Epiphany Church 2017 Human Concerns Grant Application from VADP- Attachment 2015 IRS Form 990, 2017 January 19, 2017, 2015

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room 99O-EZ Short Form

DP Do not enter social security numbers on this form as it may be made public.

Department of the Treasury
Internal Revenue Service

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

> Information about Form 990-EZ and its instructions is at www.irs.gov/form990.

(OMB No, 1545-1150

Open to Public
Inspection

W For the 2015 calendar year, or tax year beginning ‘and ending
B ¢ Name of organization D Employer identification number
address change] VIRGINIANS FOR ALTERNATIVES TO THE
Name change | DEATH PENALTY, INC. 54-1664106
initial return lumber and street (or P.O. box, if mail is not delivered to street address) Room/suite [E Telephone number
femmes, «=| P.O. BOX 12222 434-960-7779
[amended return | City oF town, state or province, country, and ZIP or foreign postal code F Group Exemption
LC Jropication pensing| RICHMOND, VA 23241 Number D>

Accounting Method: LX]Cash ~— [_] Accrual
Website: p WWW. VADP.ORG

Other (specify) D>

Tax-exempt status (check only one) — LX J 501(c)(3)L_J 501(c) (

) (insert no.) L_J 4947(a)(1) or L_J 527

HCheck P>LXJ if the organization is
not required to attach Schedule B
(Form 990, 990-EZ, or 990-PF)..

Form of organization: LXJ Corporation [_J Trust L_Tassociation ~ L_J other

raAe—o@

column (B) below) are $500,000 or more, file Form 990 instead of Form 990-EZ

Add lines 5b, 6c, and 7b to line 9 to determine gross receipts. If gross receipts are $200,000 or more, or if total assets (Part Il,

ms 111,246.

Revenue, Expenses, and Changes in Net Assets or Fund Balances (see the instructions for Part |)
Check if the organization used Schedule 0 to respond to any question in this Part |
1 Contributions, gifts, grants, and similar amounts received 1 111,246.
2 Program service revenue including government fees and contracts 2
3 dues and 3
4 Investment income 4
5a Gross amount from sale of assets other than inventory 5a
b Less: cost or other basis and sales expenses
¢ Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) 5c
6 Gaming and fundraising events
© a Gross income from gaming (attach Schedule G if greater than
z $15,000) 6a
é b Gross income from fundraising events (not including $ of contributions
from fundraising events reported on line 1) (attach Schedule G if the sum of such
gross income and exceeds $15,000) | 6b |
c Less: direct expenses from gaming and fundraising events [sc |
d_ Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c) 6d
7a Gross sales of inventory, less returns and allowances 7a
b Less: cost of goods sold
¢ Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) Te
8 Other revenue (describe in Schedule 0) 8
9 Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8 >| 9 Tit, 246.
10 Grants and similar amounts paid (list in Schedule 0) 10
11° Benefits paid to or for members 1
g | 12 Salaries, other compensation, and employee benefits 12 64,173.
4 13 Professional fees and other payments to contractors 13 8,862.
g |14 Occupancy, rent, utilities, and 14
W115 Printing, publications, postage, and shipping 15 4,900.
16 Other expenses (describe in Schedule 0) SEE SCHEDULE O 16 18,563.
17 Total expenses. Add lines 10 through 16 >| 17 96,498.
a | 18 Excess or (deficit) for the year (Subtract line 17 from line 9) 18 14,748.
2 19 Net assets or fund balances at beginning of year (from line 27, column (A))
2 (must agree with end-of-year figure reported on prior year's return) 19 37,827.
3B |20 other changes in net assets or fund balances (explain in Schedule 0) 20 "
21 Net assets or fund balances at end of year. Combine lines 18 through 20 pm [21 ey ie

LHA For Paperwork Reduction Act Notice, see the separate instructions.

932171
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21490314 794671 VADP

Form 990-EZ (2015)

al
2015.03001 VIRGINIANS FOR ALTERNATIVES VADP. ak

21490314 794671 VADP

VIRGINIANS FOR ALTERNATIVES TO THE

Form 990-EZ (2015) DEATH PENALTY, INC. 54-1664106 Page 2

Part Il] Balance Sheets (see the instructions for Part II)

Check if the organization used Schedule O to respond to any question in this Part II
(A) Beginning of year (B) End of year
22 Cash, savings, and 37,827. 22 52,575.
23 Land and buildings 23
24 Other assets (describe in Schedule 0) 24
25 Total assets 37, 827.] 25 52,575.
26 Total liabilities (describe in Schedule 0) 0 ./ 26 0.
27 Net assets or fund balances (line 27 of column (B) mustagree with line 21) 37,827 ./27 52,5758
fatement of Program Service Accomplishments (see the instructions for Part Ill) Expenses
Check if the organization used Schedule O to respond to any question in this Part Ill LX] Seay and eaten)

What is the organization's primary exempt purpose? SEE SCHEDULE - optional for
Describe the organization's program service accomplishments for each ofits three largest program services, as measured by expenses. In a clear and concise others.)
‘manner, describe the services provided, the number of persons benefited, and other relevant information for each program ttle
28 VIRGINIANS FOR ALTERNATIVES TO THE DEATH PENALTY IS A

STATE WIDE CITIZEN'S ORGANIZATION DEDICATED TO EDUCATING

THE PUBLIC ABOUT ALTERNATIVES TO THE DEATH PENALTY

(Grants $ ) If this amount includes foreign grants, check here > L_| 289] 96,498.

Grants $ ) If this amount includes foreign grants, check here > L_| [209
30

Grants $ ) If this amount includes foreign grants, check here > [| 30
31 Other program services (describe in Schedule 0)

Grants $ If this amount includes foreign grants, check here p> J |[stal

al 96,498.

32_Total program service expenses (add lines 28a through 31a) b> | 32
Part Iv | List of Officers, Directors, Trustees, and Key Employees ist each one even i not compensated - see the instru

Check if the organization used Schedule O to respond to any question in this Part IV

jctions for Part IV)

(b)Average hours" T (e)reparaie (G) Heat berets, (@) Estimated

(a) Name and ttle per ea ce to Siberia” | oot are amount of other
MARY ATWELL
SECRETARY 3.00 0. 0. 0.
MATTHEW ENGLE
BOARD OF DIRECTORS 2.00 0. 0. 0.
MICHAEL HASH
BOARD OF DIRECTORS 2.00 0. QO. 0.
KENT WILLIS
BOARD PRESIDENT 5.00 0. 0. 0.
BETH PANILAITIS
TREASURER 4.00 0. QO. 0.
VIRGINIA PODBOY
VICE-PRESIDENT 3.00 0. 0. 0.
LAUREN RAMSEUR
BOARD OF DIRECTORS 2.00 0. 0. 0.
MARC BOSWELL
BOARD OF DIRECTORS 2.00 0. QO. 0.
NICHOLAS COTE
BOARD OF DIRECTORS 2.00 0. 0. 0.
ADAM NORTHUP
BOARD OF DIRECTORS 2.00 0. 0. 0.
PAUL O'SHEA
BOARD OF DIRECTORS 4.00 0. 0. 0.
EWAN WATT
BOARD OF DIRECTORS 3.00 0. 0. 0.
592172 12-02-16 Form 990-EZ (2015)

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2015.03001 VIRGINIANS FOR ALTERNATIVES VADP. 1

VIRGINIANS FOR ALTERNATIVES TO THE

Form 990-EZ (2015) DEATH PENALTY, INC. 54-1664106 Page 3
Part V | Other Information (Note the Schedule A and personal benefit contract statement requirements in the
instructions for Part V) Check if the organization used Sch. O to respond to any question in this Part V

'Yes| No
33 Did the organization engage in any significant activity not previously reported to the IRS? If "Yes," provide a detailed description of each
activity in Schedule O 33 x
34° Were any significant changes made to the organizing or governing documents? If "Yes," attach a conformed copy of the amended
documents if they reflect a change to the organization's name. Otherwise, explain the change on Schedule 0 (see 34 x
35a Did the organization have unrelated business gross income of $1,000 or more during the year from business activities (such as those reported
on lines 2, 6a, and 7a, among others)? 35a x
b If'Yes'" to line 35a, has the organization filed a Form 990-T for the year? If "No," provide an explanation in Schedule 0 35) | N/A
¢ Was the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization subject to section 6033(e) notice, reporting, and proxy tax
requirements during the year? If "Yes," complete Schedule C, Part III 35 x
36 Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year? If "Yes,"
complete applicable parts of Schedule N 36 x
37a Enter amount of political expenditures, direct or indirect, as described in the instructions > | 37a 0.
b Did the organization file Form 1120-POL for this year? 37b x
38a Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were any such loans made
ina prior year and still outstanding at the end of the tax year covered by this return? 38a x
b If'Yes," complete Schedule L, Part Il and enter the total amount involved 38b N/A
39 Section 501(c)(7) organizations. Enter:
a Initiation fees and capital included on line 9 39a N/A
b Gross receipts, included on line 9, for public use of club facilities 39b N/A
40a Section 501(c)(3) organizations. Enter amount of tax imposed on the organization during the year under:
section 4911 D> 0. :section 4912 > 0. ;section 4955 p> 0
b Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in any section 4958 excess benefit
transaction during the year, or did it engage in an excess benefit transaction in a prior year that has not been reported on any
of its prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part | 40b x
¢ Section 501(c)(3), 501(c)(4), and 504(c)(29) organizations. Enter amount of tax imposed on
organization managers or disqualified persons during the year under sections 4912, 4955, and 4958 > 0
d Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Enter amount of tax on line 40c reimbursed
by the > 0
e Allorganizations. At any time during the tax year, was the organization a party to a prohibited tax shelter
transaction? If "Yes," complete Form 8886-T 40e x
41 List the states with which a copy of this return is filed p>» VA
42a The organization's books are in care of PB» THE CORPORATION Telephone no. 434-960-7779
Located ath P.O. BOX 12222, RICHMOND, VA ZIP +4 B 23241
b Atany time during the calendar year, did the organization have an interest in or a signature or other authority
over a financial account in a foreign country (such as a bank account, securities account, or other financial 'Yes| No
account)? 42b x
If "Yes," enter the name of the foreign country: D>
See the instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
¢ Atany time during the calendar year, did the organization maintain an office outside of the U.S.? 42¢ x
If "Yes," enter the name of the foreign country: D>
43 Section 4947(a)(1) nonexempt charitable trusts filing Form 990-EZ in lieu of Form 1041 - Check here
and enter the amount of tax-exempt interest received or accrued during the tax year P| 43 N/A
'Yes| No
44a Did the organization maintain any donor advised funds during the year? If "Yes,’ Form 990 must be completed instead of
Form 990-EZ 44a x
b Did the organization operate one or more hospital facilities during the year? If "Yes," Form 990 must be completed instead
of Form 990-EZ 44d x
¢ Did the organization receive any payments for indoor tanning services during the year? 44c x
d IfYes' to line 44c, has the organization filed a Form 720 to report these payments? /f "No," provide an explanation
in Schedule O 44d
45a_ Did the organization have a controlled entity within the meaning of section 512(b)(13)? 45a x
b Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section
512(b)(13)? If "Yes," Form 990 and Schedule R may need to be completed instead of Form 990-EZ (see instructions) 45b
Form 990-EZ (2015)
Bole

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21490314 794671 VADP 2015.03001 VIRGINIANS FOR ALTERNATIVES VADP. ak

VIRGINIANS FOR ALTERNATIVES TO THE

Form 990-EZ (2015) DEATH PENALTY, INC. 54-1664106 Page 4
'Yes| No
46 Did the organization engage, directly or indirectly, in political campaign activities on behalf of or in opposition to candidates for public office?
46 xX

If*Yes," complete Schedule C, Part |
Part VI| Section 501(c)(3) organizations only
All section 501 (c)(3) organizations must answer questions 47-49b and 52, and complete the tables for lines 50 and 51.
Check if the organization used Schedule O to respond to any question in this Part VI CI

'Yes| No
47 Did the organization engage in lobbying activities or have a section 501(h) election in effect during the tax year? If 'Yes,’ complete Sch. C, Part il [47 [ X
48 _|s the organization a school as described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E 48 x
49a_Did the organization make any transfers to an exempt non-charitable related 49a x
b If'Yes,’ was the related a section 527 49b
50 Complete this table for the organization's five highest compensated employees (other than officers, directors, trustees and key employees) who each received more
than $100,000 of from the If there is none, enter "None."
(a) Name and title of each employee (b) Average hours (¢) Reportable | (4) Health benefits,| (e) Estimated
er week devoted to | compensstion rome cmplopee ponent. | aMOunt of other
NONE position plane ane iderered compensation

f Total number of other employees paid over $100,000
contractors who each received more than $100,000 of compensation from the

51 Complete this table for the 's five highest
If there is none, enter "None." NONE
(a) Name and business address of each contractor (b) Type of service
d= Total number of other independent contractors each receiving over $100,000 [4

52 Did the organization complete Schedule A? Note: All section 501(c)(3) organizations must attach a
completed Schedule A Yes [_] No

Under penalties of perjury, | declare that | have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, itis
true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.

Sign i Tan
Here MICHAEL E. STONE, EXECUTIVE DIRECTOR
Type OF PAT HAMS ATA TATE
Print/Type preparers name Preparer's signature Date Check [|__| if 7PTIN
Paid self- employed
Preparer FRANK BARCALOW FRANK BARCALOW (03/14/16 P00446788
Use Only Firm's name >» FRANK BARCALOW CPA, P.L.L.C. [Firm's EIN ® 45-5310918
Firm's address ® [08 WESTCHESTER [Phone no. 757-220-6626
WILLIAMSBURG, VA 23188

> [XT ves [J No

May the IRS discuss this return with the preparer shown above? See instructions
Form 990-EZ (2015)

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21490314 794671 VADP 2015.03001 VIRGINIANS FOR ALTERNATIVES VADP. ak

OMB No. 1545-0047
aia Public Charity Status and Public Support -—9=n4E
Complete if the organization is a section 501(c)(3) organization or a section 20 1 5
4947(a)(1) nonexempt charitable trust.
Department of the Treasury D> Attach to Form 990 or Form 990-EZ. Open to Public
Internal Revenue Service > Information about Schedule A (Form 990 or 990-EZ) and its i ions is at WWW. irs. i
Name of the organization VIRGINIANS FOR ALTERNATIVES TO THE
DEATH PENALTY, INC.
al feason for Public Charity Status (Air izations must complete this part.) See instructions.

Employer identification number

54-1664106

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1 A church, convention of churches, or association of churches described in section 170(b)( 1 AN{i).
2 A school described in section 170(b)(1)(A\ii). (Attach Schedule E (Form 990 or 990-EZ).)
3 L] Ahospital or a cooperative hospital service organization described in section 170(b)(1)A)(ii).
4 A medical research organization operated in conjunction with a hospital described in section 170(b)( 1 A)(ii
city, and state:
An organization operated for the benefit of a college or university owned or operated by a governmental unit described in
section 170(b)(1)(A)iv). (Complete Part Il.)
A federal, state, or local government or governmental unit described in section 170(b)(1(A)(v).
An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in
section 170(b)(1)(A)(vi). (Complete Part Il.)
Acommunity trust described in section 170(b)(1)(A)(vi). (Complete Part II.)
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 exempt functions - subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment
income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975.
See section 509(a)(2). (Complete Part Ill.)
10 LJ Anorganization organized and operated exclusively to test for public safety. See section 509(a)(4).
11 [] Anorganization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or
more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in
lines 11a through 11d that describes the type of supporting organization and complete lines 11¢, 11f, and 11g.
a [J typet.a ion operated, supervised, or controlled by its supported organization(s), typically by giving
the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting
organization. You must complete Part IV, Sections A and B.
b [J Type ll. A supporting organization supervised or controlled in connection with its supported organization(s), by having
control or management of the supporting organization vested in the same persons that control or manage the supported
organization(s). You must complete Part IV, Sections A and C.
c [1] Type ttt functionally integrated. A supporting organization operated in connection with, and functionally integrated with,
its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.
a [J type i it A ing organization operated in connection with its supported organization(s)
that is not functionally integrated. The organization generally must satisfy a distributi and an
requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.
e [J check this box if the organization received a written determination from the IRS that it is a Type |, Type Il, Type Ill
functionally integrated, or Type Ill integrated ing org:

f Enter the number of supported

Enter the hospital's name,

g_Provide the following information about the supported organization(s).
( Name of supported Ti) EIN Ti) Type of organization iv) Is the {wy Amount of monetary (wi) Amount of
(described on lines 1-9 listed in your
organization fore oniines 19 | gre MYCE support (see other support (see
Yes No
Total
LHA For Paperwork Reduction Act Notice, see the Instructions for Schedule A (Form 990 or 990-EZ) 2015.

Form 990 or 990-EZ. 532021 09-23-15

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21490314 794671 VADP 2015.03001 VIRGINIANS FOR ALTERNATIVES VADP. ak

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