To find the forms you need, go to IRS.gov and do a search for f1023-1023 and I1023 for 1023 instructions Attachments for 1023 Form Part IV-Narrative The Furniture Bank was founded in 2007 to provide household furnishings to formerly homeless people as they moved back into housing, people living with HIV diseases, victims of domestic violence and victims of natural disasters such as Hurricane Katrina. The FB will build a collaborative network of other service agencies that provide temporary housing, financial assistance, employment assistance, substance abuse treatment, mental health and physical health (particularly HIV/AIDS) assistance, senior citizens, emergency assistance for natural disasters and other assistance. It will act as the central referral agency for clients needing furniture as they move back into housing in Smallville. In this way, the FB will become the linchpin for social service agencies dealing with housing issues. It will provide these services on a non-partisan basis, with need being the only criteria. The FB will accept referrals by FAX and email from our collaborative agencies, certifying eligibility for services, and will then schedule a warehouse pick up or delivery of furnishings to the referred family or individual. The services we will provide will be at minimal cost to our recipients, with the referral agency paying most of the costs associated with the pick up, storage and delivery. FB has a service charge of $25 for clients who pick up items at our warehouse, and, a $50 service charge if it delivers items to the client's home. Many organizations working with homeless people and others in need receive numerous calls offering donations of furniture and household items. However, unless there is a need for that particular item at that particular time, the organization usually has to refuse it because of a lack of storage space. Even if the donation is needed, the task of arranging pick up and delivery is difficult and time consuming. The FB will ask agencies to advertise for us in their newsletters and any other ways they use to disseminate information to the general public, asking them to call us if they have a donation of furniture or household goods. In exchange, the FB will pick up the donation, inventory it and put it into stock in our warehouse. At a later date, when the referral organization is ready to sponsor a client, it will contact the FB and schedules the service. In this way, the FB will fill an essential gap in service delivery to homeless individuals. By providing furniture to people in need, the Furniture Bank will provide the following benefits: 1. Financial: The Furniture Bank will help people stay within their budget and maintain stability after making the transition from homelessness back into homes. 2. Physical: The Furniture Bank will create a better environment for eating and sleeping, preventing illness. 3. Social: The Furniture Bank will promote family interaction. Without a table or living room furniture, there is no gathering point for family conversation and interaction. In addition to these benefits to clients, the Furniture Bank will help the community at large by recycling furniture and diverting tons of usable items from Smallville landfills each year. Furnishings play a major role in maintaining a permanent, independent living situation by providing participants the sense of ownership and stability that comes from having a furnished home to return to after a day at work or school. The lack of essential furnishings is unhealthy as well as demoralizing and a return to homelessness is perilously imminent. This system will enable groups working with homeless people and others in need to expand the services they can provide at minimal additional expenditure of funds. The FB will fill an essential gap in the delivery of services as our clients become self-sufficient. In its first year, the FB will identify warehouse space, develop a staff, secure physical resources, identify income and begin soliciting collaborative partners for the project. In the following two years, the FB will expand it services as additional resources are identified. It will not change or add components to its program. ATT: This is a general description of a sample furniture bank and is intended to help you thinking about your own agency. You will, of course, have your own ideas about how to operate your organization. Part V-3A-list John Smith-ED-MSW and former ED at Anyhow, Inc. Works forty hours a week and is responsible for the overall operation of the agency. Same type of data for any other employees listed at 1A. Ed Wilson-Board President- owns furniture company and volunteers about 2 hours a month Same type of data for each Board member. Part VI-1A- benefits Cut and paste from part IV narrative. Example: The FB will build a collaborative network of other service agencies that provide temporary housing, financial assistance, employment assistance, substance abuse treatment, mental health and physical health (particularly HIV/AIDS) assistance, senior citizens, emergency assistance for natural disasters and other assistance. It will act as the central referral agency for clients needing furniture as they move back into housing in Smallville. In this way, the FB will become the linchpin for social service agencies dealing with housing issues. It will provide these services on a non-partisan basis, with need being the only criteria. The FB will accept referrals by FAX and email from our collaborative agencies, certifying eligibility for services, and will then schedule a warehouse pick up or delivery of furnishings to the referred family or individual. Part VIII-4A-examples Personal Solicitations-Board members and the ED of the FB will solicit financial support from individual members of the community. We anticipate that each Board member will contact at least 5 of their friends, seeking donations. The ED will meet with decision makers from local businesses and corporations, again, seeking financial donations. Once the FB 501(c)(3) is obtained, the ED will begin writing grant proposals for funding from local, regional and national foundations. Part IX-Financial-A-line 9 The FB will receive $10,000 from referral agencies for furniture provided to their clients- Year 1 Year 2-same wording $20,000 Year 3-$50,000 Line 23 Truck Purchase Insurance Truck Fuel, Maintenance and Repair Equipment Purchased Year 1 $30,000 $5,000 $9,000 $1,000 Year 2 Year 3 $8,000 $10,000 $5,000 $12,000 $12,000 $5,000