990
Form
OMB No 1545-0047
Return of Organization Exempt from Income Tax
2004-
Under section 501 (c), 527 , or 4947(a)(1) of the Internal Revenue Code
(except black lung benefit trust or private foundation)
ry
IInternalnReven a Service
A
For the 2004 calendar year. or tax year beainnina Jul
B
Check if applicable
C
use
pIIRSlabel
or prinik
pe.
ortype.
Address change
Name change
Initial return
specific
mstruc
tions
Final return
Amended return
1
.2004. and endna
Jun 30
Name of organization
CATHOLIC CHARITIES OF THE DIOCESE OF BEAUMONT,
Number and street (or P 0 box if mail is not delivered to street addr)
2005
D
Employer Identificati on Number
E
Telephone number
F
Accou a tin g
metho
INC.
74-1900345
Room/suite
POST OFFICE BOX 829
(409)
count
City, town or country
ZIP code + 4
State
BEAUMONT
❑ Application pending
Open to Public
Inspection
► The organization may have to use a copy ofthis return to satisfy state reporting requirements
TX
77704-0829
• Section 501 (cX3) organizations and4947(aX1) nonexempt
835-7118
11 Cash
X Accrual
Other (specify)
H andI are not applicable to section 527 organizations
charitable trusts must attach a completed Schedule A
H (a) Is this a group return for affiliates?
(Form 990 or 990-EZ).
❑ Yes
X❑ No
❑ Yes
❑ No
Y es
No
H (b) If 'Yes,' enter number of affiliates
G
Web site: O' WWW. CATHOL I CCHARI T I ES BMT . ORG
J
Organization type
H (C) Are all affiliates included'
(if 'No,' attach a list See instructions )
0.
(check only one)
501(c)
(inse rt no)
3 -4
❑ 4947 (a)(1) or
❑ 527
H (d) is this a separate return filed by an
K
Check here
If the organization ' s gross receipts are normally not more than
$25 , 000 The or g anization neednot file a return with the IRS , but if the or g anization
received a Form 990 Package in the mail, itshould file a return without financial data.
Some states require a complete return .
Gross receipts: Add lines 6b, 8b,9b, and 10b to line 12 11 7 , 8 7 4 , 181.
N= Revenue , Expenses, and Changes in Net Assets or Fund Balances (See Instructions)
Contributions, gifts, grants, and similar amounts received:
a Direct public support
b Indirect public support
c Government contributions (grants)
d 1athroughli1c)s(cash $
1, 340, 962.
noncash
1
5
6a
b
c
D idendR
fr
cur ies
G oss rents
L
er>
®cppn4sZ00ld
N
al Income or (loss) (su
t line 6b from line6a)
R
7
O er
E
v
8a Gr ss a
E
Z
E
x
pora
th
f„y�gme
u
tIV
cash
1d
2
3
)
4
5
investments
crib
X
1,040, 962.
300 000.
Program service revenue including government fees and:ontracts (from Part VII, line 93)
Membership dues and assessments
4
N
la
1b
1c
$
'
Group Exemption Number
► 0928
Check ► ❑ if the organization is not required
to attach Schedule B (Form 990, 990-EZ, or 990-PF)
L
2
3
0
I
M
O
1
W-
organization covered by a group rul in g
1, 340, 962.
6,293,682*
31,063.
6a
6b
6c
l
other
(A) Securities
entory
(B) Other
8a
b Less cost or other basis and sales expenses
8b
c Gain or (loss) (attach schedule)
8c
d Net gain or (loss) (combine line 8c, columns (A) and (B))
9 Special events and activities (attach schedule) If any amountis from gaming , check here
a Gross revenue (not Including
$
of contributions
reported online l a)
9a
b
c
10a
b
c
11
12
Less direct expenses other than fundraising expenses
Net income or (loss) from special events (subtract line 9b from line 9a)
Gross sales of inventory, less returns and allowances
Less cost of goods sold
Gross profit or (loss) from sales of inventory (attach schedule) (subtract line 10b from line l0a)
Other revenue (from Part VI, line 103)
Total revenue (add lines 1 d, 2, 3, 4, 5, 6c, 7, 8d, 9c, 1 Oc, and 11)
9b
13
Program services (from line 44, column (B))
8d
�❑
208, 474 .
9c
208, 474.
10c
11
12
7, 874, 181.
13
6,743,861.
10a
10b
14 Management and general (from line 44, column (C))
E 15 Fundraising (from line 44, column(D))
N
E 16 Payments to affiliates (attach schedule)
S 17 Total expenses (add lines 16 and 44, column (A))
A 18 Excess or (deficit) for theyear (subtract line 17 from line 12)
N 5 19 Net assets or furd balances at begiming of year (from line 73, column (A))
T T 20
Other changes in net assets or fund balances (attach explanation)
Net assets or furl balances at end of year (combine lines 18, 19, and 20)
S 21
BAA For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions .
14
15
16
17
18
19
20
21
TEEA0101 01/07/05
244, 958.
23,272.
7,012,091.
862,090.
1, 80 7, 345.
2, 669, 435.
Form 990 (2004)
1q
-Form
74-1900345
CATHOLIC CHARITIES OF THE DIOCESE OF BEAUMONT, INC.
(20012
Statement of Functional Ex enses All organizations must complete column (A). Columns (B), (C), and (D) are
required for section 501(c)(3) and (44) organizations and section 4947 (a)(1) nonexempt charitable trusts but optional for others.
Do not include amounts reported on line
6b, 8b, 9b, 10b, or 16 of Part /
Grants and allocations (aft sch )
(cash
$
)
non-cash $
Specific assistance to individuals (aft sch)
Benefits paid to or for members (aft sch)
22
23
24
25
26
Pension plan contributions
27
28 Other employee benefits
29 Payroll taxes
Professional fundraising fees
Accounting fees
Legal fees
Supplies
30
31
32
33
34 Telephone
Postage and shipping
35
------------------b PROFESSIONAL SERVICES
------------------c INSURANCE
y' q
('4'a
%r�t 1 g
0.
0.
207 , 123.
173, 215.
33, 908.
69,415.
56,240.
13,175.
0.
0.
30
31
32
33
52,612.
8, 746.
35
26,417.
16,301.
40, 176.
6,086.
18,798.
16,050.
12,436.
2,660.
7, 619.
0.
34
251.
0.
9,279.
13,808.
6, 025 .
0.
0 .
18, 625.
932.
0.
0.
40
41
42
14,740.
6, 739.
3,047.
26, 753.
714 .
3, 047.
26, 753.
0 .
0.
0.
43a
43b
43c
5,826 .
48 ,733.
37,880.
2,987.
40,627.
28,347.
2,839.
8 106.
9,533.
0.
0.
0.
66,290.
28
29
37
Conferences , conventions, and meetings
Interest
Depreciation , depletion, etc (attach schedule )
Other expenses not covered above ( itemize):
a ADVERTISING
s"y
, ',+ 1
66,290.
23,536.
37
38
40
41
42
43
q
0.
756, 340.
36
39 Travel
�uV+ti
I ,�
(D) Fundraising
779, 876.
36 Occupancy
Equipment rental and maintenance
Printing and publications
(C) Management
and general
dti' +l�
q
22
23
24
25 Compensation of officers, directors , etc
26 Other salaries and wages
27
( B) Program
serv ices
( A) Total
Page 2
27 , 904.
38
39
0.
0.
------------------300.
5,458.
0.
dJANITORALSERVICES
43d
5 ,758.
------------------43e
9,076.
23,272.
eSee Other Expenses Stmt
5, 607, 931.
5, 575, 583.
44 Total functional expenses (add lines 22 - 43).
Organizations completing columns (B) - (D),
44
7 012, 091.
244, 958.
23,272.
carry these totals to lines 13 -15
6, 743, 861.
Joint Costs . Check Of] if you are following SOP 98-2.
Yes ® No
Are any joint costs from a combined educational campaign and fundraising solicitation reported in (B) Program services?
If 'Yes,' enter (i) the aggregate amount of these joint costs
$
, (ii) the amount allocated to Program services
$
; and (iv) the amount allocated
$
; (iii) the amount allocated to Management and general
to Fundraising $
Accom
What is the organization's primary exempt purpose? ►
SOCIAL-SERVICES--CHARITY - _ _ _ _ _ _ _ _ _ _
All organizations must describe their exempt purpose achievements in a clear and concise manner. State the number of
clients served, publications issued etc. Discuss achievements that are not measurable. (Section 501(c)(3) & (4) organizations and 4947(a)(1) nonexempt charitable trusts must also enter the amount of grants & allocations to others)
a IMMIGRANT-ASSISTANCE-PROVIDED-TO-LOW-INCOME-MEMBERS-OF
-----------------------------------THE COMMUNITY ON A NOMINAL TO NO FEE BASIS
-----------------------------------------------------------------------------------------(Grants and allocations $
0 . )
bCHILD CARE-DAY CARE SUBSIDY FOR HUNDREDS OF LOW-INCOME
-----------------------------------------------------FAMILIES.THE PROGRAM IS OPERATED UNDER CONTRACT WITH
--------------------------------------------------SOUTHEAST-TEXAS WORKFORCE-DEVELOPMENT BOARD _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
------------------------------(Grants and allocations $
0 . )
CCOUNSELING SERVICES- AVAILABLE TO ALL AGE GROUPS, WITH
----------------------------------------AN EMPHASIS ON MARRIAGE AND FAMILY THERAPY.
---------------------------------------------------------------------------------------------(Grants and allocations $
0. )
dPARISH SOCIAL MINISTRY- SEEKS TO EMPOWER PERSONS IN THE
----------------------------------------------------PARISH TO RESPOND TO COMMUNITY NEEDS THROUGH SERVICE
----------------------------------------------------AND ACTION.
-----------------------------------------------------(Grants and allocations $
0. )
(Grants and allocations $
e Other program services SEE. STATEMENT
0. )
f Total of Program Service Expenses (should equal line 44, column (B), Program services)
BAA
TEEA0102
01107/05
Program Se rv ice Expenses
(Required for 501(c)(� and
and
494(aa))(1)iusts,
optional for others )
144,869.
6, 239, 521.
54,682.
6,214.
208,575.
6,743,861.
Form 990 (2004)
'Form 990 (2004)
74-1900345
CATHOLIC CHARITIES OF THE DIOCESE OF BEAUMONT, INC.
Page 3
Balance Sheets (See Instructions)
Note :
1, 053, 220. 45
45 Cash - non - interest - bearing
46
Savings and temporary cash investments
1,387,565.
46
47a Accounts receivable
47a
bLess• allowance for doubtfil accounts
47b
48a Pledges receivable
b Less : allowance for doubtful accounts
48a
48b
26,549.
1 , 599. 47c
26,549.
48c
49 Grants receivable
1, 289 , 010. 49
Receivables from officers , directors , trustees , and key
employees (attach schedule)
51 a
51 a Other notes & loans receivable (attach sch)
51 b
b Less : allowance for doubtfii accounts
52 Inventories for sale or use
A
s
E
(B)
End of year
(A)
Beginning of year
Where required, attached schedules and amounts u.thm the description
column should be for end - of-year amounts only
1,264,284.
50
s
50
53 Prepaid expenses and deferred charges
54 Investments - securities (attach schedule )
55a Investments - land, buildings , & eq ui pment : basis
b Less: accumulated depreciation
(attach schedule )
56 Investments - other (attach schedule)
57a Land, buildirgs , and equipment : basis
�fl Cost[] FMV
51 c
52
855.1 53
54
907.
55a
55b
55c
56
57a
1, 139, 097.
57b
126 , 418.
b Less accumulated depreciation
(attach schedule )
58
59
L-57 Stint
Other assets (describe ►
Total assets (add lines 45 through58) (must equal line 74)
2, 853, 899.
60 Accounts payable and accrued expenses
61 Grants payable
A
T
E
S
A
Ts
317,962.
)
73
74
599 081.
64b
238, 473.
184, 995.
1, 022, 549.
1, 294 225. 67
513, 120. 68
69
2, 209, 519.
459, 916.
X and complete lines 67
67 Unrestricted
68 Temporarily restricted
69 Permanently restricted
E
3, 691, 984.
164 220 . 65
1, 046, 554. 66
o Organizations that do not follow SFAS 117 , check here ►
and complete lives
F
70 through 74
70 Capital stock , trust principal , or current funds
N
D
71 Paid-in or capital surplus , or land,building , and equipment fund
B
A
72 Retained earnings , endowment, accumulated income , or other furds
L
A
N
1,012, 679.
62
63
64a
b Mortgages and other notes payable (attach schedule)
65 Other liab il ities (describe ► See Line 65 Stmt
66 Total liabilities (add lines 60 through65)
Organizations that follow SFAS 117, check here through 69 and lines 73 and 74
58
59
564, 372. 60
61
62 Deferred revenue
63 Loans from officers, directors, trustees , and key employees (attach schedule)
64a Tax - exempt bond liab il ities (attach schedule)
B
1
T
509, 215. 57c
)
Total net assets or fund balances (add lines 67 through 69 or lines 70 th rough
72; column (A) must equal line 19, column (B) must equal line 21)
Total liabilities and net assets/fund balances (add lines 66 and 73)
70
71
72
1, 807, 345.
2,853, 899.
73
74
2, 669, 435.
3, 691, 984.
Form 990 is available for public inspectionand, for some people, serves as the primary or sole source of information abouh particular
organization How tie public perceives an organization insuch cases may be determined by the uformation presentedon its return. Therefore,
please make sure the retun is complete and accurate and fully describes, in Part III, the organization's programs and accomplishments
BAA
TEEA0103
01/07/05
'Form 990 (2004)
74- 1900345
CATHOLIC CHARITIES OF THE DIOCESE OF BEAUMONT , INC.
JIMMM List of Officers , Directors, Trustees, and Key Em
(A) Name and address
(B) Title and average hours
per week devoted
to position
SHERRY-DISHMAN
--------------------645 PEYTON DRIVE
---------------------BEAUMONT, TX 77706
TREASURER
LINDA DOMINO
----------------------
Page4
to ees (List each one even if not compensated , see instructions )
(D) Contributi ons to
(E) Expense
(C) Compensation
(if not paid,
employee benefit
account and oth er
and
deferred
allowances
enter -0-)
plans
compensation
AS
0.
0.
0.
AS
0.
0.
0.
AS
0.
0.
0.
As
0.
0.
0.
AS
0.
0.
0.
66,290.
0.
0.
890 BRANDYWINE
--------------------BEAUMONT, TX 77706
DIRECTOR
AMELIE COBB
---------------------2511 LONG AVENUE
---------------------BEAUMONT, TX 77702
DIRECTOR
DONNA HARRIS
---------------------735 THOMAS ROAD
---------------------BEAUMONT, TX 77706
DIRECTOR
RUSSELL J. _CHIMENO_
P.O. BOX 3948
---------------------BEAUMONT, TX 77704
DIRECTOR
----------------------
Statement- - - - ------------
See List of Officers, Etc.
75
Did any officer, director, trustee,or key employee receive aggregate compensation ofrnore
than $100,000 from your organization and all related organizations, of ihich more than
$10,000 was provided by the related organizations?
If 'Yes,' attach schedule - see instructions.
Yes
XQ No
Form 990 (2004)
BAA
TEEA0104
01/07/05
74-1900345
CATHOLIC CHARITIES OF THE DIOCESE OF BEAUMONT, INC.
'Form 990 (2004)
Other Information (See instructions .)
Yes
Did the organization engage in any activity not previously reported to the IRS ? If 'Yes,'
attach a detailed descriptionof each activity
77 Were any changes made in he organizing or governing documents but not reported to the IRS?
If 'Yes,' attach a conformed copy ofthe changes.
78a Did the organization have unrelated business gross income of$1,000 or more during the year covered by this return?
b If 'Yes ,' has it filed a tax return on Form 990-T for th is year?
Pages
No
76
Was there a liquidation, dissolution, termination, or substantial contraction dung the
year ? If Yes,' attach a statement
79
76
77
X
X
78a
78b
X
79
X
80a Is the organization related (other thanby association with a statewideor nationwide organization ) through common
membership , governing bodies, trustees, oficers , etc, to any other exempt or nonexempt organization?
b If 'Yes,'enter the name of the organization
and check whether it is _11 exempt or- _11 nonexempt.
1 81 al
81 a Enter direct and indirect political expen ditures See line 81 instructions
0.
b Did the organization fil e Form 1120-POL for this year?
80a
j
X
8 bb
X
82 a Did the organization receive donated services or the use of materials, egwpmentpr facilities at no charge or at
substantially less than fair renbl value?
82a
X
b If 'Yes,' you may indicate the value ofthese items here . Do not include this amount as
revenue in Part I or as an expense in Part II (See instructions in Part III.)
1 82b 1
83a Did the organization comply with the public inspection requirements br returns and e)emption applications?
b Did the organization comply with the disclosure requirements relating to quidpro quo contributions7
84a Did the organization solicit any contributions or gifts th at were not tax deductible?
83a
83b
84a
b If 'Yes,' did the organization include oath every solicitation an express statement that such contnbufions or gifts were
not tax deductible?
85 501 (c)(4), (5), or (6) organ izations. a Were substantially all dues no ndeductible by members?
b Did the organization make only in-house lotbying expenditures of $2,000 or less?
84b
85a
85b
NA
NA
85g
NA
85 h
NA
X
X
X
If'Yes' was answered to either 85a or85b , do not complete 85c through85h below unless the organization received a
waiver for proxy tax owed for the prior year
c
d
e
f
g
Dues, assessments , and similar amounts from members
Section 162 (e) lobbying and politcal expenditures
Aggregate nondeductible amountof section 6033 (e)(1)(A) dues notices
Taxable amount of lobbying and political expenditures (line 85d less 85e)
Does the organization electto pay the section 6033 (e) tax on the amount on line 85f'
85c
85d
85e
85f
h If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount on line85f to its reasonable estimate of
dues allocable to nondeductible lobbying and political expenditures for the following tax year?
86 501 (c)(7) organizations Enter- a Initiation fees and capital contribu ti ons included on
line 12
86a
86b
b Gross receipts , included online 12, for public use of club facilities
87a
87 501 (c)(12) organizations Enter a Gross income from members or shareholders
bGross income from other sources (Do not netamounts due or paid to other sources
against amounts due or received from them.)
87b
NA
NA
NA
NA
NA
NA
NA
NA
At any time during the year , did th e organization own a 50% or greater interest ina taxable corporation or partnership,
or an entity disregarded as separate from the organization uder Regulations sections 301 7701-2 and 301 7701-37
88
If 'Yes,' complete Part DC
89a 501 (c)(3) organizations. Enter Amount of tax imposed on the organization during the year under
NA
section 4911 ►
NA , section 4912
NA section 4955
88
b 501(c)(3) and 501(c)(4) organizations Did the organization engage in any section 4958 excess benefittransaction
during th e 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
„
X
c Enter Amount of tax imposed on the organization managers or disqualified persons during the
year under sections 4912, 4955, and 4958
0.
Enter : Amount of tax on line 89c, above, reimbursed by theorganization
NONE
List the states with which a copy of this return is filed ►
------------------------------ -90b
Number of employees employed in the pay period that includes March 12, 2004 (See instructions.)
30
Telephone number ►
(4 0 9) 8 35-7118
The books are in care of ► DEAN TERREBONNE
-------------------------------------ZIP + 4 ► 77701
Located at ► 2780 EASTEX FREEWAY, BEAUMONT, TX
---------------------------------------------- -------1092 Section 4947(a)(1) nonexempt charitable trusts filing Form 990 in lleuof Form 1041 - Check here
►I 92
and enter the amount of tax-exempt interest received or accrued during thetax year
Form 990 (2004)
BAA
d
90a
b
91
F]
TEEA0105
01/07/05
74-1900345
Page 6
'Form 990 (2004) CATHOLIC CHARITIES OF THE DIOCESE OF BEAUMONT, INC.
Nffi� Analysis of Income-Producing Activities (See instructions)
Excluded by section 512 , 513, or 514
(E)
Unrelated business income
Note : Enter gross amounts unless
(A)
(C)
(D)
Related or exempt
(B)
otherwise indicated.
Exclusion code
Amount
function income
Business code
Amount
93 Program service revenue
31,155.
a CHILD CARE SERVICES
35,129.
b IMMIGRATION
15,327.
c SOCIAL SERVICES
d
e
f Medicare/Medicaid payments
g Fees & contracts from government agencies
94
6,212,071,
Membership dues and assessments
95 Interest on savings & tempora ry cash invmnts
96 Dividends & Inrest from securities
31,063.
Net rental income or ( loss) from real estate:
a debt-financed property
b not debt - financed property
98 Net rental income or ( loss) from pers prop
99 Other investment income
100 Gain or (loss) from sales of assets
other than inventory
97
101
Net income or (loss ) from special events
102
Gross profit or (loss) from sales of invento ry
1
208,474.
Other revenue: a
103
b
C
d
e
208,474.1
1111.
104 Subtotal (add columns ( B), (D), and (E))
105 Total (add line 104, columns (B), (D), and (E))
Note : Line 105 plus line 1 d, Part 1, should equal tie amount on line 12, Part
6,324,745.
6,533,219.
Relationship of Activities to the Accomplishment of Exempt Purposes (See instructions)
Line No .
Explain how each activity for which income is reported incolumn (E) of Part VII contributed importantly to the accomplishment
of th e organization ' s e)empt purposes (other than by providing finds for such purposes).
93aiFEES CHARGED FOR QUALIFYING CHILD CARE
93bIFEES CHARGED PARTICIPANTS BASED ON ABILITY TO PAY
Infnrmatinn Renardinn TaYahle Subsidiaries and Disrenarded Entities (See instructinns )i
N /A
(A)
(B)
(C)
(D)
(E)
Name, address, and EIN ofcorporation,
partnership, or disregarded entity
Percentage of
ownership interest
Nature of activities
Total
income
End-of-year
assets
00
Information Regarding Transfers Associated with Personal Benefit Contracts (See instructions)
a Did the organization , during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
b Did the organization, during the year, pay premiums, directly or I
Note : If 'Yes' to (b), file Form 8870 and Form 4720 (see instruction
Under penaltte
pequry, I care at I _ havepiennyp4.khrs return , mcludm
Please
Sign
Signattre of officer
Here
E�80�/NC
W
ype or print name and title
Paid
Preparer's
Use
Only
BAA
Prepares
signaturee
110-
ZI
U,01-
Ed ands, Tate & Fontenote
► 43
row Road Suite B
Beaumont
Firm's name (or
empoyed )n
and
P+ 4
A -
Yes
I X No
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Se rv ice
OMB No 1545-0047
Organization Exempt Under
Section 501(cx3)
SCHEDULE A
(Except Private Foundation) and Section 501(e), 501(f), 501(k),
501(n), or Section4947(aX1) Nonexempt Charitable Trust
Supplementary Information - (See separate instructions.)
MUST be completed by the above organizations and attached to their Form 990 or 990-EZ.
2004
Employer identification number
Name of the organization
CATHOLIC CHARITIES OF THE DIOCESE OF BEAUMONT,
174-1900345
INC.
Compensation of the Five Highest Paid Employees Other Than Officers , Directors , and Trustees
(See instructions. List each one If there are none, enter 'None.')
(a) Name and address of each
employee paid more
than $50,000
(b) Title and average
hours per week
devoted to position
(c) Compensation
(d) Contributions
to employee benefit
plans and deferred
compensation
(e) Expense
account and other
allowances
NONE
-------------------------
Total number of other employees paid
over $50,000
NonesINEMEREMM
Compensation of the Five Highest Paid Independent Contractors for Professional Se rvices
(See instructions List each one (whether individuals or firms) If here are none, enter 'None )
(a) Name and address of each Independent contractor paid more than $50,000
(b) Type of service
I (c) Compensation
NONE
-----------------------------------------
Total number of others receiving over
10-1
$50,000 for professional services
None
BAA For Paperwork ReductionAct Notice, see the Instructions for Form 990 and Form 990-EZ.
TEEA0401
07/22/04
Schedule A (Form 990 or 990-EZ) 2004
Sched le A (Form 990 or 990-EZ) 2004
CATHOLIC CHARITIES OF THE DIOCESE OF BEAUMONT, INC. 74-1900345
Page
Yes
Statements About Activities (See instructions)
No
During the year, has the organization attemptedto influence national, state, or local legislation, includingany attempt
1
to influence public opinion on a legislative matter or referendun7 If Yes,' enter the total expenses paid
0. $
or incurred in conrection with the lobbying activities
(Must equal amounts on line 38, Part VI-A, or line i of Part VI-B.)
0.
Organizations that made an electionunder section 501 (h) by filing Form 5768 must complete Part V-A Other
organizations checking 'Yes' must complete Part VI-B AND attach a statement giving a detailed cl;scription of the
lobbying activities.
During the year, has the organization, either directly or indirectly, engagedn any of the following acts with any
substantial contribubrs, trustees, directors, officers, creators, key employees, or members of their families, or with any
taxable organization wifi which any such person is affiliated as an officer, director, trustee, majority owner, or pincipal
beneficiary? (If the answer to any question is 'Yes,' attach a detailed statementexplaining the transactions
2
a Sale, exchange, or leasing of property?
lox
b Lending of money or other extension of credit?
2bJ
X
c Furnishing of goods, services, or facilities?
2cl
X
d Payment of compensation (or payment or reimbursement ofexpenses if more than $1,000)?
2dJ
X
e Transfer of any part of its income or assets?
2e
X
3a
3b
X
X
4a
4b
X
X
3a Do you make grants br scholarships, fellowships, student loans, et? (If Yes,' attach an
explanation of how you determine that recipients qualify to receive payments)
b Do you have a section 403(b) annuiV plan for your employees?
4a Did you maintain any separate account for participating donors where donors have the right b provide advice
on the use or distnbulon of funds?
b Do you provide credit counseling,debt management, credit repair, or debtne otiation services?
Reason for Non-Private Foundation Status (See instructions)
The organization is not a private foundation because it is (Please check only ONE applicable box )
A church , convention of churches , or association of churches . Section 170(b)(1)(A)(i)
5
A school. Section 170(b)(1)(A)( ii) (Also complete Part V.)
6
7
A hospital or a cooperative hospital service organization. Section 170(b)(1)(A)(iii)
8
A Federal , state, or local government or governmental unt. Section 170(b)(1)(A)(v)
A medical research organization operated in con j unctiorwith a hospital. Section 170(b)(1)(A)(iii) Enter the hospital ' s name, city,
9
10
and state
--------------------------------------------------------An organization operated br the benefit of a college or university ownedor operated by a governmental unit Section 170(b)(1)(A)(rv)
(Also complete the Support Schedule in Part IV-A.)
11 a
An organization that normally receives a substantial part of its supportfrom a governmental unitor from the general public
Section 170(b)(1)(A)(vi) (Also complete the Support Schedule in Part IV-A )
11 b
A community trust. Section 170(b)(1)(A)(vi) (Also complete theSupport Schedule in Part IV-A.)
12
13
X❑ An organization that normally receives (1) more than 33-1/3% of its support from contributions, membership fees, and gross receipts
from activities related to its charitable, etc, unctions - subject to certain exceptions, and (2) no more than 33-1/3% of its support
from gross investment income and inrelated business taxable income (less section 511 tax) from businesses acquired by the
organization after June30, 1975 See section 509(a)(2) (Also complete theSupport Schedule in Part IV-A )
An organization that isnot controlled by any disqualified persons (other thanfoundation 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 ofsection 509(a)(2). (See
section 509(a)(3) )
Provide the following information about the supported organizations (See instructions )
(a) Name(s) of supported organization(s)
(b) Line number
from above
14 n An organization organized and operatedto test for public safety. Section 509(a)(4) (See instructions.)
Schedule A (Form 990 or Form 990-EZ) 2004
TEEA0402 07/27/04
BAA
74-1900345
Schedule A (Form 990 or 990-EZ) 2004
CATHOLIC CHARITIES OF THE DIOCESE OF BEAUMONT, INC.
Support Schedule (Complete only if you checked a box on line 10, 11, or 12) Use cash method of accounting.
Note : You may use the worksheetin the instructions for converting from the accrual to the cash method of accountirg
Calendar year (or fiscal year
beginning in )
15 Gifts, grants, and contributions
Page 3
(a)
2003
(b)
2002
(c)
2001
(d)
2000
(e)
Total
461, 059.
818, 377.
599, 543.
365, 820.
2, 244, 799.
6, 826, 253.
6, 300, 163.
7, 339, 505.
7,484, 109.
27, 950, 030.
16 570.
16,950.
19,287.
32,002.
84,809.
7, 303, 882.
477, 629.
73,039.
7, 135, 490.
835, 327.
71,355.
7, 958, 335.
618, 830.
79,583.
7,881, 931.
397, 822.
78,819.
30 279, 638.
2,329,608.
received. (Do not include
16
17
18
19
20
21
unusual grants. See line 28.)
Membership fees received
Gross receipts from admissions,
merchandise sold or services performed,
or furnishing of facilities in any activity
that is related to the organization's
charitable, etc, purpose
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
Net income from unrelated business
activities not included in line 18
Tax revenues levied for the
organization's benefit and
either paid b it or expended
on its behalf
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 Enterl%ofline23
26a
Organizations described on lines 10 or 11 :
a Enter 2% of amount in column (e), line 24
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 gifts for 2000 through 2003 exceeded the amount shown in line 26a. Do not file this list with your
260
return . Enter the total of all these excess amounts
c Total support for section 509(a)(1) test. Enter line 24, column (e)
01 26c
18
19
d Add: Amounts from column (e) for lines:
22
26b
11 26 d
01 26e
e Public support (line 26c minus line 26d total)
26f
%
f Public support percentage (line 26e (numerator) dividedby line 26c (denominator))
27 Organizations described on line 12:
a For amounts included in lines 15, 16, and 17 that were received from a 'disqualified parson,' 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 with your return . Enter the sum of
such amounts for each year
(2003)
0. (2000)0_
0. (2002)
0. (2001)
26
bFor any amount included in line 17 that was received from each person (other than'disqualified persons'), prepare a list for your records to
show the name of, and amount received for each year, that was more than thelarger of (1) the amount on line 25 for the year or (2)
$5,000 (Include in the list organizations described in lines 5 trough 11, as well as individuals ) Do not file this list with your return. 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
(2003)
0. (2000)
0.
0. (2002)
0. (2001)
15
16
c Add. Amounts from column (e) for lines.
2,244,799.
27c
27, 950, 030. 20
21
30, 194, 829.
17
27d
and line 27b total
0.
0.
d Add. Line 27a total
0.
27e
30, 194, 829.
e Public support (line 27c total minus line 27d total)
27f
30,279,638.
ElIJIMIJIM
f Total support for section509(a)(2) test: Enter amount from line 23, column (e)
27
99.72 %
g Public support percentage (line 27e (numerator) dividedby line 27f (denominator))
0.28 %
01 27h
h Investment income percentage (line 18 , column (e) (numerator) divided by line 27f (denominator))
Unusual Grants: For an organization described in line 10, 11, or 12 that received any unusual grants during 2000 through2003, prepare a
list for your records to show, fir each year, the name ofthe contributor, the date and amount of the grant, and a brief description of the
nature of the grant Do not file this list with your return . Do not include these grants in line 15.
Schedule A (Form 990 or 990-EZ) 2004
TEEA0403 07/23/04
BAA
28
A (Form 990 or 990-EZ) 2004 CATHOLIC CHARITIES OF THE DIOCESE OF BEAUMONT, INC.
74-1900345
Page 4
Private School Questionnaire (See instructions.)
(To be completed ONLY by schools that checked the box on line 6 in Part IV)
N/A
No
29
Does the organization have a racially nondiscriminatory policy toward students by statemenli its charter, bylaws,
other governing instrument, or in a resolution of its governing body?
30
Does the organization irclude a statement of its racially nondiscriminatory policy toward students in all its brochures,
catalogues, and other writbn communications with the public dealing with student admissions, programs,
and scholarships?
31
Has the organization piblicized its racially nondiscriminatory policy through newspaper or broadcast media during
the period of solicitation for students, or during the registration period if it 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 maintainthe followinga Records indicating the racial composition of be 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, announiements, and other written communications to the public dealing
with student admissions, programs, and scholarships?
d Copies of all material used by he organization or on its behalf to solicit contributions?
If you answered 'No'to any of the above, please expain. (If you need more space, attach a separate statement )
----------------------------------------------------------------------------------------------------------------Does the organization discriminate by race in any way wih respect to
33
a Students' rights or privileges?
b Admissions policies?
c Employment of faculty or administrative staff?
d Scholarships or other financial assistance?
e Educational policies?
f Use of facilities?
g Athletic programs?
h Other extracurricular activities?
If you answered 'Yes' to any of the above, please expain (If you need more space, attach a separate statement )
34a Does the organization receive any firancial aid or assistance from a governmental agency?
b Has the organization 's rightto such aid ever been revoked or suspended?
If you answered 'Yes' to either 34a or b, please explain using an attached statement.
35
BAA
Does the organization certify hat it has complied with be ap p licable requirements of
sections 4.01 through 4 05 of Rev Proc 75-50 , 1975-2 C.B. 587 , covering racial
nondiscrimination ? If'No,' attach an explanation
TEEA0404
07/23/04
orm yvu or
45
Lobbying nontaxable
amount
46
Lobbying ceiling amount
(150% of line 45(e))
47
Total lobbying
48
Grassroots nontaxable amount
49
Grassroots ceiling amount
(150% of line 48(e))
50
Grassroots lobbying
Lobbying Activity by Nonelectin g Public Charities
(For reporting only by organizations that did not complete Part Vl-A) (See instructions)
During the year, did the organization atbmpt to influence national, state or local legislation, including any
attempt to influence public opinion on a legislative matter or referendum, through the use of
N/A
Yes
No
Amount
Volunteers
Paid staff or management (Include compensation in expenses reported on lines c through h.)
Media advertisements
Mailings to members, legislators, or the pubic
Publications, or published or broadcast statements
Grants to other organizations for lobbying purposes
Direct contact with legislators, their staffs, government officials, or a legislative body
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any other means
Total lobbying expenditures (add lines c through h.)
If 'Yes' to any of the above, also attach a statement givinga detailed description of the lobbying activities
Schedule A (Form 990 or 990-EZ) 2004
BAA
a
b
c
d
e
f
g
h
i
TEEA0405
07/23/04
Sched le A (Form 990 or 990-EZ) 2004
CATHOLIC CHARITIES OF THE DIOCESE OF BEAUMONT, INC.
74-1900345
Page 6
Information Regarding Transfers To and Transactions and Relationships With Noncharitable
Exempt Organizations (See instructions)
51
Did the reporting organization directly or indirectly engage many of the following with any other organization described in section501(C)
of the Code (other than section 501 (c)(3) organizations) or in section 527, relating to political organizations?
Yes
a Transfers from the reporting organization to a nonchantable exempt organization of:
(i)Cash
51 a
a ii
(ii)Other assets
b Other transactions:
b (i)
(i)Sales or exchanges of assets with a norcharitable exempt organization
(ii)Purchases of assets from a noncharitable exemptorganization
b ( i)
(iii)Rental of facilities, equipment, or other assets
b (Iii)
(iv)Reimbursement arrangements
b (iv)
b (v)
(v)Loans or loan guarantees
b (vi)
(vi)Performance of services or membership or fundraising solicitations
C
c Sharing of facilities, equipment, mailing lists, other assets, or paid employees
d If the answer b 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 repo rtm rganization. If the organization received less than fair market value in
any transaction or sharing arrangement, show incolumn d) the value of the goods, other assets, or services received.
(a)
(b)
(c)
(d)
Line no
Amount involved
Name of rlonchantable exempt organization
Description of transfers, transactions, and sharing arrangements
52a Is the organization directly or indirectly affiliated wi6 , or related b, one or more tax-exempt organizations
described in section 501 (c) of theCode (other than section 501 (c)(3)) or in section 527'
► F] Yes X
No
X
X
X
X
X
X
X
X
X
No
Schedule A (Form 990 or 990-EZ) 2004
BAA
TEEAD406
11/29/04
IF
74 -1900345
CATHOLIC CHARITIES OF THE DIOCESE OF BEAUMONT, INC.
Form 990, Page 2 , Part II, Line 43
Other Expenses Stmt
(A)
Total
Other expenses not
covered above ( itemize ):
(B)
Program
se rv ices
(C)
Management
and general
(D)
Fundraising
15,521.
4,778.
0.
2,070.
5, 551, 016.
1,585.
0.
485.
0.
0.
FUNDRAISING
23,272.
0.
0.
23,272.
MISCELLANEOUS EXPENSES
11,274.
7,461.
3,813.
0.
5, 607, 931.
5, 575, 583.
9,076.
23,272.
UTILITIES
CHILDCARE SUBCONTRACTORS
20,299.
5, 551, 016.
DUES
Total
Form 990 , Page 3 , Part IV , Lines 57a & 57b
Land , Buildings and Equipment Statement
(a)
Cost/Other
Basis
BUILDING
EQUIPMENT
Total
(b)
Accumulated
Depreciation
(c)
Book Value
985,097.
154,000.
22,775.
103,643.
962,322.
50,357.
1,139,097.
126,418.
1,012,679.
Form 990, Page 3, Part IV, Line 65
Other Liabilities Statement
Beginning
of Year
Line 65 - Other Liabilities :
ACCRUED LIABILITIES
DUE TO FUNDING AGENCIES:
TWC
Total
End of
Year
92,220.
72,000.
112,995.
72,000.
164, 220.
184, 995.
Form 990, Page 4, Part V
List of Officers, Etc. Statement
(A)
Name and address
FRAN LANDRY
8580 BRAEBURN
BEAUMONT, TX 77707
DONALD J MALONEY
2405 ASHLEY
BEAUMONT, TX 77702
(B)
Title and
average hours per
week devoted
to position
VICE PRESIDENT
AS NEEDED
DIRECTOR
AS NEEDED
(E)
Expense
account
and other
allowances
(C)
Compensation
(if not paid,
enter -0-)
(D)
Contributions
to employee
benefit plans
and deferred
compensation
0
0
0.
0.
0.
74- 1900345
CATHOLIC CHARITIES OF THE DIOCESE OF BEAUMONT, INC
Continued
Form 990 , Page 4 , Part V
List of Officers , Etc. Statement
(A)
Name and address
RAMON L RODRIGUEZ, JR
5945 WOODWAY DRIVE
BEAUMONT, TX 77707
CAROLE MATTINGLY
2495 LOUISIANA AVE.
BEAUMONT, TX 77702
DEAN TERREBONNE
1410 NORTH STREET
BEAUMONT, TX 77701
2
(B)
Title and
average hours per
week devoted
to position
(C)
Compensation
(if not paid,
enter -0-)
(D)
Contributions
to employee
benefit plans
and deferred
compensation
(E)
Expense
account
and other
allowances
DIRECTOR
AS NEEDED
0.
0.
0.
DIRECTOR
AS NEEDED
0.
0.
0.
66,290.
0.
0.
PRESIDENT
AS NEEDED
0.
0.
0.
DIRECTOR
AS NEEDED
0.
0.
0.
DIRECTOR
AS NEEDED
0.
0.
0.
SECRETARY
AS NEEDED
0.
0.
0.
CAMILLE MOUTON
1215 LONGFELLOW #28
BEAUMONT, TX 77706
DIRECTOR
AS NEEDED
0.
0.
0.
MARK J KABALA
990 GOODHUE ROAD
BEAUMONT, TX 77706
DIRECTOR
AS NEEDED
0.
0.
0.
66,290.
0.
0.
KEVIN J. ROY
4925 BELLECHASE DR
BEAUMONT, TX 77706
DR. STEVEN SOCHER
17 OAKLEIGH
BEAUMONT, TX 77706
REV. TOM PHELAN
4300 MEEKS DRIVE
ORANGE, TX 77632
JACKIE SIMIEN
6 WINCHESTER COVE
BEAUMONT, TX 77706
EXECUTIVE DIRECTOR
40
HRS
Total
CATHOLIC CHARITIES OF THE DIOCESE OF BEAUMONT, INC.
74-1900345
Supporting Statement of:
Form 990 p 2/Other
Program Service
Exp
Description
Amount
HOSPITALITY CENTER-PROVIDES A CLEAN, SAFE AND
DIGNIFIED ENVIRONMENT TO PARTAKE IN A DAILY MEAL
TO THE ELDERLY ON FIXED INCOMES, TEMPORARILY
NEEDY, WORKING POOR, DISABLED AND HOMELESS
ELIJAH'S PLACE-PROVIDES ONGOING GRIEF SUPPPORT
SERVICES TO CHILDREN, AGES 5 TO 18, WHO HAVE
EXPERIENCED THE DEATH OF A PARENT OR SIBLING
Total
147,887.
60, 688.
208,575.
3