H301f86 02/09/2011924AM
Form 990
DepartmentoftheTreasury InternalRevenueService
Return ofOrganization Exempt From Income Tax
Undersection 501(c),527,or 4947(a)(1)oftheInternalRevenueCode(except black lung benefit trustorprivatefoundation)
Theorganizationmayhavetouseacopyofthisreturnto satisfystatereportingrequirements
OMBNo 1545-0047
2010
Opento Public Inspection A Forthe2010 calendaryear,or taxyearbeginning
B Checkifapplicable
| | Address change Namei2change
Initialreturn
1
I |Terminated
| |Amendedreturn
| |Applicationpending
,andending
C Nameoforganization Sav-a-Life of the Mississippi Gulf
Coast, Inc.
Doing BusinessAs
Number andstreet(orPO boxifmailisnot deliveredto streetaddress)
9155 Old Lorraine Road
Room/suite
Cityortown, state or country,and ZIP+4
Gulfport MS 39503
D Employeridentificationnumber
20-0554354
E Telephonenumber
F Nameandaddressofprincipal officer
Stephen W. Reck
9155 Old Lorraine Road Gulfport
I Tax-exemptstatus
MS 39053
501(c)(3) 501(c) ( ) ^(insertno) website: http: //www.wrcqulfcoast.com
4947(a)(1) or 527
GGrossreceiptsS 417,534
H(a) Isthisa groupreturn for affiliates7 Yes [Xj No H(b) Areallaffiliatesincluded' Q Yes ED No
If"No," attachalist (see instructions)
H(c) Groupexemptionnumber
K Formoforganization Corporation Trust I Association Other L Yearofformation 2003 I M Stateof legaldomicile MS
PartI Summary
ILLS
O
1 Brieflydescribethe organization'smissionormostsignificant activities
See Schedule O
Checkthisbox iftheorganizationdiscontinueditsoperations ordisposedofmorethan25%ofitsnetassets Numberofvotingmembersof thegoverningbody(PartVI, line1a)
Numberofindependentvotingmembersofthegoverningbody(PartVI, line 1b) Totalnumberofindividualsemployedincalendar year2010(PartV,line2a) Totalnumberofvolunteers (estimateifnecessary)
7aTotal unrelatedbusinessrevenue fromPartVIII,column(C), line12 b NetunrelatedbusinesstaxableincomefromForm990-T,line34
7a 7b
29
8 Contributionsandgrants (PartVIII,line1h) 9 Programservice revenue(PartVIII,line2g) 10 Investmentincome(PartVIII,column(A),lines 11 Otherrevenue(PartVIII,column(A),lines5,6I
12 Totalrevenue- addlines8 through1 1 (mustegua PartVIII,column(A), line•$j{
PriorYear CurrentYear
129,759 153,392 38,137 321,288
0) a.x
ID
13 Grantsandsimilaramountspaid (PartIX,colurm_(<k),iMeVft-®)3 Z011 14 Benefitspaidtoorformembers(PartIX,colunfrVfVi), line4)
15 Salaries, othercompensation,employeebenefits(Parti^>solumrL(A7Ttjnesj§=
16aProfessional fundraisingfees(PartIX,p.ninmnffft.^.UUtyJClN!. U I 72,507
bTotal fundraisingexpenses(PartIX,column(D), line25) 20,684
17 Otherexpenses(PartIX,column(A),lines11a-11d, 1 1f—240
18 Totalexpenses Addlines 13-17(must equalPartIX,column(A), line25) 19 Revenuelessexpenses Subtractline18 fromline12
87,592 160,099 161,189
BeginningofCurrentYear EndofYear
<!
20 Totalassets(Part X,line16) 21 Totalliabilities(PartX,line26)
22 Net assetsorfund balances Subtractline21fromline20
585,292 474,310
507,545 110,982
235,374 272,171
PartII Signature Block
Underpenalties ofperjury,Ideclare thatIhaveexaminedthisreturn,includingaccompanyingschedulesandstatements,andtothe best ofmyknowledge andbelief,itis true,correct,and complete Qqclafltionqf^{)fepa^er(otherthanofficer)isbased onallinformation ofwhich preparerhas anyknowledge .
Sign Here
Oil Signature ofofficer
Stephen
Date
Reck President
Typeorprintnameandtitle
Paid Preparer UseOnly
Pnnt/Typepreparer'sname Hogan E. Allen
Prepj Date
02/09/11
Firm'sname Odom & Company,
604 Highway 80
Firm'saddress Clinton, MS 39056
Check Qif
self-employee PTIN
P00235559
Firm'sEIN 20-8935249
Phone no 601-924-2536
MaytheIRS discussthisreturnwiththepreparershownabove7 (seeinstructions) ~] Yes No
ForPaperwork Reduction ActNotice,seetheseparateinstructions.
DAA Form990(2010)
H301f86 02/09/2011924AM
Form 990(2010) Sav-a-Life of the Mississippi Gulf 20-0554354 Page 2
PartIII StatementofProgram ServiceAccomplishments
CheckifScheduleOcontains aresponsetoanyquestion in this Part III [X]
1 Brieflydescribethe organization'smission
See Schedule O
2 Did the organizationundertake anysignificantprogramservices during theyearwhichwerenotlistedonthe
priorForm 990or990-EZ? Q Yes |X| No
If"Yes," describethesenewserviceson ScheduleO
3 Did the organizationceaseconducting,ormakesignificantchangesinhowitconducts,anyprogram
services? Q Yes [X] No
If"Yes," describethesechangesonScheduleO
4 Describetheexempt purpose achievementsforeachof the organization'sthree largestprogramservicesbyexpenses Section 501(c)(3)and501(c)(4) organizationsandsection4947(a)(1)trustsare requiredtoreporttheamountofgrantsandallocationsto others,thetotalexpenses,andrevenue,ifany,foreach programservice reported
4a (Code )(Expenses$ 5,087 includinggrants of $ ) (Revenues )
Administrative operations and oversight
4b (Code )(Expenses$ 80,785 includinggrants of$ ) (Revenues
Pregnancy counseling and support for mothers-to-be
4c (Code )(Expenses$ includinggrants of$ ) (Revenues
Public awareness and fundraising
4d Otherprogramservices (DescribeinScheduleO)
(Expenses $ 13,289 includinggrants of$ ) (Revenue $
4e Totalprogramserviceexpenses 99,161
DAA Form990(2010)
H30118602/09/2011 924AM
Form 990(2010) Sav-a-Life of the Mississippi Gulf 20-0554354 Page3
Part IV ChecklistofRequired Schedules
Yes No
1 X
2 X
3 X
4 X
5
6 X
7 X
8 X
9 X
10 X
11a X
11b X
11c X
11d X
11e X
11f X
12a X
12b X
13 X
14a X
14b X
15 X
16 X
17 X
18 X
19 X
20a X
20b 10
11
e
f
12a
13 14a
b
15
16
17
18
19
20a b
Isthe organizationdescribedinsection 501(c)(3) or4947(a)(1)(otherthana privatefoundation)?If"Yes,"
complete ScheduleA
Isthe organization required tocompleteScheduleB,ScheduleofContributors?(seeinstructions) Didtheorganizationengageindirectorindirect politicalcampaignactivitiesonbehalf of orinoppositionto candidatesforpublic office?If"Yes,"completeScheduleC, PartI
Section501(c)(3)organizations. Didthe organizationengageinlobbyingactivities,orhavea section501(h) electionineffectduring the taxyear?If"Yes,"completeScheduleC, PartII
Isthe organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organizationthatreceivesmembershipdues, assessments,orsimilaramountsas definedinRevenueProcedure 98-19?If"Yes,"completeScheduleC, PartIII
Didthe organizationmaintainany donoradvisedfundsoranysimilarfundsoraccountswheredonorshave theright toprovideadviceonthedistributionorinvestmentofamountsinsuch fundsoraccounts?If"Yes,"
complete ScheduleD,PartI
Didthe organization receive or hold aconservationeasement,includingeasementstopreserveopenspace, theenvironment, historiclandareas, orhistoricstructures?If"Yes,"completeScheduleD,PartII
Didtheorganizationmaintain collections ofworksofart,historicaltreasures, orother similarassets?If"Yes,"
complete ScheduleD,PartIII
Didtheorganization reportanamountinPart X,line21,serve asacustodianforamountsnotlistedinPart X, or providecreditcounseling,debtmanagement,credit repair,ordebtnegotiationservices?If"Yes,"
complete ScheduleD,Part IV
Didthe organization,directlyorthrougha related organization, holdassetsinterm,permanent,or quasi- endowments?If"Yes,"completeScheduleD, PartV
Ifthe organization'sanswertoanyofthe followingquestionsis"Yes,"thencompleteScheduleD, PartsVI, VII,VIII, IX,orXasapplicable
Did the organization reportanamountfor land,buildings,and equipmentinPart X,line10?If"Yes,"
completeScheduleD,Part VI
Did the organization reportanamountforinvestments—other securitiesinPart X,line 12thatis5%ormore ofitstotalassetsreportedinPart X,line16?If"Yes,"completeScheduleD, PartVII
Did the organization reportanamountforinvestments—programrelatedinPart X,line13thatis5%ormore
ofitstotalassetsreportedinPart X,line16?If"Yes,"completeScheduleD,PartVIII
Did the organization reportanamountforotherassets inPart X,line15thatis5%ormoreofitstotalassets reportedinPart X,line16?If"Yes,"completeScheduleD,PartIX
Did the organization reportanamountforotherliabilities inPartX,line25?If"Yes,"completeScheduleD,PartX
Did the organization'sseparateorconsolidatedfinancialstatementsforthe taxyearinclude a footnotethataddresses the organization'sliabilityforuncertain tax positionsunder FIN48(ASC740)?If'Yes,"completeScheduleD, PartX
Did the organization obtain separate,independentauditedfinancialstatementsforthe taxyear?If"Yes,"complete ScheduleD,PartsXI,XII,andXIII
Wastheorganizationincludedinconsolidated,independentauditedfinancialstatementsforthe taxyear?If"Yes,"andif
the organizationanswered"No"to line12a,then completingScheduleD,PartsXI,XII,andXIIIisoptional Istheorganization aschooldescribedinsection 170(b)(1)(A)(u)?If"Yes,"completeScheduleE
Did the organization maintainanoffice,employees,oragentsoutside of theUnitedStates?
Did the organizationhaveaggregaterevenuesorexpensesofmorethan$10,000 from grantmaking,fundraising, business,andprogramserviceactivitiesoutside theUnited States?If"Yes,"completeScheduleF,PartsIandIV Did the organization reportonPartIX, column(A), line3,morethan $5,000ofgrants orassistancetoany organization orentitylocatedoutside theUnitedStates?If"Yes,"completeScheduleF,PartsIIandIV Did theorganization reportonPartIX,column(A), line3,morethan $5,000ofaggregate grantsorassistance toindividuals located outsidetheUnited States?If"Yes,"completeScheduleF,PartsIIIandIV
Did the organization report atotalofmorethan$15,000ofexpensesforprofessional fundraising serviceson PartIX,column(A),lines6and 11e?If"Yes,"completeScheduleG, PartI(seeinstructions)
Did the organization reportmorethan$15,000totaloffundraisingevent grossincome andcontributionson PartVIII,lines 1c and8a?If"Yes,"completeScheduleG,PartII
Did the organization reportmorethan$15,000ofgrossincomefromgamingactivitiesonPartVIII,line9a?
If"Yes,"completeScheduleG,PartIII
Did the organizationoperateoneormorehospitals?If"Yes,"completeScheduleH
If"Yes"to line20a,didtheorganization attachitsauditedfinancialstatementsto thisreturn?Note.Some Form 990filersthatoperateoneormorehospitalsmustattachauditedfinancialstatements (seeinstructions)
Form990(2010) DAA
H301 186 02/09/20119 24AM
Form990(2010) Sav-a-Life of the Mississippi Gulf 20-0554354 Page4
PartIV ChecklistofRequired Schedules(continued)
Yes No 21 Did the organization reportmorethan$5,000ofgrantsandotherassistancetogovernments andorganizations
inthe United StatesonPartIX,column(A), line1?If"Yes,"completeScheduleI,PartsIand II 21 X
22 Did the organization reportmorethan $5,000ofgrantsandotherassistancetoindividualsintheUnited States
onPartIX,column(A), line2?If"Yes,"completeScheduleI,PartsI andIII 22 X
23 Did the organizationanswer"Yes"toPartVII,SectionA,line3,4,or5aboutcompensationofthe organization's currentandformerofficers, directors,trustees,keyemployees,andhighestcompensated
employees'?If'Yes,"completeScheduleJ 23 X
24a Did the organizationhaveatax-exemptbondissue withan outstandingprincipalamountofmorethan
$100,000asof thelastdayofthe year, thatwasissuedafterDecember31,2002?If"Yes,"answerlines24b
through24d andcompleteScheduleK If"No,"goto line25 24a X
b Did the organization investanyproceedsoftax-exemptbonds beyondatemporaryperiodexception? 24b c Did the organizationmaintainanescrowaccountotherthana refundingescrowatanytime duringtheyear
todefease any tax-exemptbonds? 24c
d Did the organization actasan"on behalfofissuerforbondsoutstandingatany timeduring theyear? 24d 25a Section501(c)(3)and501(c)(4)organizations.Did the organizationengageinanexcessbenefit transaction
withadisqualifiedpersonduringtheyear?If"Yes,"completeScheduleL,PartI 25a X
b Isthe organizationawarethatitengagedinan excessbenefittransaction with a disqualifiedpersonina prior year,andthatthetransactionhasnotbeenreportedonanyofthe organization'spriorForms 990or990-EZ?
If"Yes,"completeScheduleL,PartI 25b X
26 Wasa loantoorby a current orformerofficer,director,trustee,key employee,highlycompensatedemployee,or
disqualifiedperson outstanding asof theendofthe organization's taxyear?If"Yes,"completeScheduleL, PartII 26 X
27 Didthe organization provide a grant or otherassistancetoanofficer, director,trustee,keyemployee, substantialcontributor,oragrant selectioncommitteemember,ortoapersonrelatedtosuchanindividual?
If"Yes,"completeScheduleL,PartIII 27 X
28 Wasthe organizationapartytoabusinesstransaction withoneofthe following parties(seeScheduleL, Part IVinstructions forapplicablefilingthresholds, conditions,andexceptions)
a Acurrent orformerofficer,director,trustee, orkeyemployee?If'Yes,"completeScheduleL,Part IV 28a X
b Afamilymemberofa current orformerofficer,director, trustee,orkeyemployee?If'Yes,"complete
ScheduleL,Part IV 28b X
c Anentityofwhicha current orformerofficer, director,trustee,orkeyemployee(ora familymemberthereof)
wasanofficer, director,trustee,ordirectorindirectowner?If"Yes,"completeScheduleL,Part IV 28c X
29 Did the organization receivemorethan $25,000innon-cashcontributions?If"Yes,"completeScheduleM 29 X
30 Did the organization receive contributions ofart,historicaltreasures, or other similar assets, orqualified
conservationcontributions?If"Yes,"completeScheduleM 30 X
31 Did the organizationliquidate,terminate, or dissolveand ceaseoperations?If"Yes,"completeScheduleN,
PartI 31 X
32 Did the organizationsell,exchange, disposeof,ortransfermorethan25%ofitsnetassets?If'Yes,"
completeScheduleN,PartII 32 X
33 Did the organizationown100%ofanentitydisregarded as separate fromtheorganizationunder Regulations
sections301 7701-2and301 7701-3?If"Yes,"completeScheduleR,PartI 33 X
34 Wasthe organization related toany tax-exemptortaxable entity?If"Yes,"completeScheduleR,PartsII,III,
IV,andV, line1 34 X
35 Isanyrelatedorganization a controlledentitywithinthemeaningofsection512(b)(13)? 35 X
a Did the organization receiveanypaymentfromorengageinanytransaction with a controlledentitywithinthemeaningof section512(b)(13)?If"Yes,"completeScheduleR,
Part V,line2 Yes [X) No
36 Section501(c)(3)organizations. Didthe organizationmakeanytransferstoanexemptnon-charitable
relatedorganization?If"Yes,"completeScheduleR, Part V,line2 36 X
37 Did the organizationconductmorethan5%ofitsactivitiesthroughanentitythatisnot a related organization andthatistreatedasa partnershipforfederalincometaxpurposes?If"Yes,"completeScheduleR,
Part VI 37 X
38 Did the organizationcompleteScheduleOandprovideexplanationsinScheduleOforPartVI,lines1 1 and
19? Note.AllForm 990filersarerequiredtocompleteScheduleO 38 X
Form990(2010)
DAA
H301186 02/09/20119 24AM
Form 990(2010) Sav-a-Life of the Mississippi Gulf 20-0554354 Page5
PartV Statements Regarding Other IRSFilings and TaxCompliance
CheckifScheduleO containsa responseto anyquestion in this PartV a
1a b c
2a
3a b 4a
5a b c 6a
a b 10
11
1a 1b
2a Enterthe numberreportedinBox3ofForm 1096 Enter-0-ifnot applicable
EnterthenumberofFormsW-2Gincludedinline1a Enter-0-ifnotapplicable
Did the organizationcomplywithbackupwithholding rulesforreportablepaymentstovendorsand reportablegaming(gambling)winningstoprizewinners''
EnterthenumberofemployeesreportedonForm W-3,Transmittal ofWageand Tax Statements,filedforthecalendaryear endingwithor withintheyearcovered bythisreturn
Ifatleastoneisreportedonline2a, didthe organizationfile allrequired federalemploymenttaxreturns'' Note.Ifthesumoflines1aand 2aisgreaterthan250,youmayberequiredtoe-file (seeinstructions) Did the organizationhaveunrelatedbusiness grossincomeof$1,000ormoreduring theyear?
If"Yes,"hasitfiledaForm 990-Tfor thisyear"?If"No,"provideanexplanationinScheduleO
Atanytime during thecalendaryear, didthe organizationhaveaninterestin,ora signature or other authority over, afinancialaccountina foreigncountry(suchasabankaccount, securitiesaccount,or otherfinancial account)?
If"Yes," enter thenameofthe foreigncountry
SeeinstructionsforfilingrequirementsforFormTDF90-221,ReportofForeignBank andFinancialAccounts Wastheorganization a partytoa prohibited tax shelter transactionatanytime during the taxyear?
Didanytaxable partynotifythe organizationthatitwasorisa partytoa prohibited tax shelter transaction?
If"Yes"to line5aor 5b, did the organizationfileForm 8886-T?
Doestheorganizationhaveannual grossreceiptsthatarenormally greaterthan $100,000,anddidthe organizationsolicitanycontributions thatwerenot taxdeductible?
If"Yes,"didtheorganizationinclude witheverysolicitationan express statementthatsuchcontributions or giftswerenot taxdeductible?
Organizationsthatmayreceivedeductible contributionsundersection170(c).
Did the organization receive apaymentinexcessof$75madepartlyasa contributionandpartly forgoods andservicesprovidedtothepayor?
If"Yes,"didtheorganizationnotifythedonorofthevalueofthegoodsorservicesprovided?
Did the organizationsell,exchange,orotherwisedisposeof tangiblepersonalpropertyforwhichitwas
requiredtofileForm 8282?
If"Yes," indicatethenumberofForms 8282filedduring theyear I 7d |
Did the organizationreceiveanyfunds,directlyorindirectly, topaypremiumsonapersonalbenefit contract?
Did the organization, during the year,paypremiums,directlyorindirectly,onapersonalbenefit contract?
Ifthe organization receiveda contribution ofqualified intellectualproperty, didthe organizationfileForm8899as required?
Iftheorganizationreceived a contribution of cars, boats, airplanes, or other vehicles, did the organizationfilea Form 1098-C?
Sponsoringorganizationsmaintainingdonoradvisedfundsandsection509(a)(3)supporting organizations Did thesupportingorganization, or adonor advised fund maintained byasponsoring organization,haveexcess business holdingsatanytime during theyear?
Sponsoringorganizationsmaintainingdonoradvisedfunds.
Did the organizationmakeanytaxable distributionsundersection4966?
Did the organizationmakeadistribution toa donor,donoradvisor,or relatedperson?
Section501(c)(7)organizations. Enter
Initiationfeesandcapitalcontributions includedonPartVIII,line12
Grossreceipts,includedonForm990,PartVIII,line12, forpublicuseofclubfacilities
Section501(c)(12)organizations. Enter Grossincomefrommembersorshareholders
Gross incomefromothersources(Donot netamounts dueor paidtoothersources
againstamountsdueorreceivedfromthem) 11b
10a 10b
11a
12a Section4947(a)(1)non-exemptcharitabletrusts. Isthe organizationfilingForm 990inlieuofForm1041?
b If"Yes,"enter theamountoftax-exemptinterestreceivedoraccruedduring theyear I 12bI
13 Section501(c)(29) qualifiednonprofit healthinsuranceissuers.
a Istheorganizationlicensedtoissue qualified healthplansinmorethanonestate?
Note.Seethe instructionsforadditional information the organizationmustreporton ScheduleO
b Enter theamountofreservestheorganizationisrequiredtomaintainbythe statesinwhich
theorganizationislicensedtoissue qualified healthplans 13b
c Enter theamountofreservesonhand I 13c
14a Did the organizationreceiveanypaymentsforindoortanning services during the taxyear?
b If"Yes,"hasitfiledaForm 720toreportthesepayments?If"No," provideanexplanationinScheduleO
1c
2b
3a 3b
4a
5a 5b 5c
6a
6b
7a 7b
7c
7e 7f la.
7h
9a 9b
12a
13a
14a 14b
Yes No
DAA Form990(2010)