)(A)(i) 6 ~ A school Section 170(b)(1)(A)(n) (Also complete Part V ) 7 0 A hospital or a cooperative hospital service organization Section 170(b)(1)(A)(ui) 8 0 A Federal, state, or local government or governmental unit Section 170(b)(1)(A)(v) 9 ~ A medical research organization operated in conjunction with a hospital Section 170(b)(1)(A)(u) Enter the hospital's name,

city, and state 1~ 10 ~ An organization operated for the benefit of a college or university owned or operated by a governmental unit Section

170(b)(1)(A)(rv) (Also complete the Support Schedule in Part IV-A ) 11a ~ An organization that normally receives a substantial part of its support from a governmental unit or from the general public

Section 170(b)(1)(A)(vQ (Also complete the Support Schedule in Part IV-A ) 11b 0 A community trust Section 170(b)(1)(A)(vi) (Also complete the Support Schedule in Part IV-A 12 0 An organization that normally receives (1) more than 33'/a°/. of its support from contributions. membership fees, and gross

receipts from activities related to its charitable, etc , functions -subject to certain exceptions, and (2) no more than 33'h% 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) (Also complete the Support Schedule in Part IV-A )

13 F1 An organization that is not controlled by any disqualified persons (other than foundation managers) and supports organizations described in (1) lines 5 through 12 above, or (2) section 501(c)(4), (5), or (6), if they meet the test of section 509(a)(2) (See section 509(a)(3) )

Provide the following information about the supported organizations See page 5 of the instructions (a) Name(s) of supported organization(s) (b) Line number

from above

RICHFIELD, OH WHICH IS A RELIGIOUS

ION OF WOMEN

14 0 An organization organized and operated to test for public safety Section 509(a)(4) (See page 5 of the instructions ) Schedule A (Form 990 or 990.E 2W3

STF FED1855F 2

Schedule A (Form 990 or 990.EZ) 2002 Papa 2

1 During the year, has the organization attempted to influence national, state, or local legislation, including any attempt to influence public opinion on a legislative matter or referendum? If "Yes," enter the total expenses paid or incurred m connection with the lobbying activities ii~ $ (Must equal amounts on line 38, Part VI-A, or line i of Part VI-B ) Organizations that made an election under section 501(h) by filing Form 5768 must complete Part VI-A Other organizations checking "Yes," must complete Part VI-B AND attach a statement giving a detailed description of the lobbying activities

2 During the year, has the organization, either directly or indirectly, engaged in any of the following acts with any substantial contributors, trustees, directors, officers, creators, key employees, or members of their families, or with any taxable organization with which any such person is affiliated as an officer, director, trustee, majority owner, or principal beneficiary? (If the answer to any question is "Yes,"attach a detailed statement explaining the transactions )

a Sale, exchange, or leasing of property?

b Lending of money or other extension of credit?

c Furnishing of goods, services, or facilities

d Payment of compensation (or payment or reimbursement of expenses if more than $1,000) See Form 990 Part V

e Transfer of any part of its income or assets?

SISTERS OF CHARITY OF ST . AUGUST

Schedule A (Form 990 a 990.F2) 2002

pport Schedule (Complete only if you checked a box on line 10, 11, or 12 ) Use cash method of accouMing. 'se the worksheet m the instructions for converting from the accrual to the cash method of accounting N/A

28 Unusual Grants : For an organization described in line 10, 11, or 12 that received any unusual grants during 1998 through 2001, prepare a list for your records to show, for each year, the name of the contributor, the date and amount of the grant, and a brief description of the nature of the grant Do not file this list Hnth your return . Do not include these grants in line 15

Schedule A (Form 990 or 990.FZ) 2002

STF FED1955F

Calendar ear or fiscal ear beginning in) " a 2001 b 2000 c 1999 d 1998 15 Gifts, grants, and contributions received (Do

not include unusual rants See line 28 16 Membership fees received 77 Gross receipts from admissions, merchandise

sold or services performed, or furnishing of facilities m any activity that is related to the

18 Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975

19 Net income from unrelated business activities not included in line 18

20 Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf

21 The value of services or facilities furnished to the organization by a governmental unit without charge Do not include the value of services or facilities generally furnished to the public without charge

22 Other income Attach a schedule Do not include gain or loss from sale of capital assets

23 Total of lines 15 through 22 24 Line 23 minus line 17 25 Enter 1 °/, of line 23 26 Organizations described on lines 10 or 11 a Enter 2% of amount in column (e), line 24 ji 26a

b Prepare a list for your records to show the name of and amount contributed by each person (other than a governmental unit or publicly supported organization) whose total gigs for 1998 through 2001 exceeded the amount shown in hoe 26a Do not file this list with your retain Enter the total of all these excess amounts b. 26b

c Total support for section 509(a)(1) test Enter line 24, column (e) tl~ 26c d Add Amounts from column (e) for lines 18 19

22 26b ~ 26d e Public support (line 26c minus line 26d total) ji~ 26e f Public support percentage (line 26e (numerator) divided by line 26c (denominator)) 1~ 26f

27 Organizations described on line 12 " a For amounts included in lines 15, 16, and 17 that were received from a 'disqualified person; prepare a list for your records to show the name of, and total amounts received in each year from, each 'disqualified person ' Do not file this list wnth your return Enter the sum of such amounts for each year

N/A (2000) N/A (1999) N/A (1998) N/A (2001) b For any amount included in line 17 that was received from each person (other than "disqualified person"), prepare a list for your

records to show the name of, and amount received for each year, that was more than the larger of (1) the amount on line 25 for the year or (2) $5,000 (Include in the list organizations described in lines 5 through 11, as well as individuals) Do not file this list with your retain . After computing the difference between the amount received and the larger amount described in (1) or (2), enter the sum of these differences (the excess amounts) for each year

(2001) N/A (2000) NBA (1999) N/A (1998) N/A

c Add Amounts from column (e) for lines 15 16 17 20 21

d Add Line 27a total 0 and line 27b total e Public support (line 27c total minus line 27d total) f Total support for section 509(a)(2) test Enter amount from line 23, column (e) M. 27f g Public support percentage (line 27e (numerator) divided by line 27f (denominator)). ii, 27 h Investment income percentage (line 18, column (e) (numerator) divided byline 27f (denominator)) p. 27h

Page 4 Schedule A (Form 990 a 990.E2) 2002

Private School Questionnaire (See page 7 of the instructions ) (To be completed ONLY by schools that checked the box on I

If you answered 'Yes* to any of the above, please explan (If you need more space, attach a separate statement )

SW FED7955F 4

29 Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws, other governing instrument, or in a resolution of it governing body?

30 Does the organization include a statement of its racially nondiscriminatory policy toward students in all its brochures, catalogues, and other written communications with the public dealing with student admissions, programs, and scholarships?

31 Has the organization publicized it racially nondiscriminatory policy through newspaper or broadcast media during the period of solicitation for students, or during the registration period d d has no solicitation program, in a way that makes the policy known to all parts of the general community it serves? If "Yes," please describe, if "No," please explain (If you need more space, attach a separate statement )

32 Does the organization maintain the following a Records indicating the racial composition of the student body, faculty, and administrative staff? b Records documenting that scholarships and other financial assistance are awarded on a racially

nondiscriminatory basis c Copies of all catalogues, brochures, announcements, and other written communications to the public dealing

with student admissions, programs, and scholarships d Copies of all material used by the organization or on its behalf to solicit contributions?

If you answered 'NO' to arty of the above, please explain (If you need more space, attach a separate statement )

33 Does the organization discriminate by race in any way with respect to

a Students' rights or privileges?

b Admissions policies?

c Employment of faculty or administrative staff?

d Scholarships or other financial assistance?

e Educational polices?

f Use of facilities?

g Athletic programs?

h Other extracurricular activities?

34a Does the organization receive any financial aid or assistance from a governmental agency?

b Has the organization's right to such aid ever been revoked or suspended? If you answered "Yes" to either 34a or b, please explain using an attached statement

35 Does the organization certify that it has complied with the applicable requirements of sections 4 01 through 4 05 of Rev Proc 7550, 19752 C B 587, covering racial nondiscrimination If "No,' attach an explanatioi

Schedule A (Form 990 or 99o-FZ) 3002

50 Grassroots lobbying expenditures Part VI-B Lobbying Activity by Nonelecting Public Charities

(For reporting only by organizations that did not complete Part VI-A) (See page 11 of the instructions

During the year, did the organization attempt to influence national, state or local legislation, including any Yes No Amount attempt to influence public opinion on a legislative matter or referendum, through the use of a Volunteers x b Paid stall or management (Include compensation in expenses reported on lines c through h.) x c Media advertisements x d Mailings to members, legislators, or the public x e Publications, or published or broadcast statements x f Grants to other organizations for lobbying purposes x g Direct contact with legislators, their staffs, government officials, or a legislative body x h Rallies, demonstrations, seminars, conventions, speeches, lectures, or any other means x

i Total lobbying expenditures (Add lines c through h.) ~~ NONE If "Yes* to any of the above, also attach a statement giving a detailed description of the lobbying activities

Schedule A (Form 990 or 99OFZ) 2003

SW FE0IBSSF 5

Schedule A (Form 990 a 990-EZ) 2002 Page Part VI-A Lobbying Expenditures by Electing Public Charities (See page 9 of the instructions )

(To be completed ONLY by an eligible organization that filed Form 5768) N/A Check jl~ a 0 d the organization belongs to an affiliated group Check 1 b 0 A you checked "e" and ̀ limned control' provisions apply

Limits on Lobbying Expenditures Affiliated 7o be completed totals far ALL electing (The term "expenditures" means amounts paid or incurred ) organizations

36 Total lobbying expenditures to influence public opinion (grassroots lobbying) 36 37 Total lobbying expenditures to influence a legislative body (dared lobbying) 37 38 Total lobbying expenditures (add lines 36 and 37) 38 39 Other exempt purpose expenditures 39 40 Total exempt purpose expenditures (add lines 38 and 39) 40 41 Lobbying nontaxable amount Enter the amount from the following table-

If the amount on line 40 is- me lobbying nontaxable amount is - Not over $500,000 20% of the amount on line 40 Over $500,000 but not over $1,000,000 $100,000 plus 1596 0( the excess aver $500,000 Over $1,000,000 but rot over $1,500,000 $175,000 plus 10% M the eccess over $1,000,000 41 Over $1,500,000 but rot ova $17,000,000 $225,000 plus 5% of the excess over $1,500,000 Over $17,000,000 $1,000,000

42 Grassroots nontaxable amount (enter 25% of line 41) 42 43 Subtract line 42 from line 36 Enter -0- if line 42 is more than line 36 43 44 Subtract line 41 from line 38 Enter -0- if line 41 is more than line 38 44

Caution : 1/ there is an amount on either line 43 or line 44, you must rile Form 4 720

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below

See the instructions for lines 45 through 50 on page 11 of the instructions )

Lobbying Expenditures During 4-Year Averaging Period

Calendar year (or (a) (b) (c) (d) (e) fiscal year beginning in) ii~ 2002 2001 2000 1999 Total

45 Lobbvina nontaxable amount

46 Lobbvina ceiling amount (150% of line

47 Total

48 Grassroots nontaxable amount

49 Grassroots ceiling amount (150% of line

Schedule A (Form 890 or 990-EZ) 2004

With Nonchantable Organizations (See page 12 of the instructions )

51 Did the reporting organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?

a Transfers from the reporting organization to a nonchantable exempt organization of (i) Cash (u) Other assets

b Other transactions (i) Sales or exchanges of assets with a noncharitable exempt organization b(l) x (ii) Purchases of assets from a nonchantable exempt organization X (ui) Rental of facilities, equipment, or other assets (iv) Reimbursement arrangements b(iv) X (v) Loans or loan guarantees b(v) X (vi) Performance of services or membership or fundraising solicitations x Sharing of facilities, equipment, mailing lists, other assets, or paid employees If the answer to any of the above is "Yes," complete the following schedule Column (b) should always show the fair market value of the goods, other assets, or services given by the reporting organization If the organization received less than fair market value in any transaction or sharing arrangement, show m column (d) the value of the goods, other assets, or services received

(d) (a) I (b) I (c) Line no Amount inwlveE Name of ranchanlada and

SW FEDIBSSF 6

52a Is the organization directly or indirectly affiliated with, or related to, one or more tax-exempt organizations described in section 501(c) of the Code (other than section 501(c)(3)) or in section 5277 ji~ E] Yes Q No

b If "Yes,' complete the following schedule (a) I (D) I (c)

Name of aBanizahon Type of aganizaLOn Descnpbon of

A

Schedule A (Form 990 or 990.EZ) 2OfYt

Is If you are fill- ̀ - an Additional (not automatic) 3-Month Extension, complete only Part II and check this box 1~ 0 Note: Only c : Part 11 H you have already been granted an automatic 3-month extension on a previously riled Form 8868. " If you are filing or an Automatic 3-Month Extension, complete only Part I (an oaqe 1)

WunIuI ION prvLauwu1aui.l~nvnuI uwuawI I VI 1uuo-

Name of Exempt Organization

S .C . CENTER FOR FATHERS AND FAMILIES Number, street . end room ar suite no It e P O box, am instructions

Type w print File by the a;Cended due date for filing the return See iristruwom

Gly, town a post attfce, state, and L

CLEVELAND OH 99115 9B8

ack type of return to be filed (File a separate application for each return) Form 990 0 Form 990-EZ 0 Form 990-T (sec 401(a) or 408(a) trust) ~ Form 1041-A Form 990-BL E] Form 990-PF [:] Form 990-T (trust other than above) ~ Form 4720

Form 5227 E] Form 8870 Form 6069

is If the organization does not have an office or place of business in the United States, check this box * El is If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN) 0 92 8 If this is for the whole group, check this box fi~ [:] If it is for part of the group, check this box fi~ OX and attach a list with the names and EINs of all members the extension is for

Ba If this application is for Form 990-BL, 990.PF, 990-T, 4720, or 6069, enter the tentative tax, less any nonrefundable credits See instructions $

b If this application is for Form 990-PF, 990-T, 4720, or E069, enter any refundable credits and estimated tax payments made Include any prior year overpayment allowed as a credit and any amount paid previously with Form 8868 E

c Balance Due. Subtract line 8b from line Ba Include your payment with this form, or, if required, deposit with FTD coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System) See instructions $

~ Signature and Verification bas of perlury I declare OW I how tuarrisred this form, including ai=Impanying schadulm and slitter. ends . and to the best of my krawledge and badjef it is true

and complete and tried I em euyqimd to papas this form

Date 10

We have not eppro~ed this application However, we have granted a 10-day grace period from the later a the date sham blow a the duo date of the organization's return (including any prior extensions) This grace period is considered to be a valid extension of time for Na4ms otherwise required to be made on a timely return Please attach this forth to the organization's return W e have not approved this application After considering the reasons staled m item 7, we cannot grant your request for en extension of time to file We ere not granLnp a 10-day prate period W e cannot consider this application because it was filed after the due date of we return for which an extension vr~s requested ~~

D D D Other

Director

Alternate Mailing Address - Enter the address if you want the copy of this application for an additional returned to an address different than the one entered above

Type or I Number and street (include suite, romp, or apt no ) Or a PO boa number print

City or town. province a state, and country (including postal or 21P Bode

Form 8868 b12-21X0l STF FEOBOSBF 2

Farm 8868

Employer Identification number 36-4506397 For IRS use my

STOP: Do not complete Part II if you were not already granted an automatic 3-month extension on a previously filed Form 8868 .

4 I request an additional 3-month extension of time until -1IOVEMBER 15 _20 0 3 5 For calendar year 2 0 0 2 , or other tax year beginning , 20 - and ending , 20 -6 If this tax year is for less then 12 months, check reason ~ initial return 0 Final return ~ Change in accounting period 7 State in detail why you need the extension ADDITIONAL TIME IS REQUESTED IN ORDER TO OBTAIN

THE NECESSARY INFORMATION TO FILE A COMPLETE AND ACCURATE RETURN .

Nonce to Applicant-To Be Compl Please attach this loan to the organization's return

2 If this tax year is for less than 12 months, check reason E] Initial return 0 Final return [:] Change in accounUng penod

30. If this application is for Form 990-BL, 990-PF, 990.7, 4720, or 6069, enter the tentative tax, less any nonrefundable credits See instructions $

b If this application is for Form 990-PF or 990-T, enter any refundable credits and estimated tax payments made Include any prior year overpayment allowed as a credit $

c Balance Due. Subtract line 3b from line 30. Include your payment with this form, or, if required, deposit with FTD coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System) See instructions $

Signature and Verification Under perulhm of penury, 1 declare #* I Mw emmlne0 this loan including accompanying schedules end statements. and to the best of my knowledge and belief, it is trus. correct 0.M complete ayAthat 1 etq Eirttnri7nC to prepare this form

rer oamlo, May 2, 2003 Form 8868 (12-2000) Notice, sea Instruction

ISA 57F FEDDOSBF 1

8868 Application for Extension of Time To File an Exempt Organization Return OMB No ,5.5-�

oep.rtrnwn d the rrewey n ~.~ w File a appl ication for each realm ~.~w a.w .~ . saMO. " e evW

" If you are filing for an Automatic 3-Month Extension, complete only Part I and check this box ~ 0 " If you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II (an page 2 0( this torte) Note : Do not complete Part 11 unless you have already been granted an automatic 3-month extension on a previously fled Form 8868. Part I Automatic 3-Month Extension of Time-Only submit original (no copies needed) Note: Form 99aT corporations requesting an automatic 6-month extension - check this box and complete Part 1 only 1~ All other corporations (including Form 990-C filers) must use Form 7004 to request an extension o/ time to Me income fax returns Partnerships, REMICs and trusts must use Form 8736 to request an extension of time to ale Form 1065, 1066, or 1041

Type or Name d Exempt organization Employer Identification number

print S .C . CENTER FOR FATHERS AND FAMILIES 36-9506347 File by the Number, street, end form v suite no If a P O bcK see instructions duedate ror 2351 E . 22ND STREET filing your rawm See City, faun a post ice, stale, and 21P code Far a foreign address, sea instructions instructions CLEVELAND OH 49115 Check type of return to be filed (file a separate application for each return) x Form 990 0 Form 990.7 (corporation) 0 Form 4720 0 Form 990-BL E] Form 990.7 (sec 401(0.) or 408(0.) trust) E] Form 5227

Form 990-EZ E3 Form 990-T (trust other than above) E] Form 6069 Form 990-PF 0 Form 1041-A 0 Form 8870

" If the organization does not have an once or place of business in the United States, check this box 1~ 0 " If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN) If this is for the whole group, check this box Is, [] If it is for part of the group, check this box fl~ C-] and attach a list with the names and EINs of all members the extension will cover

1 I request an automatic 3-month (6-month . for 990-T corporation) extension of time until August 15 , Zp 03 , to file the exempt organization return for the organization named above The extension is for the organization's return for

11. 0 calendar year 20 IL or fs~ 0 tax year beginning , 20 -,end ending , 20-

For

STATEMENT 990PT1-1

LINE 20 - OTHER CHANGES DESCRIPTION AMOUNT

EQUITY TRANSFER FROM MEMBER (10349)

TOTAL AMOUNT (10349)

2002 SUPPLEMENTARY STATEMENT

SOUTH CAROLINA CENTER FOR FATHERS AND FAMILIES

LINE 22 - GRANTS AND ALLOCATIONS

WILEY KENNEDY FOUNDATION

756,447 00

2002 SUPPLEMENTARY STATEMENTS

SOUTH CAROLINA CENTER FOR FATHERS AND FAMILIES 36506347

STATEMENT 990 PT II - 1

DONEE NAME

AGAPE INNERCITY CHRISTIAN ASSEMBLY, INC

CHESTERFIELD-MARLBORO ECONOMIC OPPORTUNITY COUNCIL, INC

COLUMBIA URBAN LEAGUE, INC

COMMUNITY COALITION OF HORRY COUNTY

DENMARK-OLAR SCHOOL DISTRICT TWO

FAIRFIELD BEHAVORIAL HEALTH SERVICES

FATHER TO FATHER PROJECT

GEORGETOWN COUNTY UNITED WAY, INC

PHILLIS WHEATLEY ASSOCIATES

THE LANCASTER FATHERHOOD PROJECT . INC

GRANT ADDRESS AMOUNT

701 EAST BAY STREET #3A-100 178,621 00 MSC BOX 1202 CHARLESTON, SC 29403

P O BOX 877 40,000 00 CHERAW,SC 29520

P O BOX 50125 91,000 00 COLUMBIA, SC 29250

COASTAL CAROLINA UNIVERSITY 48,179 00 P O BOX 507 CONWAY, SC 29528

P O BOX 345 68,156 00 DENMARK, SC 29042

P O BOX 388 42,575 00 WINNSBORO, SC 29180

4650 SANDERS AVENUE 90,232 00 NORTH CHARLESTON, SC 29406

P O BOX 1065 44,441 00 GEORGETOWN, SC 29442-1065

335 GREENACRE ROAD 62,967 00 GREENVILLE, SC 29607

P O BOX 1896 47,197 00 LANCASTER, SC 29721

1037 EASTMAN STREET 43,079 00 COLUMBIA, SC 29203

36506347

WILLIAM R BYARS, JR PRESIDENT SUSANNA H KREY TREASURER DIRECTOR SVP/FOUNDATIONS 8 MARKETING CHILDREN'S LAW OFFICE CSA HEALTH SYSTEM UNIVERSITY OF SOUTH CAROLINA 2351 E 22ND STREET CAROLINA PLAZA, 12TH FLOOR CLEVELAND OH 44115 COLUMBIA, SC 29208 2168754609, FAX 2168754637 003 777 1646,FAX 803 777 8686

SR NANCY HENDERSHOT CSA RICK C WADE VICE PRESIDENT SISTERS HOME P O BOX 23733 SISTERS OF CHARITY PROVIDENCE HOSPITALS COLUMBIA SC 29244 2435 FOREST DRIVE 803 931 0999, FAX 803 931 0994 COLUMBIA, SC 29204

803 256 5313 FAX 803 256 5935 THOMAS C KEITH, SECRETARY EXECUTIVE DIRECTOR CHRIS HOEFER MYERS SISTERS OF CHARITY FOUNDATION OF SC USC DEVELOPMENT 2601 LAUREL STREET, SUITE 250 901 SUMTER STREET COLUMBIA, SC 29204 COLUMBIA, SC 29208 803 254 0230 . FAX 803 748 0444 803 777 9705, FAX 803 777 9708

NONE OF THE ABOVE INDIVIDUALS RECEIVED COMPENSATION FROM THE SOUTH CAROLINA CENTER FOR FATHERS AND FAMILIES DURING 2002 HOWEVER, SUSANNA H, KREY, TREASURER, JOHN T FAULSTICH, ASSISTANT TREASURER AND ROBERT C MNYNARD, ASSISTANT SECRETARY OF THE CENTER FOR FATHERS AND FAMILIES DID RECEIVE COMPENSATION FROM THE SISTERS OF CHARITY OF ST AUGUSTINE HEALTH SYSTEM THOMAS C KEITH SECRETARY OF THE SOUTH CAROLINA CENTER FOR FATHERS AND FAMILIES RECEIVED COMPENSATION FROM THE SISTERS OF CHARITY FOUNDATION OF SOUTH CAROLINA COMPENSATION WAS AS FOLLOWS

CONTRIBUTION TO TITLE AND EMPLOYEE BENEFIT EXPENSE ACCOUNT AVG HOURS COMPENSATION DEFERRED COMPENSATION OTHER ALLOWANCES

SUSANNAH KREY TREASURER 2351E 22ND STREET CLEVELAND OH 44115 40t $ 183,001 S 25,714 000

JOHN T FAULSTICH ASSISTANT TREAS 2351 E 22ND STREET CLEVELAND, OH 44115 40+ $ 231,071 E 31,551 000

ROBERT C MHYNARD ASSISTANT SEC'V 2351 E 22ND STREET CLEVELAND, OH 44115 40+ $ 92886 E 8394 000

THOMAS C KEITH SECRETARY 2601 LAUREL STREET #250 COLUMBIA, SC 29204 40+ $ 97,833 E 20006 000

SOUTH CAROLJNA CENTER FOR FATHERS AND FAMILIES

BOARD OF TRUSTEES

2002

SISTERS OF CHARITY OF ST AUGUSTINE/ ROMAN CATHOLIC CHURCH X

SISTERS OF CHARITY OF ST AUGUSTINE HEALTH SYSTEM, INC x

CSA HEALTH NETWORK X SISTERS OF CHARITY MINISTRY

DEVELOPMENT CORPORATION X CSA MERCY MINISTRIES X CSA ST JOHN MINISTRIES X CSA ST VINCENT MINISTRIES X JOSEPH'S HOME X SISTERS OF CHARITY FOUNDATION OF

CANTON X SISTERS OF CHARITY FOUNDATION OF

CLEVELAND X SISTERS OF CHARITY FOUNDATION OF

SOUTH CAROLINA X SAINT ANN FOUNDATION X SISTERS OF CHARITY PROVIDENCE HOSPITALS X REGINA HEALTH CENTER X

2002 SUPPLEMENTARY STATEMENTS

SOUTH CAROLINA CENTER FOR FATHERS AND FAMILIES 36-4506347 2351 EAST 22"° STREET CLEVELAND OH 44115

STATEMENT FORM 990 PART VI

QUESTIONS 80(A) AND 80(B)

SOUTH CAROLINA CENTER FOR FATHERS AND FAMILIES IS RELATED TO THE FOLLOWING ORGANIZATIONS THROUGH COMMON MEMBERSHIP, GOVERNING BODIES, TRUSTEES, OFFICERS, ETC

ORGANIZATION EXEMPT