em990 Department of the Internal Revenue Service Treasury PUBLIC DISCLOSURE COPY Do not enter social security numbers on this form as it may be made public. A For the 2014 calendar year, or tax year beginning and ending information about Form 990 and its instructions is at memggn Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(aii1) of the Internal Revenue Code (except private foundations) OMB No. 1545-0047 2014 Open to Public Inspection Check if applicable: Address change Name of organization CROSSROADS GRASSROOTS POLICY STRATEGIES Name change Doing business as Employer identification number 27?2753378 initial return Final return! Number and street (or P.0. box if mail is not delivered to street address) 45 N. HILL DRIVE Room/suite 100 Telephone number 202?706?7051 termin- ated Amended City or town, state or province, country, and or foreign postal code WARRENTON VA 20186 mele- tlon pending Name and address of principal officer:STEVEN LAW SAME AS ABOVE 4 Website: I . . ORG Form of organization: 2 Corporation Trust Association IOtherF Part I Summary )4 {insert no.) l_l Ll 52? Gross receipts 69 12.8 6 9 . H(a) Is this a group return for subordinates? H(b) Are all subordinates includedrl: Yes l:l No EYes [El No If attach a list. (see instructions) Hic) Group exemption number he I Year of formation: 2 0 State of legal domicile: VA a, 1 Briefly describe the organization's mission or most significant activities: ENGAGING IN PUBLIC COMMUNICATIONS AND DIRECT CONTACT WITH INTERESTED CONSTITUENCIES TO 2 Check this box l:l if the organization discontinued its operations or disposed of more than 25% of its net assets. 3 3 Number of voting members of the governing body (Part VI, line 13) 3 2 4 Number of independent voting members of the governing body (Part VI, line 1b) 4 2 3 5 Total number of individuals employed in calendar year 2014 (Part V, line 2a) 5 1 6 3E 6 Total number of volunteers (estimate it necessary) .. 0 7 a Total unrelated business revenue from Part Vill, column (C), line 12 Ta 0 - Net unrelated business taxable income from Form EEO-T, line 34 .. 7b 0 - Prior Year Cu rrent Year a, 8 Contributions and grants (Part line1hProgram service revenue (Pan line 29Investment income (Part column (A), lines Other revenue (Part vm, column (A), lines 5, 6d, Bc, 9c, 10c, and 11eTotal revenue - add lines 8 through 11 (must equal Part column (A), line 12Grants and similar amounts paid (Part IX, column (A), lines 1-Benefits paid to or for members (Part IX, column (A), line 4) 0 a 3 15 Salaries, other compensation, employee benefits (Part iX, column (A), lines 5-1016a Professional fundraising fees (Part IX, column (A), line 11eTotal fundraising expenses (Part IX, column (D), line 2517' Other expenses (Part lX, column (A), lines11a-11d, 11f-24eTotal expenses. Add lines 13-17 (must equal Part IX, column (A), line 25Revenue less expenses. Subtract line 18 from line Beginning of CurrentYear End of Year 33% 20 Totalassets(PartX,line16) 2r358r754' 5r549r394? 21 Total liabilities (PartX, line26) 129,008. 142,978 . Eng. 22 Net assets or fund balances. Subtract line 21 fromir?o .. 2 . 22[Fart II [Signature Block Under penalties of perjury. I declare that '0 his return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is haul; knowledge. ,2 new a true, correct, and comedian of repar cl flicer) is based on all information of which preparer has any Sign . Daie/ Here EVEN LAW, Feast Type or print name and title Print/Type preparer's name a mare signature We Chock Ll Pm Paid KAREN E. ATCHLEY 5, was, (P?ll/l6/15 00238005 Preparer Firm's name ATCHLEY 8t ASSOCIATES LLP [1 Firm's EINL Use Only Flrm's address 6 8 5 0 AUSTIN CENTER BLVD STE 1 8 0 AUSTIN, TX 78731?3129 May the IRS discuss this return with the preparer shown above? (see instructions) 432001 11-07?14 LHA For Paperwork Reduction Act Notice, see the separate instructions. .. l_lNo Form 990 (2014) SEE SCHEDULE 0 FOR ORGANIZATION MISSION STATEMENT CONTINUATION mesa (20141 CROSSROADS GRASSROOTS POLICY STRATEGIES 27?2753378 paqez Part ill Statement of Program Service Accomplishments Check if Schedule 0 contains a res ones or note to an line in this Part ill ., 1 Briefly describe the organization's mission: CROSSROADS EYes No 3 Did the organization cease conducting, or make significant changes in how it conducts, any program services? DYes No if "Yes," describe these changes on Schedule 0. 4 Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501 and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if an fer each ro rarn service re orted. . inciudinggrantsof$ )(FievsnueEB THE ORGANIZATION CONDUCTS PUBLIC AND BUILDS GRASSROOTS TO INFLUENCE POLICYMAKING OUTCOMES THROUGH GRASSROOTS MOBILIZATION AND ADVOCACY. THE FOCUS OF THESE ADVOCACY EFFORTS MAY INCLUDE PRIORITIES, REGULATIONS PUBLIC HEARINGS AND INVESTIGATIONS AND SIONS 40 (Code: (Expenses 6 9 6 6 2 0 including grants of$ (Revenue$ CROSSROADS GPS CONDUCTS RESEARCH TO DETERMINE HOW VARIOUS DEMOGRAPHIC GROUPS RESPOND TO CURRENT NATIONAL POLICY ISSUES, WHAT PRIORITIES AND CONCERNS THEY HAVE, AND WHICH PUBLIC POLICY ISSUES THEY MIGHT BE MOST INCLINED TO TAKE ACTION ON THROUGH GRASSROOTS PARTICIPETION. CROSSROADS GPS ALSO SPONSORS IN-DEPTH POLICY RESEARCH ON SIGNIFICANT ISS ESPECIALLY THOSE THAT ARE CURRENTLY HAVE A SUBSTANTIAL IMPACT . 4d Other program services (Describe in Schedule D.) 4e Total program service expenses Form 990 (2014) 432002 11-07?14 2 13501116 796448 08041 2014.05000 CROSSROADS GRASSROOTS POLIC 0804151 Form 99012014; CROSSROADS GRASSROOTS POLICY STRATEGIES 27?2 75 3378 Page3 [fart Checklist of Required Schedules Yes No 1 is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? ll "Yes. complete Schedule A .. 1 2 is the organization required to complete Schedule B, Schedule of Contributors?l 2 3 Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? lf "Yes. complete Schedule C, Peril .. 3 4 Section 501fcllal organizations. Did the organization engage in lobbying activities. or have a saction 501(h) election in effect during thorax rear? ll "Yesl'cemulEleSchedule l3; Fell ll. 4 5 Is the organization a section 501(c)(4), 501 (silo). or 501(c)(5) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? ll ?Yes. complete Schedule C, Pan 5 6 Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? if Yes, complete Schedule D, Part I 6 7 Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas. or historic structures? if "Yes, complete Schedule D, Part ll a 7 8 Did the Organization maintain collections of works of art, historical treasures, or other similar assets? it "Yes," complete Schedule Perl . 8 9 Did the organization report an amount in Part X, line 21, for escrow or custodial account liability; serve as a custodian for amounts not listed in Part or provide credit counseling, debt management, credit repair, or debt negotiation services? ll "Yes, complete Schedule D, Part IV 9 10 Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? if ?Yes. complete Schedule D, Part 10 11 if the organization's answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, lX, or as applicable. a Did the organization report an amount for land, buildings, and equipment in Part X, line 10? ll "Yes," complete Schedule D, Part Vl .. 11a Did the organization report an amount for investments other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? ll ?Yes. complete Schedule D, Pall .. 11b Did the organization report an amount for investments - program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? lf ?Yes, complete Schedule D, Part I, 11c Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part x. iine 16? it "Yes, complete Schedule or Part IX .. 11d Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete SChea?l-lle D, Part 11e Did the organization?s separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (A80 740)? If "Yes, complete Schedule D, PartX 11f 12a Did the organization obtain separate, independent audited financial statements for the tax year? it "Yes, complete Schedule 0, Parts Xi and .. I) Was the organization included in consolidated, independent audited financial statements for the tax year? it ?Yes, and if the organization answered "No to line 72a, then completing Schedule D, Parts Xi and is optional 12b 13 is the organization a school described in section If "Yes," complete Schedule A I . . 13 14a Did the organization maintain an office. employees, or agents outside of the United States? I, 14a I: Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment. and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes, complete Schedule Parts I and . . 14b 15 Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? ll "Veer complete Schedule F. Perle ll and .. 15 16 Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? ll "res. complete Schedule F, Paris ill and iv 16 17 Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part lX, column (A). lines 6 and lie? ll "Yes, complete Schedule 6. Peril . . 17 18 Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part lines 10 and 8a? lf "Yes. complete Schedule Gr Pelt ll . 18 19 Did the organization report more than $15,000 of gross income from gaming activities on Part line 9a? If "Yes, complete Schedule 20a Did the organization operate one or more hospital facilities? lf ?Yes, complete Schedule I I, 20a it "Yes" to line 20a, did the mum attach a copy of its audited financial statements to this return? .. .. 20b Form 990 (2014) 432003 11-07-14 3 13501116 796448 08041 2014.05000 CROSSROADS GRASSROOTS POLIC 08041_1 Form 990.2014) CROSSROADS GRASSROOTS POLICY STRATEGIES 27-2753378 Paga4 Part IV Checklist of Required Schedules (contlnueo'j Yes No 21 Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? ll "Yes," complete Schedule I, Parts I and ll 21 22 Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If "Yes," complete Schedule I, Parts I and 22 23 Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes, complete Schedule .. 23 243 Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If "Yes, answer lines 24b through 24d and complete .. .. . .. .. 24a Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? 24b Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds? . .. . 24c Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year? I 24d 25a Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Partl A I 253 Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or If "Yes," complete Schedule L, Pedl . e. . . 25b 26 Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? lf "Yes, complete Schedule L. Part Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part 27 28 Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions): a A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV I I 28a A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV 28b An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part lV 28c 29 Did the organization receive more than $25,000 in non-cash contributions? lf "Yes, complete Schedule 29 30 Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? ll ?Yes, complete Schedule 30 31 Did the organization liquidate, terminate, or dissolve and cease operations? ll "Yes." complete Schedule N, Pehl . 31 32 Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?lf "Yes, complete Schedule N, Part ll .. 32 33 Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301 .7701-2 and 301 .7701-3? If ?Yes, complete Schedule Fl. Paltl 33 34 Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule Fl, Part ll, or IV, and Pan?wl'nel . .. . 34 35a Did the organization have a controlled entity within the meaning of section 512(b)(13)? 35a 3 If "Yes" to line 35a, 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," complete Schedule Fl, Part V, line 2 35b 36 Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes. complete Schedule h, Part V. llne 2 . as A 37 Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes, complete Schedule Fl, Part VI 37 38 Did the organization complete Schedule 0 and provide explanations in Schedule 0 for Part VI, lines 11b and 19? Note. All Form 900 filers are required to complete Schedule 0 . 38 Form 990 (2014) 432004 11-07-14 4 13501116 796448 08041 2014 . 05000 CROSSROADS GRASSROOTS POLIC 08041_1 Form 990 {2014) CROSSROADS GRASSROOTS POLICY STRATEGIES Page 5 PartV Statements Regarding Other IRS Filings and Tax Compliance Check if Schedule 0 contains a response or note to any line in this Part Yes No 1a Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable I is 27 Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable 1b 0 Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winningsto prizewinners? .. .. .. 1c 2a Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return 2a 1 6 If at least one is reported on line 23, did the organization file all required federal employment tax returns? I I Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e?fiie (see instructions) I I II 3a Did the organization have unrelated business gross income of $1 ,000 or more during the year? 3a If "Yes." has it filed a Form 990T for this year? If "No, to line 3b, provide an explanation in Schedule 0 3b 4a At any 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 account)? I 4a If "Yes," enter the name of the foreign country: See instructions for filing requirements for Form 114, Report of Foreign Bank and Financial Accounts (FBAR). 5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? 5a Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? II I 5b If "Yes," to line 5a or 5b, did the organization file Form 88861? II 5c 6a Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? I II 6a If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? .. 6b 7 Organizations that may receive deductible contributions under section 170(c). a Did the organization receive a payment In excess of $75 made partly as a contribution and partly for goods and services provided to the payor? 7a If "Yes," did the organization notify the donor of the value of the goods or services provided? 7b Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .. 7c If "Yes," indicate the number of Forms 8282 filed during the year 7d I 9 Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? II 7e Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? 71' If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as _Tg A If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-0? 7h A 8 Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the A sponsoring organization have excess business holdings at any time during the year? 8 9 Sponsoring organizations maintaining donor advised funds. a Did the sponsoring organization make any taxable distributions under section 4966? 9a Did the Sponsoring organization make a distribution to a donor, donor advisor, or related person? 9b 10 Section 501(c)(7) organizations. Enter: a Initiation fees and capital contributions included on Part line 12 II I 10a Gross receipts, included on Form 990, Part line 12, for public use of club facilities 10b 11 Section 501(c)(12) organizations. Enter: a Gross income from members or shareholders II I I I II II 11a Gross income from other sources (Do not net amounts due or paid to other sources against amounts due Orreceived from them11b 123 Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041 12a If "Yes," enter the amount of tax-exempt interest received or accrued during the year 12b 13 Section 501(c)(29) qualified nonprofit health insurance issuers. a Is the organization licensed to issue qualified health plans in more than one state? I I 13a Note. See the instructions for additional information the organization must report on Schedule 0. Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans I II I I II II 13b Enterthe amount of reserves on hand 13c 14a Did the organization receive any payments for indoor tanning services during the tax year"Yes," has it filed a Form ran to report these payments? If We,? provide an emanation in Sched Ie . 14b Form 990 (2014) 432005 11-07-14 5 13501116 796448 08041 2014.05000 CROSSROADS GRASSROOTS POLIC 08041?1 Form 990(2G1d} CROSSROADS GRASSROOTS POLICY STRATEGIES 27?2753378 pages Part VI Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and fora "No" response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Scheduie 0. See instructions. Check if Schedule 0 contains a response or note to any line in this Part VI .. Section A. Governing Body and Management Yes No If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule 0. Enter the number of voting members included in line 1a, above, who are independent 1b 2 2 Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer. director. trustee, or key employee? .. .. 2 3 Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors, or trustees, or key employees to a management company or other person? 4 Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? I, Did the organization become aware during the year of a significant diversion of the organization's assets? 6 Did the organization have members or stockholders? 7a Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members otthe governing bodyAre any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? .. .. 7b 8 Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following: a Thegovernino body? .. . . .. 8a Each committee with authorityto act on behalfofthe governing body? 8b 9 Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization?s mailing address? if "Yes, provide the names and addresses in Schedule 0 .. 9 Section B. Policies (T his Section 8 requests information about poiicies not required by the internal Revenue Code.) 1a Enter the number of voting members of the governing body at the end of the tax year 1a 2 O'l a:me Yes No 10a Did the organization havelocal chapters, branches, I 10a If "Yes, did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization?s exempt purposes? 10b 11a Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? 11a Describe in Schedule 0 the process, if any, used by the organization to review this Form 990. 12a Did the organization have a written conflict of interest policy? if "No, go to line 13 I 12a Were officers, directors, ortrustees, and key employees required to disclose annually interests that could give rise to conflicts? i 12b 0 Did the organization regularly and consistently monitor and enforce compliance with the policy? if "Yes," describe .. 12c 13 Did the organization have a written whistleblower policy? .. 13 14 Did the organization have a written document retention and destruction policy? 14 15 Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision? a The organization's CEO, Executive Director, or top management official 153 Other officers or key employees of the organization .. . .. . 15b If "Yes" to line 15a or 15b, describe the process in Schedule 0 (see instructions). 16a Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year"Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization?s Exempt status with respect to such arrangements? 1613 Section C. Disclosure 17 List the states with which a copy of this Form 990 is required to be filed NONE 18 Section 6104 requires an organization to make its Forms 1023 (or 1024 if applicable), 990, and 990T (Section 501 only) available for public inspection. Indicate how you made these available. Check all that apply. Own website i:i Another?s website Upon request i:i Other (explain in Schedule 0) 19 Describe in Schedule 0 whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year. 20 State the name, address, and telephone number of the person who possesses the organization?s books and CALEB CROSBY - 202-706?7051 1515 STREET NW, STE 1230, WASHINGTON. DC 20035 432006 11-07-14 Form 990 (2014) 6 13501116 796448 08041 2014.05000 CROSSROADS GRASSROOTS POLIC 08041?1 NM >4 MN Form 990 (gore) CROSSROADS GRASSROOTS POLICY STRATEGIES 27?2753378 Page? [Part Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors Check if Schedule 0 contains a response or note to any line in this Part VII Section A. Officers, Directors, Trustees, Key Employees. and Highest Compensated Employees 1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization's tax year. 0 List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid. 0 List all of the organization's current key employees, if any. See instructions for definition of "key employee." 0 List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee) who received report- able compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the organization and any related organizations. 0 List all of the organization?s former officers, key employees, and highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations. 0 List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of the organization, more than $10,000 of reportable compensation from the organization and any related organizations. List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest compensated employees; and former such persons. Check this box if neither the organization nor any related organization compensated any current officer, director. or trustee. (A) (B) (Di (5) (F) Name and Title Average (do not c?gfg'ggman one Reportable Reportable Estimated hours per box, unless person is both an compensation compensation amount of week officer and a director/trustee) from from related other (list any a the organizations compensation hours for '13 a organization from the related organization organizations is. and related below 5 a organizations line) SE 5 (1) STEVEN 48.00 PRESIDENT 317,005. 159,650. 22,407. (2) SALLY VASTOLA 1 . 0 0 DIRECTOR AND SECRETARY 0 . 0 . 0 . (3) BOBBY BURCHFIELD 1 . 0 0 DIRECTOR AND CHAIRMAN 0 . 0 . 0 . (4) CALEB CROSBY 20 . 0 0 TREASURER 105,500. 51,000. 0. 432007 11-07-14 Form 990 (2014) 7 13501116 796448 08041 2014.05000 CROSSROADS GRASSROOTS POLIC 08041?1 Form 993(20141 CROSSROADS GRASSROOTS POLICY STRATEGIES 27? 275 3378 PageS I Section A. Of?cers. Directors. Trustees, Key Erri oloyees. and Highest Compensated Employees (continuedName and title AVerage (do not 231233,] an one Reportable Reportable Estimated hours Per box, unless person is both an compensation compensation amount of week officer and a director/trustee) from from related other (?31 any the organizations compensation hours for organization from the related a organization organizations 5 a 72." and related below a EL organizations 1b Sub-total 422:505- 210,550- Total from continuation sheets to Part VII, Section A 0 0 . 0 . 422,505- 210,550- 32.407- 2 Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization I- 2 Yes No 3 Did the organization list any former officer, director, or trustee, key employee, or highest compensated employee on line1a? If "Yes," complete Scheduledforsuchindividual .. 3 4 For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If Yes, complete Schedule for such individual 4 5 Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If complete Schedule For Such person .. 5 Section B. independent Contractors 1 Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the caiendar year ending with or within the organizations tax year. (A) (B) (0) Name and business address Description of services Compensation MAIN STREET MEDIA GROUP P.O. BOX 25093, ALEXANDRIA, VA 22313 MEDIA SERVICES 33,387,104. MENTZER MEDIA SERVICES, INC . 600 FAIRMOUNT AVENUE STE 30 6 TOWNSON MD MEDIA SERVICES 5 0 82 495 . TARGETED VICTORY 1 0 3 3 NORTH FAIRFAX ST STE 400, ALEXANDRIA, VA 22314 MEDIA SERVICES 2,505,670. CONNECTION STRATEGY LLC P.O. BOX 2192, ARLINGTON, VA 22202 MEDIA SERVICES 1,537,050. OLSEN COMPANY LP, 1 60 9 SHOAL CREEK BLVD MAIL PRODUCTION STE 203, AUSTIN, TX 78701 SERVICES 782,410. 2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 2 7 Form 990 (2014) 432003 11-07?14 8 13501116 796448 08041 2014.05000 CROSSROADS GRASSROOTS POLIC 08041?1 CROSSROADS GRASSROOTS POLICY STRATEGIES Farm 990 2014) Eart Elil Statement of Revenue 27?2753378 pages Check if Schedule 0 contains a response or note to am.r line in this Pait .. (A (B) (C) PL Totai revenue Related or. Unrelated $33413)? exempt function busmess Swims revenue revenue 512 - 514 42% 1 a Federated campaigns . 1a 3% Membership dues 1b Fundraising events ?lc '55 Related organizations 1d Government grants (contributions) 1e .3 .5 All other contributions, gifts, grants, and .38 similar amounts notincluded above 1f 69,128 609. Noncash contributions included in linesla-1f:$ 0m Total.AddIinesta-1f.. .. Business Code All other program service revenue I Total. Add lines 2a-2i .. 3 Investment income (including dividends, interest, and other similar amounts) .. 4 Income from investment of tax-exempt bond proceeds 5 Royalties .. Real {ii} Personal 6 a Gross rents Less: rental expenses Rental income or (loss) (1 Net rental income or (loss) b- 7 a Gross amount from sales of Securities Other assets other than inventory Less: cost or other basis and sales expenses Gain or (loss) Net gain or (loss) .. a, 8 a Gross income from fundraising events (not including of IE contributions reported on line 10). See a Part IV, line 18 a Less: direct expenses Net income or (loss) from fundraising events II- 9 a Gross income from gaming activities. See Part IV. line 19 .. a Less: direct expenses Net income or (loss) from gaming activities 10 a Gross sales of inventory, less returns and allowances .. a Less: cost of goods sold Net income or {loss} from sales of inventori.r .. Miscellaneous RevenUe Business Code: 11 a All other revenue TotaI.Add lines11a-11d I, 12 Total revenue.Seeinstructions. 5 69,128,609. 0. o, n_ Form 990 (2014) 9 13501116 796448 08041 2014.05000 CROSSROADS GRASSROOTS POLIC 08041?1 Form 990 {2014) Part IX Statement of Functional Expenses Section 501 (01(3) and 501(c)(4) organizations must complete all columns. All other Organizations must complete column (A). CROSSROADS GRASSROOTS POLICY STRATEGIES 27?2753378 paqew Check if Schedule 0 contains a response or note to any line in this Part IX .. Do "at in?m'de amounts reported a? ""95 Total ?genses Progra??service Manag??ent and Fun E'liising 7b, 8b, Qb, and 10b of Part expenses general expenses expenSEs 1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line Grants and other assistance to domestic individuals. See Part IV, line 22 I I II I 3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 II 4 Benefits paid to or for members Compensation of current officers, directors, trustees,andkeyemployees II 317,005. 190,203. 31,701. 95,101. 6 Compensation not included above, to disqualified persons (as defined under section 4958(f)( and persons described in section 4958(c)(3)(B) 7 Othersalariesandwages_I__ 773,996. 368,573. 242,273. 163,150. 8 Pension plan accruals and contributions (include section 401 and 403(b) employer contributions) 9 Other employee benefits Payrolltaxes I 75,909. 39,862. 19,314. 16,733. 1 1 Fees for services (non-employees): a Management .. Legal . . . . . . . . . . . . . . . . . . . . . . . . . . 335:189? 1:012:201' Accounting . Lobbying .. Professional fundraising sewices. See Part IV, line Investment management fees II I 9 Other. (Ifline11g amount exceeds 10% of line 25, column (A) amount, list line 119 expenses Advertising and promotion II 13 19,004. 18,482. 522. 14 Informationtechnology 59.691- 54.481- 3.710- 1.500- 15 Royalties . 16 150.403- 160.403- 17 Travel 50.199- 5.020- 38.684- 6.495- 18 Payments of travel or entertainment expenses for any federal, state, or local public officials 19 Conferences, conventions, and meetings Interest 21 Payments to affiliates I I I 22 Depreciation, depletion, and amortization Insurance I 159,194. 159,194. 24 Other eXpenses. Itemize expenses not covered above. (List miscellaneous expenses in line 24e. If line 24c amount exceeds 10% of line 25, column (A) amount, list line 240 expenses on Schedule 0.) II a POLITICAL DIRECT 25,763,809. 25,763,809. GRASSROOTS ISSUE ADVOCA 20 546 079 . 20,546,079 . SURVEY AND FILE MAINTEN 1,875,407. 1,875,407. a DONOR MAINTENANCE 50,344. 50,344. Allotherexpenses 15,645. 15,645. 25 65,851,939. 37,623,740. 27,734,165. 494,034. 26 Joint costs. Complete this line only if the organization reported In column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here I: .I followrng SOP 98-2 {asc ass?720) 432010 11-07-14 Form 990 (2014) 13501116 796448 08041 10 2014.05000 CROSSROADS GRASSROOTS POLIC 08041?1 Form 990 (201 4} Part I Balance Sheet Check if Schedule 0 contains a response or note to any line in this Part .. CROSSROADS GRASSROOTS POLICY STRATEGIES 27?2753378 Page-11 (Bl A Beginni(ng) of year End of year 1 Cash - non-interest?bearing Savings and temporary cash investments Pledges and grants receivable, net 3 4 ACCOUNTS receivableLoans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete PartllofScheduleL . .. 5 6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary ,3 employees? beneficiary organizations (see instr). Complete Part II of 6 3 7 Notes and loansreceivableInventories forsale Prepaid expenses and deferred charges 9 10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule Less: accumulated depreciation II II 101Investments - publicly traded securities Investments-other securities. See Part IV, line11 I II I I 12 13 Investments - program-related. See Part IV, line Intangible assets II II I I 14 15 Otherassets.SeePart IV, Iine11 37,074- 15 37 . 074- 16 Tote! as_sets.Add lines1 through 15mins: equal line34649, 394- 17 Accounts payable and accrued expenses Grants payable .. 18 19 Deferred revenue .. .. 19 20 Tax-exempt bond liabilities Escrow or custodial account liability. Complete Part IV of Schedule II 21 2 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons. 13 Complete Part II of Schedule .. 22 'l 23 Secured mortgages and notes payable to unrelated third parties II 23 24 Unsecured notes and loans payable to unrelated third parties II II 24 25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part of ScheduIeD 41.413- 25 32.726- 26 Total liabilities/mines17throuqh25 129 008 . 26 142,978 - Organizations that follow SFAS 117 (ASC 958), check here El and 3 complete lines 27 through 29, and lines 33 and 34. 27 Unrestrictednetassets 2:229:746- 27 5.506.415- 28 Temporarily restricted net assets I I II 28 29 Permanently restricted net assets II II II 29 If Organizations that do not follow SFAS 117 (A80 958), check here Cl ?6 and complete lines 30 through 34. 30 Capital stock or trust principal, or current funds I II I 30 31 Paid-in or capital surplus, or land, building, or equipment fund I II I 31 a; 32 Retained earnings, endowment, accumulated income, or other funds Total netassetsorfund balances I 2 ,229,746- 33 5f 506,415. 34 Total liabilities and net assets/fund balances . . Form 990 (2014) 13501116 796448 08041 11 2014.05000 CROSSROADS GRASSROOTS POLIC Form 990?2014} CROSSROADS GRASSROOTS POLICY STRATEGIES 27?2753378 Page 12 I Part X1 Reconciliation of Net Assets Check if Schedule 0 contains a response or note to any line in this Part XI I: 1 Total revenue (must equal Part column (A), line 12Total expenses (must equal Part IX, column (A), line 25Revenue less expenses Subtract line2from line1 Net assets or fund balances at beginning of year (must equal Part X, line 33, column Net unrealized gains (losses) on investments 5 6 Donated services and use of facilities 6 7 Investment expenses I 7 8 Prior period adjustments a 9 Other changes in net assets orfund balances (explain in Schedule Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column 10 5 1 505 . 416 Part XII Financial Statements and Reporting Check if Schedule 0 contains a response or note to any line in this Part XII Yes No 1 Accounting method used to prepare the Form 990: CI Cash Accrual El Other If the organization changed its method of accounting from a prior year or checked "Other," explain in Schedule 0. 2a Were the organization?s financial statements compiled or reviewed by an independent accountant"Yes," check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both: Separate basis El Consolidated basis Both consolidated and separate basis Were the organization?s financial statements audited by an independent accountant? 2b If "Yes," check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both: Separate basis Consolidated basis '3 Both consolidated and separate basis If "Yes" to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? I II 2c If the organization changed either its oversight process or selection process during the tax year, explain in Schedule 0. 3a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular 3a If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule 0 and describe any steps_tg_i?en to undergo such audits 3b Form 990 (2014) 432012 11707-14 1 2 13501116 796448 08041 2014.05000 CROSSROADS GRASSROOTS POLIC 08041_1 DO NOT DISCLOSE THIS DOCUMENT Public disclosure of the names and addresses of contributors presented on the attached IRS Form 990 Schedule is prohibited by federal law under 26 U.S.C. 6103-6104. Any person responsible for such illegal disclosure is subject to prosecution under 26 U.S.C. 7213. PUBLIC DISCLOSURE COPY Schedule of Contributors Attach to Form 990. Form 990-EZ, or Form 990-PF. Information about Schedule (Form 990, or 990-PF) and its instructions is at . Schedule (Form 990, or 990-PF) Department of the Treasury Internal Revenue Service OMB No 1545-0047 2014 Name of the organization CROSSROADS GRASSROOTS POLICY STRATEGIES Organization type (check one): Filers of: Section: Form 990 or QQO-EZ 501(c)( 4 (enter number) organization 4947(a)(1) nonexempt charitable trust not treated as a private foundation 527 political organization Form 990-PF 501(c)(3) exempt private foundation 4947(a)(1) nonexempt charitable trust treated as a private foundation I: 501(c)(3) taxable private foundation Employer identification number 27?2753378 Check if your organization is covered by the General Rule or a Special Rule. Note. Only a section 501(c)(7), (8), or (1 0) organization can check boxes for both the General Rule and a Special Rule. See instructions General Rule For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or property) from any one contributor. Complete Parts and II. See instructions for determining a contributor?s total contributions Special Rules I: For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33 113% support test of the regulations under sections 509(a)(1) and that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on Form 990, Part line 1h, or (ii) Form 990-EZ, line 1. Complete Parts and II. CI For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and For an organization described in section 501(c)(7), (8), or (1 O) filing Form 990 or 990-EZ that received from any one contributor, during the year, contributions exclusively for religious, charitable, etc purposes, but no such contributions totaled more than $1,000 If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc, purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusiver religious, charitable, etc., contributions totaling $5,000 or more during the year Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule (Form 990, 990-EZ, or 990-PF), but it must answer "No" on Part IV, line 2, of its Form 990; or check the box on line of its Form 990-EZ or on its Form 990-PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule (Form 990, 990152, or 990-PF). LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990, 990-EZ, or 990-PF. Schedule (Form 990, 990-EZ, or 990-PF) (2014) 423451 11?05-14 DO NOT DISCLOSE THIS DOCUMENT Public disclosure of the names and addresses of contributors presented on the attached IRS Form 990 Schedule is prohibited by federal law under 26 U.S.C. 6103-6104. Any person responsible for such illegal disclosure is subject to prosecution under 26 U.S.C. 7213. Schedule (Form 990, 990-EZ, or (201d) Name of organization CROSSROADS GRASSROOTS POLICY STRATEGIES Part I Contributors (see instructions) Use duplicate copies of Part I if additional space is needed. Page 2 Employer identi?cation number 27?2753378 No. lb) Name, address, and ZIP 4 Total contributions (dl Type of contribution 1 9,000. Person IE Payroll El Noncash El (Complete Part II for noncash contributions.) No. (bl Name, address, and ZIP 4 Total contributions Type of contribution 2,400,000. Person Payroll El Noncash El (Complete Part II for noncash contributions.) (at No. Name, address, and ZIP 4 (Cl Total contributions Type of contribution 15,000. Person IE Payroll 1:1 Noncash C1 (Complete Part II for noncash contributions.) No. ID) Name, address, and ZIP 4 (cl Total contributions Type of contribution 500,000. Person Payroll Noncash (Complete Part II for noncash contributions.) No. lb) Name, address, and ZIP 4 (C) Total contributions Type of contribution 500,000. Person Payroll Noncash (Complete Part II for noncash contributions.) (8) No. (bl Name, address, and ZIP 4 Total contributions Type of contribution 50,000. Person IE Payroll Noncash (Complete Part II for noncash contributions) 423452 11705-14 13501116 796448 08041 14 Schedule (Form 390. BSD-E2. or (201d) 2014.05000 CROSSROADS GRASSROOTS POLIC 08041__1 DO NOT DISCLOSE THIS DOCUMENT Public disclosure of the names and addresses of contributors presented on the attached IRS Form 990 Schedule is prohibited by federal law under 26 U.S.C. 6103-6104. Any person responsible for such illegal disclosure is subject to prosecution under 26 U.S.C. 7213. Schedule (Form 990, or {2014] Name of organization CROSSROADS GRASSROOTS POLICY STRATEGIES Page 2 Employer identification number 27?2753378 Part I Contributors (see instructions) Use duplicate copies of Part I if additional space is needed. No. Name, address, and ZIP 4 Total contributions Type of contribution 7 Person Payroll Noncash (Complete Part II for noncash contributions.) 590,000. No. Name, address, and ZIP 4 (G) Total contributions Type of contribution Person Payroll Noncash (Complete Part II for noncash contributions.) 50,000. No. Name, address, and ZIP 4 (0) (G) Total contributions Type of contribution Person El Payroll Noncash (Complete Part II for noncash contributions.) 25,000. No. Name, address, and ZIP 4 (0) Total contributions Type of contribution 10 Person Payroll El Noncash (Complete Part II for noncash contributions.) 150,000. No. Name, address, and ZIP 4 (C) (G) Total contributions Type of contribution 11 Person Payroll Noncash [3 (Complete Part II for noncash contributions.) 100,000. (8) lb) No. Name, address, and ZIP 4 (G) Total contributions Type of contribution 12 Person Payroll El Noncash 250,000. (Complete Part II for noncash contributions.) 423452 11?05714 13501116 796448 08041 15 Scheriule (Form 990, BSD-E2, or 2014.05000 CROSSROADS GRASSROOTS POLIC 08041?1 DO NOT DISCLOSE THIS DOCUMENT Public disclosure of the names and addresses of contributors presented on the attached IRS Form 990 Schedule is prohibited by federal law under 26 U.S.C. 6103-6104. Any person responsible for such illegal disclosure is subject to prosecution under 26 U.S.C. 7213. Schedule (Form 990, 990-EZ, or [2014} Name of organization CROSSROADS GRASSROOTS POLICY STRATEGIES Page 2 Employer identification number 27?2753378 Part I Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. la) No. Name, address. and ZIP 4 (C) Total contributions Type of contribution 13 Person El Payroll 450,000. Noncash (Complete Part II for noncash contributions.) lal No. it!) Name, address, and ZIP 4 (G) Total contributions Type of contribution 14 Person Payroll I: 250,000. Noncash (Complete Part II for noncash contributions.) No. (D) Name, address, and ZIP 4 (C) (G) Total contributions Type of contribution 15 Person Payroll 500,000. Noncash (Complete Part II for noncash contributions.) No. (ID) Name, address, and ZIP 4 (C) Total contributions Type of contribution 16 Person Payroll El 5,000,000. Noncash (Complete Part II for noncash contributions.) la) No. (13) Name, address, and ZIP 4 (C) Total contributions Type of contribution 17 Person Payroll I: 20 000 . Noncash (Complete Part II for noncash contributions.) No. (bl Name, address, and ZIP 4 (cl Idl Total contributions Type of contribution 18 Person Payroll 25,000. Noncash l_i (Complete Part II for noncash contributions.) 423452 11:05-14 13501116 796448 08041 Schedule [Form 990, goo-E2. or sea-PF) (2014) 2014.05000 CROSSROADS GRASSROOTS POLIC 08041_1 DO NOT DISCLOSE THIS DOCUMENT Public disclosure of the names and addresses of contributors presented on the attached IRS Form 990 Schedule is prohibited by federal law under 26 U.S.C. 6103-6104. Any person responsible for such illegal disclosure is subject to prosecution under 26 U.S.C. 7213. Schedule (Form 990, QQD-EZ. or {2014) Name of organization CROSSROADS GRASSROOTS POLICY STRATEGIES Page 2 Employer identification number 27?2753378 Part I Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. No. lb) Name, address, and ZIP 4 (C) Total contributions Type of contribution 19 Person IE Payroll 50 000 . Noncash (Complete Part II for noncash contributions.) No. (bl Namel addressT and ZIP 4 (C) Total contributions Type of contribution 20 Person Payroll 100,000. Noncash (Complete Part II for noncash contributions.) No. (bl Name, address. and ZIP 4 Total contributions Type of contribution 21 Person Payroll El Noncash (Complete Part II for noncash contributions.) (6) No. (bl Name, address, and ZIP 4 (CI Id) Total contributions Type of contribution 22 Person Payroll El 33 30 000 . Noncash (Complete Part II for noncash contributions.) (8) No. lb) Namel address, and ZIP 4 (C) Total contributions Type of contribution 23 Person LE Payroll 50 000 . Noncash (Complete Part II for noncash contributions.) No. lb) Name, address. and ZIP 4 (C) Total contributions Type of contribution 24 Person Payroll a (Complete Part II for noncash contributions.) 423452 11-05-14 13501116 796448 08041 1'7 Schedule (Form 990) EBB-E2, or (2014] 2014.05000 CROSSROADS GRASSROOTS POLIC 08041?1 DO NOT DISCLOSE THIS DOCUMENT Public disclosure of the names and addresses of contributors presented on the attached IRS Form 990 Schedule is prohibited by federal law under 26 U.S.C. 6103-6104. Any person responsible for such illegal disclosure is subject to prosecution under 26 U.S.C. 7213. Schedule [Form 990, 990-3, or BSD-PF) (2014) Name of organization CROSSROADS GRASSROOTS POLICY STRATEGIES Partl Page 2 Employer identification number 27?2753378 Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. No. Name, address. and ZIP 4 (G) Total contributions Type of contribution 25 Person Payroll 125,000. Noncash (Complete Part II for noncash contributions.) (bi No. Name, address, and ZIP 4 (C) Total contributions Type of contribution 26 Person Payroll 20,000. Noncash (Complete Part II for noncash contributions.) No. Name, address. and ZIP 4 (C) Total contributions Type of contribution 2'7 Person [El Payroll El 105,200. Noncash (Complete Part II for noncash contributions.) la) (M No. NameI address, and ZIP 4 (G) Total contributions Type of contribution 28 Person Payroll 400,000. Noncash (Complete Part II for noncash contributions.) No. Name. address, and ZIP 4 (6) (dl Total contributions Type of contribution 29 Person Payroll I: 500,000. Noncash I: (Complete Part II for noncash contributions.) No. Name, address, and ZIP 4 (C) Total contributions Type of contribution 30 Person Payroll 250,000. Noncash [j (Complete Part II for noncash contributions.) 4234 52 11?05?1 4 13501116 796448 08041 18 Schedule a [Form goo, goo-?2, or {2014) 2014.05000 CROSSROADS GRASSROOTS POLIC 08041_1 DO NOT DISCLOSE THIS DOCUMENT Public disclosure ofthe names and addresses of contributors presented on the attached IRS Form 990 Schedule is prohibited by federal law under 26 U.S.C. 6103-6104. Any person responsible for such illegal disclosure is subject to prosecution under 26 U.S.C. 7213. Schedule (Ferm 990, SQUAEZ. or {2014} Name oforganizaiion CROSSROADS GRASSROOTS POLICY STRATEGIES Panl Page 2 Employer identification number 27?2753378 Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (8) lb) No. Name, address, and ZIP 4 (C) Total contributions Type of contribution 31 Person Payroll 50,000. Noncash (Complete Part II for noncash contributions.) No. Name. address, and ZIP 4 (C) Total contributions Type of contribution 32 Person Payroll :1 Noncash (Complete Part II for noncash contributions.) 5,000. No. Name, address, and ZIP 4 Total contributions Type of contribution 33 Person Payroll 100,000. Noncash (Complete Part II for noncash contributions.) (D) No. Name, address, and ZIP 4 (C) Total contributions Type of contribution 34 Person Payroll Noncash (Complete Part II for noncash contributions.) 250,000. No. Name, address, and ZIP 4 (cl Total contributions Type of contribution 35 Person Payroll 2,000,000. Noncash (Complete Part II for noncash contributions.) No. Name, address, and ZIP 4 (C) Total contributions Type of contribution 36 Person Payroll 150,000. Noncash (Complete Part II for noncash contributions.) 423452 11-05-14 13501116 796448 08041 19 Schedule [Form 900. 990452, or [2014) 2014.05000 CROSSROADS GRASSROOTS POLIC 08041?1 DO NOT DISCLOSE THIS DOCUMENT Public disclosure of the names and addresses of contributors presented on the attached Form 990 Schedule is prohibited by federal law under 26 U.S.C. 6103?6104. Any person responsible for such illegal disclosure is subject to prosecution under 26 U.S.C. 7213. Schedule 8 (Form 990. eeoliz, or BBC-PF) (2014) Name of organization CROSSROADS GRASSROOTS POLICY STRATEGIES Page 2 Employer identification number 27?2753378 Part I Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. No. (bi Name. address, and ZIP 4 (C) (G) Total contributions Type of contribution 37 Person Payroll 100,000. Noncash (Complete Part II for noncash contributions.) No. 03) Name, address, and ZIP 4 Total contributions Type of contribution 38 Person Payroll CI 1,500,000. Noncash (Complete Part II for noncash contributions.) Ia) No. (bl Name. address, and ZIP 4 (C) Total contributions Type of contribution 39 Person DE Payroll 150,000. Noncash (Complete Part II for noncash contributions.) No. ID) Name, address, and ZIP 4 (cl Id) Total contributions Type of contribution 40 Person Payroll I: 3; 50,000. Noncash (Complete Part II for noncash contributions.) No. 03) Name, address, and ZIP 4 (C) Total contributions Type of contribution 41 Person Payroll 55 600,000. Noncash (Complete Part II for noncash contributions.) (al No. Name, address, and ZIP 4 (C) (G) Total contributions Type of contribution 42 Person Payroll 20,600,000. Noncash (Complete Part II for noncash contributions.) 423452 11-05314 13501116 796448 08041 Schedule {Form sen, ego-?2. or goo?PF) (2014) 2 0 2014.05000 CROSSROADS GRASSROOTS POLIC 08041?1 DO NOT DISCLOSE THIS DOCUMENT Public disclosure of the names and addresses of contributors presented on the attached IRS Form 990 Schedule is prohibited by federal law under 26 U.S.C. 6103-6104. Any person responsible for such illegal disclosure is subject to prosecution under 26 U.S.C. 7213. Schedule {Form 990. 990-EZ. or QED-PF) {2014) Name of organization CROSSROADS GRASSROOTS POLICY STRATEGIES Page 2 Employer identification number 27?2753378 Part I Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (a No. Name, address, and ZIP 4 Id Total contributions Type of contribution 43 10,000. Person Payroll Noncash I: (Complete Part II for noncash contributions) No. Name, address, and ZIP 4 (Q Total contributions Type of contribution 44 25,000. Person Payroll Noncash (Complete Part II for noncash contributions.) No. (bi Name, address, and ZIP 4 (C) Total contributions Type of contribution 45 5,000. Person Payroll I:l Noncash (Complete Part II for noncash contributions.) No. Name, address, and ZIP 4 (C) Total contributions Type of contribution 46 100,000. Person Payroll Noncash (Complete Part II for noncash contributions.) No. Name' address, and ZIP 4 Id Total contributions Type of contribution 47 400.000. Person Payroll Noncash (Complete Part II for noncash contributions.) No. (bl Name, address, and ZIP 4 (B) Total contributions Type of contribution 48 100,000. Person Payroll Noncash I: (Complete Part II for noncash contributions.) 423452 11-05-14 13501116 796448 08041 21 Schedule {Form 190, BSD-E2, or BED-PF) {2014} 2014.05000 CROSSROADS GRASSROOTS POLIC 08041?1 DO NOT DISCLOSE THIS DOCUMENT Public disclosure of the names and addresses of contributors presented on the attached IRS Form 990 Schedule is prohibited by federal law under 26 U.S.C. 6103-6104. Any person responsible for such illegal disclosure is subject to prosecution under 26 U.S.C. 7213. Schedule {Form 990. QQO-EZ, or [2014) Name of organization CROSSROADS GRASSROOTS POLICY STRATEGIES Page 2 Employer identification number 27-2753378 Part I Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (a No. Name. address. and ZIP 4 Total contributions id) Type of contribution 49 2,700,000. Person Payroll Noncash [3 (Complete Part II for noncash contributions.) No. Name, address, and ZIP 4 Total contributions Type of contribution 50 15,000. Person Payroll Noncash [3 (Complete Part II for noncash contributions.) No. lb) Name. address, and ZIP 4 (Q Total contributions Type of contribution 51 a; 25,000. Person Payroll Noncash I: (Complete Part II for noncash contributions.) la) No. Name, address, and ZIP 4 (C) Total contributions Type of contribution 52 3; 15,000. Person Payroll Noncash (Complete Part II for noncash contributions.) No. Name, address, and ZIP 4 Total contributions Type of contribution 53 30,000. Person Payroll I: Noncash (Complete Part II for noncash contributions.) No. (13) Name, address, and ZIP 4 Total contributions Type of contribution 54 25,000. Person Payroll Noncash (Complete Part II for noncash contributions.) 423452 11-05?14 13501116 796448 08041 22 Schedule {Form 990. QED-E1, or QED-PF) (2014) 2014.05000 CROSSROADS GRASSROOTS POLIC 08041__1 DO NOT DISCLOSE THIS DOCUMENT Public disclosure of the names and addresses of contributors presented on the attached IRS Form 990 Schedule is prohibited by federal law under 26 U.S.C. 6103-6104. Any person responsible for such illegal disclosure is subject to prosecution under 26 U.S.C. 7213. Schedule (Form 990, 990-EZ, or (2014) Name of organization CROSSROADS GRASSROOTS POLICY STRATEGIES Page 2 Employer identification number 27?2753378 Pa?l Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. o) (w No. Name, address, and ZIP 4 id Total contributions to Type of contribution 55 15,000. [El CI (Complete Part II for noncash contributions.) Person Payroll Noncash or (w No. Name, address, and ZIP 4 (G Total contributions Type of contribution 56 5,000. Cl Cl (Complete Part II for noncash contributions.) Person Payroll Noncash No. Name, address, and ZIP 4 Id Total contributions N) Type of contribution 57 50,000. El [3 (Complete Part II for noncash contributions.) Person Payroll Noncash h) (M No. Name, address, and ZIP 4 to Total contributions Type of contribution 58 500,000. l:l (Complete Part II for noncash contributions.) Person Payroll Noncash h) (M No. Name, address, and ZIP 4 (Q Total contributions Type of contribution 59 100,000. l:l I: (Complete Part II for noncash contributions.) Person Payroll Noncash b) (w No. Name, address, and ZIP 4 (Q Total contributions (w Type of contribution 60 50,000. [El l:l (Complete Part II for noncash contributions.) Person Payroll Noncash 423452 11-05-14 13501116 796448 08041 23 Schedule (Form 190, QQD-EZ, or SSH-PF) (2014} 2014.05000 CROSSROADS GRASSROOTS POLIC 08041?_1 DO NOT DISCLOSE THIS DOCUMENT Public disclosure of the names and addresses of contributors presented on the attached IRS Form 990 Schedule is prohibited by federal law under 26 U.S.C. 6103-6104. Any person responsible for such illegal disclosure is subject to prosecution under 26 U.S.C. 7213. Schedule (Form 990. ego-52. or 990.95 (2014) Name of organization CROSSROADS GRASSROOTS POLICY STRATEGIES Part I Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. Page 2 Employer identification number 27~2753378 No. (W Name, address, and ZIP 4 Total contributions to Type of contribution 61 100,000. Person Payroll I: Noncash (Complete Part ll for noncash contributions) No. Name, address, and ZIP 4 (C) Total contributions Type of contribution 62 100,000. Person Pawn" Noncash El (Complete Part II for noncash contributions.) No. Name, addressl and ZIP 4 (d Total contributions Type of contribution 63 105,000. Person Pawn" Noncash (Complete Part II for noncash contributions.) (a No. Name, address, and ZIP 4 (C) Total contributions in Type of contribution 64 1,000,000. Person Payroll Noncash (Complete Part II for noncash contributions.) No. lb) Name, address, and ZIP 4 (cl Total contributions Type of contribution 65 25,000. Person Payroll I: Noncash [3 (Complete Part II for noncash contributions.) No. (bl Name, address, and ZIP 4 (C) Total contributions Type of contribution 66 3,000,000. Person Payroll Noncash (Complete Part II for noncash contributions.) 423452 11-05?14 13501116 796448 08041 24 Schedule 8 (Form i?aa. 990-152, or (2014?, 2014.05000 CROSSROADS GRASSROOTS POLIC 08041?1 DO NOT DISCLOSE THIS DOCUMENT Public disclosure of the names and addresses of contributors presented on the attached IRS Form 990 Schedule is prohibited by federal law under 26 U.S.C. 6103-6104. Any person responsible for such illegal disclosure is subject to prosecution under 26 U.S.C. 7213. Schedule (Ferm 990. ego-52. or BED-PF) (201 4) Name oforganization CROSSROADS GRASSROOTS POLICY STRATEGIES Page 2 Employer identi?cation number 27?2753378 Pa?l Contributors (see instructions). Use duplicate copies of Part I if additional space is needed No. Name, address, and ZIP 4 c) (w Total contributions Type of contribution 6'7 Person Payroll CI 100,000. Mmm?t (Complete Part II for noncash contributions) No. Name, address, and ZIP 4 (C) Total contributions Type of contribution 68 Person Payroll Noncash (Complete Part II for noncash contributions.) 25,000. (bi No. Name. address, and ZIP 4 (C) Total contributions Type of contribution 69 Person Payroll Noncash (Complete Part II for noncash contributions.) 1,000,000. (bi No. Name, address, and ZIP 4 (C) Total contributions Type of contribution 70 Person Payroll Noncash (Complete Part II for noncash contributions.) 100,000. No. Name, address, and ZIP 4 (C) Total contributions Type of contribution 71 Person Payroll Noncash (Complete Part II for noncash contributions) 3, 100,000. No. Name, address, and ZIP 4 (C) Total contributions Type of contribution 72 Person Payroll [3 50,000. Noncash (Complete Part II for noncash contributions.) 423452 1?05?14 13501116 796448 08041 25 Schedule 13 (Form 990, EEO-E2, or EQD-PF) (2014] 2014.05000 CROSSROADS GRASSROOTS POLIC 08041?1 DO NOT DISCLOSE THIS DOCUMENT Public disclosure of the names and addresses of contributors presented on the attached IRS Form 990 Schedule is prohibited by federal law under 26 U.S.C. 6103-6104. Any person responsible for such illegal disclosure is subject to prosecution under 26 U.S.C. 7213. Schedule {Form 990. 990-52, or BEG-PF) (2014} Page 2 Name of organization CROSSROADS GRASSROOTS POLICY STRATEGIES Employer identi?cation number 27?2753378 Part I Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (a No. (bl Name, address, and ZIP 4 Total contributions Type of contribution '73 8,345. Person Payroll Noncash (Complete Part II for noncash contributions.) la) No. (bl Name, address, and ZIP 4 Total contributions (dI Type of contribution '74 30,000. Person Payroll Noncash I: (Complete Part II for noncash contributions.) No. Name, address, and ZIP 4 (C) Total contributions Type of contribution 75 150,000. Person Payroll Noncash [1 (Complete Part II for noncash contributions.) (at No. Name. address, and ZIP 4 Total contributions Type of contribution 76 50,000. Person Payroll Noncash (Complete Part II for noncash contributions.) (al No. Name, address, and ZIP 4 Total contributions Type of contribution '7'7 25,000. Person Payroll Noncash (Complete Part II for noncash contributions.) (al No. (bl Name. address. and ZIP 4 (C) Total contributions Type of contribution 78 5,000,000. Person LXI Payroll Noncash (Complete Part II for noncash contributions.) 428452 1 1?05?14 13501116 796448 08041 26 Schedule [Form1 BSD-E2, or (2014] 2014.05000 CROSSROADS GRASSROOTS POLIC 08041__1 DO NOT DISCLOSE THIS DOCUMENT Public disclosure of the names and addresses of contributors presented on the attached IRS Form 990 Schedule is prohibited by federal law under 26 U.S.C. 6103-6104. Any person responsible for such illegal disclosure is subject to prosecution under 26 U.S.C. 7213. Schedule (Form 990, QED-E2, or (2014] Name at organization CROSSROADS GRASSROOTS POLICY STRATEGIES Page 2 Employer identification number 27?2753378 Part I Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. No. (bl Name, address, and ZIP 4 (C) Total contributions Type of contribution '79 350,000. Person LEI Payroll Noncash (Complete Part II for noncash contributions.) No. lb) Name, address, and ZIP 4 (C) Total contributions ldi Type of contribution 80 14,500,000. Person [Kl Payroll Noncash [3 (Complete Part II for noncash contributions.) No. (bl Name, address, and ZIP 4 (C) Total contributions Type of contribution Person I:l Payroll Noncash I: (Complete Part II for noncash contributions.) la) No. ID) Name, address, and ZIP 4 (C) Total contributions Id) Type of contribution Person l:l Payroll l:l Noncash (Complete Part II for noncash contributions.) No. lb) Name, address, and ZIP 4 (0) Total contributions Type of contribution Person I: Payroll I:l Noncash I:l (Complete Part II for noncash contributions.) No. Name, address, and ZIP 4 (C) Total contributions (dl Type of contribution Person Payroll l:l Noncash [3 (Complete Part II for noncash contributions.) 423452 11-05-14 13501116 796448 08041 27 Saho?ule El (Formi 2014.05000 CROSSROADS GRASSROOTS POLIC 08041?1 390. QQD-EZ, or [2014] DO NOT DISCLOSE THIS DOCUMENT Public disclosure of the names and addresses of contributors presented on the attached IRS Form 990 Schedule is prohibited by federal law under 26 U.S.C. 6103-6104. Any person responsible for such illegal disclosure is subject to prosecution under 26 U.S.C. 7213. ?chedule {Farm 990, 990-EZ, or QED-PF) {2014) Name at organizatiou CROSSROADS GRASSROOTS POLICY STRATEGIES Pad" Noncash Property (see instructions). Use duplicate copies of Part ll if additional space is needed. Page 3 Employer identification number 27?2753378 No. . . . FMV (or estimate) from Description of noncash property given . . Date received (see instructions) Part (w No. . FMV (or estimate) from Description of noncash property given . . Date received (see Instructions) Part I (C) No" I FMV (or estimate) from Description of noncash property given . . Date received (see instructions) Part I a id) from t. . FMV (or estimate) escrip ion 0 noncas property given (see instrue?ons) a receive Part I (C) No' FMV (or estimate) from Description of noncash property given . . Date received (see instructions) Part a . . . FMV (or estimate) A from Description of noncash property given . . Date received Part I (see instructions) 423453 11-0544 13501116 796448 08041 28 Schedule (Form 590. or [2014) 2014.05000 CROSSROADS GRASSROOTS POLIC 08041?1 Schedule [Form ego, BSD-E2. or eon-PF) {2014] time of organization CROSSROADS GRASSROOTS POLICY STRATEGIES a more on . or ?t rn any one contributor. Complete columns (a)through andthe following line entry. For organizations Part ?c?g?r completing Part enter the total of exclusively religious. charitable. etc contributions of$1,000 or less for the year. (Enmrmis info once) Use duplicate copies of Part if additional space is needed. Page 4 Employer identi?cation number 27?2753378 ta) No. Sgrl?tni Purpose of gift Use of gift Description of how gift is held Transfer of gift Transferee's name, address. and ZIP 4 Relationship of transferor to transferee No. 3:13.11} Purpose of gift Use of gift Description of how gift is held Transfer of gift Transferee?s name, address, and ZIP 4 Relationship of transferor to transferee No. 330:?! Purpose of gift Use of gift Description of how gift is held Transfer of gift Transferee?s name. address, and ZIP 4 Relationship of transferor to transferee No. Purpose of gift Use of gift Description of how gift is held a Transfer of gift Transferee's name1 address. and ZIP 4 Relationship of transferor to transferee 423454 11-05-14 13501116 796448 08041 29 Schedule (Form 990, 990-EZ, or 990-PF) (2014) 2014.05000 CROSSROADS GRASSROOTS POLIC 08041_1 SCHEDULE 0 Political Campaign and Lobbying Activities Form 990 or 990-EZ For Organizations Exempt From Income Tax Under section 501(c) and section 527 1 4 Complete if the organization is described below. Attach to Form 990 or Form 990-EZ. Department of the Treasury . . Open to Public .ntema. Revenue Service Information bout Schedule 0 (Form 990 or 990-EZ) and its instructions is at Inspection If the organization answered "Yes," to Form 990. Part IV, line 8, or Form 990-EZ, Part V. line 46 (Political Campaign Activities), then 0 Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part l-C. 0 Section 501(0) (other than section 501(c)(3)) organizations: Complete Parts l-A and below. Do not complete Part IE. 0 Section 527 organizations: Complete Part I-A only. If the organization answered "Yes," to Form 990, Part IV. line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then 0 Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part Do not complete Part 0 Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part Do not complete Part If the organization answered "Yes," to Form 990, Part IV, line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ. Part V, line 35c (Proxy Tax) (see separate instructions), then 0 Section 501(c)(4). (5). or (5) organizations: Compteie Part Name of organization Employer identification number CROSSROADS GRASSROOTS POLI CY STRATEGIES Part Complete if the organization is exempt under section a section 527 org?ization. 1 Provide a description of the organization's direct and indirect political campaign activities in Part IV. 2 Politicalexpenditures . .. 25,981,100- 3 Volunteerhours I Part l-Bl Complete if the organization is exempt under section 501(c)(3). 1 Enter the amount of any excise tax incurred by the organization under section 4955 I I It 2 Enter the amount of any excise tax incurred by organization managers under section 4955 I I 3 If the organization incurred asection 4955 tax, did it file Form 4720 forthis year? I I. I lees No 4a Wasacorrection made"Yes,? describe in Part IV. [Part l?C Complete if the organization is exempt under section 501(c), except section 501(c)(3). 1 Enter the amount directly expended by the filing organization for section 527 exempt function activities Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt func'fion aCtiVities . . . . . 3 Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, Iine17b .. .. .. . .. . . .. .. 25. 981 . 100- 4 Did the filing organization file Form 1120-POL for this year? Yes No 5 Enter the names, addresses and employer identification number (EIN) of all section 52? political organizations to which the filing organization made payments. For each organization listed, enter the amount paid from the filing organization's funds. Also enter the amount of political contributions received that were and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC) If additional space is needed, provide information in Part IV. Name Address EIN (cl) Amount paid from Amount of political filing organization's contributions received and funds. if none, enter -0-. and directly delivered to a separate political organization. If none, enter -0-. For Paperwork Reduction Act Noticel see the Instructions for Form 990 or 990-EZ. Schedule (Form 990 or 990-EZ) 2014 LHA 432041 10?21?14 3 0 13501116 796448 08041 2014.05000 CROSSROADS GRASSROOTS POLIC 0804l_1 GRASSROOTS POLICY STRATEGIES 27?2753378l%%2 I Part ll-A Complete if the organization is exempt under section 501(c)(3) and filed Form 5763 (election under section 501(h)). A Check l_l if the filing organization belongs to an affiliated group (and list in Part lV each affiliated group member?s name, address, EIN, expenses, and share of excess lobbying expenditures). Check if the filin organization checked box A and "limited control" provisions apply. . . . . Filing Affiliated group LImIts on Lobbying Expenditures organization.s totals (The term "expenditures" means amounts paid or incurred.) totals Total lobbying expenditures to influence public opinion (grass roots lobbying) Total lobbying expenditures to influence a legislative body (direct lobbying) Totallobbying expenditures(add lines1aand 1b) II I II I I Other exempt purpose expenditures Total exempt purpose expenditures (add lines 1c and 1d) I Lobbying nontaxable amount. Enter the amount from the lollowing table in both columns. If the amount on line 10, column or is: The lobbying nontaxable amount is: Not over $500,000 20% of the amount on line 1e. Over $500,000 but not over $1 ,000,000 $100,000 plus 15% of the excess over $500,000. Over $1 ,000,000 but not over $1,500,000 $175,000 plus 10% of the excess over $1 .000.000 Over $1,500,000 but not over $17,000,000 $225,000 plus 5% of the excess over $1 .500,000. Over $17,000,000 $1 ,000,000. Grassroots nontaxable amount (enter 25% of line 1f) Subtract line 19 from line 1a. If zero or less, enter -0- Subtract line 1f from line 1c. If zero or less, enter -0- II If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? I: Yes I: No 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 separate instructions for lines 2a through 2f.) Lobbying Expenditures During 4-Year Averaging Period (or ?scgf?g??relg?ing in) 2011 2012 2013 2014 Total 2a Lobbying nontaxable amount Lobbying ceiling amount (150% of line 23, column(e)) Total lobbying expenditures Grassroots nontaxable amount Grassroots ceiling amount {150% of line 2d. column Grassroots lobbying expenditures Schedule (Form 990 or 990-EZ) 2014 432042 10?21-14 31 13501116 796448 08041 2014.05000 CROSSROADS GRASSROOTS POLIC 08041?1 2014 CROSSROADS GRASSROOTS POLICY STRATEGIES 27-2753378 Pages as Ii I ed Form 5763 (3 Form 990 or 990- omp ete organization is exempt un er section (election under section 501(h)). Schedule For each ?Yes, responSe to lines la through 1i below, provide in Part iVa detailed description of the iobbying activity. Yes No Amount 1 During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of: Paid staff or management (include compensation in expenses reported on lines 10 through 1i)? Media advertisements? Mailings to members, legislators, orthe public? I . . Publications, or published or broadcast statements? Grants to other organizations for lobbying purposes? I Direct contact with legislators, their staffs, government officials, or a legislative body? I Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? Other activities? Total Add lines 10 through 1i . .. . .. Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? If "Yes," enter the amount of any tax incurred under section 4912 If "Yes," enter the amount of any tax incurred by organization managers under section 4912 If the tiling organization insurred a section 4912 tax, did it file Form 4720 for this year? .. Part ill-A] Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6). In Yes No 1 Were substantially all (90% or more) dues received nondeductible by members? 2 Did the organization make only in-house lobbying expenditures of $2,000 or lessanization acres to carry over lobbying and political expenditures from the prior year? 3 plate if the organization is exempt under section 501(c)(4). section 501(c)(5), or section 501(c)(6) and if either BOTH Part Ill-A, lines 1 and 2, are answered 0R Part Ill?A, line 3, is answered "Yes." Dues, assessments and similar amounts from members .. 1 2 Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid). [0.5 A a Currentyear . .. .. . 2a CaWOVerfi'Om last Year .. 2b Total . 2c 3 Aggregate amount reported in section 6033(e)(1)(A notices of nondeductible section 162(e) dues 3 4 If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next yearTaxable amount of lobbying and 5 [Part IV I Supplemental Information Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part ll?A (affiliated group list); Part ll-A, lines 1 and 2 (see instructions); and Part line 1. Also, complete this part for any additional information. PART LINE 1: POLITICAL MEDIA PLACEMENT AND PRODUCTION, ONLINE ADVERTISING, MAIL, PHONES, LEGAL MANAGEMENT SUPPORT. Schedule 0 (Form 990 or 990-EZ) 2014 real 32 13501116 796448 08041 2014.05000 CROSSROADS GRASSROOTS POLIC 08041__1 OMB No 1545-0047 SCHEDULE Supplemental Financial Statements (Form 990) Complete if the organization answered "Yes" to Form 990, 1 4 Part IV, line 6, 7, 8,9, Department of the Treasury Attach to Form 990. open to_ Pubhc Internal Revenue Servlcu Information about Schedule 0 [Form 990] and Its instructions Is at WW rm Name of the organization Employer identification number CROSSROADS GRASSROOTS POLICY STRATEGIES Part Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts.CompIete if the organization answered "Yes" to Form 890, Part IV, line 6. Donor advised funds Funds and other accounts Total number at end of year . Aggregate value of contributions to (during year) Aggregate value of grants from (during year) Aggregate value at end of year . . Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization?s property, subject to the organization's exclusive legal control? 6 Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible privatemgfitConservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7. 1 Purpose(s) of conservation easements held by the organization (check all that apply). Preservation of land for public use (9.9., recreation or education) Preservation of a historically important land area Protection of natural habitat Preservation of a certified historic structure Preservation of open space 2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last [:Yes BN0 day of the tax year. Held atthe End of the TaxYear a Total numberofconservation easements 2a Total acreage restricted by conservation easements 2b Number of conservation easements on a certified historic structure included in 2c Number of conservation easements included in acquired after 8/17/06, and not on a historic structure listed in the National Register 2d 3 Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the tax year) 4 Number of states where property subject to conservation easement is located 5 Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? I, CI Yes No 6 Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year 7 Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year 8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section and secti0n170(h)(4)(B)IiiPart describe how the organization reports conservation easements in its revenue and expense statement, and balance sheet, and include, if applicable, the text of the footnote to the organization's financial statements that describes the organization's accounting for conservation easements. Part Organizations Maintaining Collections of Art, Historical masures, or Other Similar Assets. Complete if the organization answered "Yes" to Form 990, Part IV, line 8. 1a If the organization elected, as permitted under SFAS 116 (A80 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part the text of the footnote to its financial statements that describes these items. If the organization elected, as permitted under SFAS 116 (A80 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items: Revenueincluded in Form 990, Part ine1 (ii) Assets included in Form 990, PartX 2 If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the following amounts required to be reported under SFAS 116 (A80 958) relating to these items: a Revenue included in Form 990, ine1 I AssetsincludedinFoerQO,PartX LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule (Form 990) 2014 seat. 33 13501116 796448 08041 2014.05000 CROSSROADS GRASSROOTS POLIC 08041?1 Schedule [3 [Form 990112014 CROSSROADS GRASSROOTS POLICY STRATEGI Page 2 I Part I Organizations Maintaining?llections of Art, Historical Treasures, or Other Similar Asseta'coniinueo?l 3 Using the organization's acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply): a I: Public exhibition I:l Loan or exchange programs El Scholarly research Other Preservation for future generations 4 Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part 5 During the year, did the organization solicit or receive donations of art, historical treasures, or other similar assets to be sold to raise funds rather than to be maintained as part oi the organization's collection? . Yes I: No I Part IV I Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21 1a Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not included on Form 990. PartX"Yes," explain the arrangement in Part and complete the following table: Amount Beginningbalanoe . . . . .. . . . . ?lc Additionsduringtheyear .. . .. . .. .. . .. .. . .. 1d Distributions duringtheyear .. .. .. .. .. .. . .. .. .. . .. .. to Ending balance . .. .. .. .. 1f 2a Did the organization include an amount on Form 990, Part X, line 21,for escrow or custodial account liability? Yes No if thearrangement in Part here if the explanation has been provided in Part I Part Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part Iv, line 10. Currentyear (b)Prioryear to) Two years back (d)Threeyears back (a}Fouryears back 1a Beginning of year balance Contributions . . .. Net investment earnings, gains, and losses Grants or scholarships II Other expenditures for facilities arid programs .. Administrative expenses 9 End of year balance II 2 Provide the estimated percentage of the current year end balance (line 1g, column held as: a Board designated or quasi-endowment Permanent endowment Temporarily restricted endowment The percentages in lines 2a, 2b, and 20 should equal 100%. 3a Are there endowment funds not in the possession of the organization that are held and administered for the organization by: ii) unrelated organizations .. .. .. . Iiil related organizations .. . . . . .. .. . .. . .. .. . If "Yes" to 3a(ii), are the related organizations listed as required on Schedule Describe in Part Kill the intendedgses of the organization?s endowment funds. I Part VI I Land, Buildings, and Equipment. Complete if the organization answered "Yes" to Form 990, Part IV, line 11a. See Form 990, Part X, line 10. Description of property Ia) Cost or other Cost or other Accumulated Book value basis (investment) basis (other) depreciation 1a Land . Buildings Leasehold improvements Equipment 3:412- 3-271- 14l- Other Total. Add iines?lathrough to. {Column must equaIForm ago, PariX, coiurnn line 10c.) I 141 . Schedule (Form 990) 2014 432052 10-01-14 34 13501116 796448 08041 2014.05000 CROSSROADS GRASSROOTS POLIC 0804l_1 Schedule {Form 99012014 CROSSROADS GRAS SROOTS POLICY STRATEGI Page 3 Part Vll Investments - Other Securities. Complete if the organization answered "Yes" to Form 990, Part lV, line 11b. See Form 990. Part X. line 12. Description of security or category (including name of security) Book value (0) Method of valuation: Cost or end-of-year market value (1) Financial derivatives (2) Closely-held equity interests (3) Other (A) (B) (F) (G) (H) Total. (Col. (bl must equal Form 990, Part X. col. (B) line 12.) Part Investments - Program Related. if the answered "Yes" to 990 Part IV line 110. See Form 990 Part line 13. Description of investment Book value Method of valuation: Cost or end-of-year market value Total. Col. must Form Part out line 13. Other Com if the ion answered "Yes" to Form 99!) Part IV. line 11d. See Form 990. Part X. line 15. Description Book value must Form 990 Part col. line 15 .. ities. Co if the answered "Yes" to Form 990, Part IV. line 116 or 11f. See Form 990 Part X. line 25. Description of liability Book value 1 Federal income taxes RENT LIABILIT Total, muste Form PartX col. linez? - 2. Liability for uncertain tax positions. In Part provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (A80 740). Check here if the text of the footnote has bee?provided in Part Schedule (Form 990) 2014 432053 10-01-14 35 13501116 796448 08041 2014.05000 CROSSROADS GRASSROOTS POLIC 08041?1 Schedule (Form 990:: 2g 4 CROSSROADS GRASSROOTS POLICY STRATEGIES I Part XI I Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. 27-2753378 qu4 Complete if the organization anSWered "Yes" to Form 990, Part IV, line 12a. 1 Total revenue, gains, and other support per audited financial statements Amounts included on line 1 but not on Form 990, Part line 12: a Net unrealized gains (losses) on investments I II 2a Donated services and use offacilities I I 2b Recoveries ofprior year grants . .. 2c Other (Describe in I II II II 2d Add Iines2athrough2d 2e 0. a Subtract line 2efrom Iine1 .. . .. .. 3 69 .123 . 509~ 4 Amounts included on Form 990, Part line 12, but not on line 1: a Investment expenses not included on Form 990, Part line 7b I 4a Other (Describe in Part XML) I m; Add Iines4a and Total revenue. Add linees and muerequel Form 990, Peru, line 12Part XII I Reconciliation o?penses per Audited Financial Statements With Expenses per Return. Complete if the organization answered "Yes" to Form 990. Part IV, line 12a. 1 Total expenses and losses per audited financial statements Amounts included on line 1 but not on Form 990, Part IX, line 25; a Donated services and use offacilities I II I II II 2a Prioryearadiustments I A II II I 2b Other losses 2c Other (Describe in Part 2d Add lines 23 through 2d 2e 0 . 3 Subtractline2efromline1 I I 3 55,351,939. 4 Amounts included on Form 990, Part IX, line 25, but not on line 1: a Investment expenses not included on Form 990, Part line 7b I 4a Other (Describe in Part 4b Add lines 4a and 4b 4c 0- Tot?expenses- Add lines 3 and 4o. @3 must equal Form 990, Part I, line 18Part Supplemental Information. Provide the descriptions required for Part II, lines 3, 5, and 9; Part lines 1a and 4; Part IV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information. PART X, LINE 2: CROSSROADS GRASSROOTS POLICY STRATEGIES HAS ADOPTED FASB ASC 740?10, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THAT STANDARD PRESCRIBES A COMPREHENSIVE MODEL FOR HOW AN ORGANIZATION SHOULD MEASURE, RECOGNIZE, PRESENT, AND DISCLOSE IN ITS FINANCIAL STATEMENTS UNCERTAIN TAX POSITIONS THAT AN ORGANIZATION HAS TAKEN OR EXPECTS TO TAKE ON A TAX RETURN. ?32054 10-01-14 13501116 796448 08041 36 Schedule (Form 990) 2014 2014.05000 CROSSROADS GRASSROOTS POLIC 08041?1 OMB No 1545-0047 SCHEDULE Supplemental information Regarding Fundraising or Gaming ActiVitieS (Form 990 or 990-EZ) Complete if the organization answered "Yes" to Form 990, Part lines 17, 18I or 19, or if the organization entered more than $15,000 on Form line 6a. Department of the Treasury Attach to Form 990 or Form 990_Ez' Open to Public Intama? Revenue service information ab ut Schedule For rose-?2 nd nstructs? us is a non Inspection Name of the organization Empioyer identification number CROSSROADS GRAS SROOTS POLICY STRATEGIES Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17. Form 990-EZ filers are not required to complete this part. 1 Indicate whether the organization raised funds through any of the following activities. Check all that apply. a Mail solicitations Solicitation of non-government grants lntemet and email solicitations :1 Solicitation of government grants Phone solicitations 9 El Special fundraising events ln?person solicitations 2 a Did the organization have a written or oral agreement with any individual (including officers, directors, trustees or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services? Yes No If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is to be compensated at least $5,000 by the organization. D'd Amomt aid . . Name and address of individual .. . . fi?in raisler (iv) Gross receipts if, for ,ataine? by} M) Amount paid or entity (fundraiser) (H) from activity fundraiser to (or reta'ned by) . . contributions? listed in cm organization GROSS CONTRIBUTIONS 45 N. Yes No HILL DRIVE, STE. 100, 69,128,609. 0. 69,128,609. THE MK GROUP - 59 05 GLOSTER ROAD, BETHESDA, MD 20816 0. 105,125. ?105,125. MACON CONSULTING . Box 3962, GREENVILLE, NC 27836 0, 55,000. ?55,000. .- 3 List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing. LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Schedule (Form 990 or 990-EZ) 2014 SEE PART IV FOR CONT INUATIONS 432081 08?28-14 37 13501116 796448 08041 2014.05000 CROSSROADS GRASSROOTS POLIC 08041?1 SchedulthForm 990 arsenal 2014 CROSSROADS GRASSROOTS POLICY STRATEGIES 27?2753378 Pagaz lPart [ll Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV. line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000. Event #1 Event #2 Other events (event type) (event type) (total number) Total events (add col. through col. Revenue 1 Gross receipts .v 2 Less: Contributions 3 Gross income (line 1 minus line 2) 4 Cash prizes 5 Noncash prizes 6 Rent/facility costs 7 Food and beverages Direct Expenses 8 Entertainment 9 Other direct expenses I. I 10 Direct expense summary. Add lines 4 through 9 in column 11 Net income summary. Subtract line 10 from line 3. column $15,000 on Form QED-E2. line 6a. Eart l" I Gaming. Complete if the organization answered "Yes" to Form 990, Part IV. line 19, or reported more than . I Pull . Total gaming (add a; . . . B'ngo brngo/progressrve bingo Other gam'ng col. (3) through col. a: 1 Gross revenue .. 2 Cash prizes .. . ?1 3 NoncaSh Prizes .. . *6 4 Rent/facility costs 5 Other direct expenses Yes Yes Yes 6 Volunteer labor No No No 7 Direct expense summary. Add lines 2 through 5 in column 8 Net gaming income Summary. Subtract line 7 from line 1, column 9 Enter the state(s) in which the organization conducts gaming activities: a Is the organization licensed to conduct gaming activities in each of these states? Yes LJ No If explain: 10a Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? Yes LJ No If "Yes, explain: 432082 08?28?14 13501116 796448 08041 38 Schedule (Form 990 or 990-EZ) 2014 2014.05000 CROSSROADS GRASSROOTS POLIC 08041_1 schedules(Formosanrsseaizom CROSSROADS GRASSROOTS POLICY STRATEGIES 27?2753378 Pages 11 Does the organization conduct gaming activities with nonmembersthe organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity formed toadnm?merchm?amegan?ng?..q [Iilves [ZilNo 13 Indicate the percentage of gaming activity conducted in: a The organization?s facility . .. . .outside facility i 1 13b 9'6 14 Enter the name and address of the person who prepares the organization's gaming/special events books and records: Name Address 15a Does the organization have a contract with a third party from whom the organization receives gaming revenue"Yes." enter the amount of gaming revenue received by the organization and the amount of gaming revenue retained by the third party If "Yes," enter name and address of the third party: Name Address 16 Gaming manager information: Name Gaming manager compensation Description of services provided i:i Director/officer i:i Employee i:i Independent contractor 17 Mandatory distributions: 3 Is the organization required under state law to make charitable distributions from the gaming proceeds to WDWSEM Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the organization's own exempt activities during the _tgx vear 3 Part IV Supplemental Information. Provide the explanations required by Part I, line 2b, columns and and Part lines 9, 9b, 10b, 15b, 15c. 16, and 17b. as applicable. Also provide any additional information (see instructions). SCHEDULE G, PART I, LINE 2B, LIST OF TEN HIGHEST PAID FUNDRAISERS: (I) NAME OF FUNDRAISER: GROSS CONTRIBUTIONS (I) ADDRESS OF FUNDRAISER: 45 N. HILL DRIVE, STE. 100, WARRENTON, VA 20186 SCHEDULE G, PART I, LINE 2B, COLUMN (IV): GROSS CONTRIBUTIONS RECEIVED FROM AND GRANT SOLICITATIONS ARE NOT DIRECTLY TIED TO A SPECIFIC PROFESSIONAL FUNDRAISER AND HAVE BEEN REPORTED 0N SCHEDULE IN THE TOTAL AMOUNTS 432083 03-23-14 Schedule (Form 990 or 990-EZ) 2014 39 13501116 796448 08041 2014.05000 CROSSROADS GRASSROOTS POLIC 08041__1 CROSSROADS GRASSROOTS POLICY STRATEGIES 27?2753378 pwe4 art Supplemental Information (continued) RECEIVED BY THE ORGANIZATION. Schedule (Form 990 or 990-EZ) 432084 05?01-14 40 13501116 796448 08041 2014.05000 CROSSROADS GRASSROOTS POLIC 08041?1 OMB No 1545-0047 SCHEDULEI Grants and Other Assistance to Organizations, (Form 990) Governments, and Individuals in the United States 1 4 Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22. Department of the Treasury Attach to Form 990. Open to Public Internal Revenue service lnforrnation about Schedule I [Form 990) and its instructions is at "Hui-fomem Inspection Name of the organization Employer identification number CROSSROADS GRASSROOTS POLICY STRATEGIES Part I I General information on Grants and Assistance 1 Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? Yes I: No 2 Describe in Part IV the organization's procedures for monitoringthe use of grant funds in the United States. I Part Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" to Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be dupiicated if additional space is needed. 1 Name and address Of organization EIN section (cl) Amount of Amount of Mk (9) Description of Purpose of grant or government if applicable cash grant non-cash FMV non-cash assistance or assistance aSSIstance ?other) AMERICAN FUTURE FUND 6601 WESTOWN PKWY, STE 240 WEST DES MOINES, IA 50266 26?0620554 2,000,000. 0. SOCIAL WELFARE CAROLINA RISING INC 5 WEST HARGETT STREET, STE 502 RALEIGH, NC 27601 46?5187544 501c(4) 4,820,000, 0. FDCIAL WELFARE CENTER FOR INDIVIDUAL FREEDOM 917?3 KING STREET ALEXANDRIA, VA 22314 54?1916980 40,000. 0. SOCIAL WELFARE ETHICS PUBLIC POLICY CENTER 1730 STREET NW, STE 910 WASHINGTON, DC 20036 52-1162185 50,000. 0. SOCIAL WELFARE KENTUCKY OPPORTUNITY COALITION P.O. BOX 6067 KY 40206 KY 40206 26-3722621 E01c(4) 390,000. 0. OCIAL WELFARE NATIONAL RIFLE ASSOCIATION 1125 0 WAPLES MILL ROAD VA 22030 VA 22030 53-0116130 125,000. 0- FOCIAL WELFARE 2 Entertotal number of section 501(c)(3) and government organizations listed in the line 1 table I. Ir 3 Enter total number of other organizations listed in the line 1 table .. 8 LHA For Paperwork Reduction Act Notice, see the instructions for Form 990. Schedule I (Form 990) (2014) 432101 10-15?14 4'1 CROSSROADS GRASSROOTS POLICY STRATEGIES Schedule 1 [Form 990[53:33.1 En II I Continuation of Grants and Other Assistance to Governments and Organizations in the United States {Schedulel (Form 990). Part II.) Name and address of EIN IRC section Amount of Amount of Method of (9) Description of Purpose of grant organization or government if applicable cash grant non?cash valuation non-cash assistance or assistance assistance (book, FMV, appraisal, other) NATIONAL RIGHT TO LIFE 512 10TH STREET, NW WASHINGTON, DC 20004 52?0986195 900,000. 0. ISICICIAL WELFARE THE JOHN HAY INITIATIVE 801 AVE NW STE 610 WASHINGTON, DC 20004 46?3437207 501c(4) 50,000. 0. SOCIAL WELFARE US CHAMBER OF COMMERCE 1615 ST NW WASHINGTON. DC 20062?2000 53?0045720 5,250,000, 0, EDCIAL WELFARE 432241 05?01-14 42 Schedule I (Form 990) Schedule (Form 990) (2014) CROSSROADS GRASSROOTS POLICY STRATEGIES Page 2 I Part I Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" to Form 990, Part IV, line 22. - Part can be duplicated if additional space is needed. Type of grant or assistance Number of Amount of Amount of non- Method of valuation Description of non-cash assistance recipients cash grant cash assistance (b00k, FMV. appralsal, other) Part Supplemental Information. Provide the information required in Part line 2. Part column to}. and any other additional infmmation. PART I, LINE 2: CROSSROADS GPS CAREFULLY EVALUATES THE MISSIONS AND ACTIVITIES OF RECIPIENT ORGANIZATIONS PRIOR TO MAKING ANY GRANTS TO ENSURE THAT FUNDS ARE USED ONLY FOR EXEMPT PURPOSES OF RECOGNIZED SECTION AND ORGANIZATIONS. GRANTS MADE TO ORGANIZATIONS ARE MADE CONSISTENT WITH OUR MISSION FOR THEIR TAX-EXEMPT PURPOSES. GRANTS ARE ACCOMPANIED BY A LETTER OF TRANSMITTAL STATING THAT THE FUNDS ARE TO BE USED ONLY FOR EXEMPT PURPOSES, AND NOT FOR POLITICAL EXPENDITURES, CONSISTENT WITH THE MISSION. 432102 10-15-14 4 3 Schedule (Form 990) (2014) SCHEDULE Compensation Information mam-15450047 (Form 990) For certain Officers, Directors, Trustees, Key Employees, and Highest 1 4 Compensated Employees Complete if the organization answered "Yes" on Form 990, Part IV, line 23. Department of the Trea3ury >A?aCh to Form 990- Open to P.Ub?c internal Revenue Service Information about Schedule {Form 990) and its instructions Is at ?my in: gnu?armuqn InspeCt'On Name of the organization Employer identification number CROSSROADS GRASSROOTS POLICY STRATEGIES 27?2753378 Partl Questions Regarding Compensation Yes No 1a Check the appropriate box(es) if the organization provided any of the following to or for a person listed in Form 990, Part VII, Section A, line ta. Complete Part to provide any relevant information regarding these items. First-class or charter travel Housing allowance or residence for personal use Travel for companions 1:1 Payments for business use of personal residence Tax indemnification and gross-up payments 1:1 Health or social club dues or initiation fees Discretionary spending account Personal services maid, chauffeur, chef) If any of the boxes on line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If complete Part to explain 1b 2 Did the organization require substantiation priorto reimbursing or allowing expenses incurred by all directors, trustees, and officers, including the CEO/Executive Director, regarding the items checked in line 1a? 2 3 Indicate which, if any, of the following the filing organization used to establish the compensation of the organization?s CEO/Executive Director. Check all that apply. Do not check any boxes for methods used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part Compensation committee Written employment contract Independent compensation consultant Compensation survey or study Form 990 of other organizations a Approval by the board or compensation committee 4 During the year, did any person listed in Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization: a Receive a severance payment or change-of?control payment? 4a Participate in, or receive payment from, a supplemental nonqualified retirement plan?_ . 4b Participate in, or receive payment from, an equity?based compensation 4c If "Yes" to any of lines 4a?c, list the persons and provide the applicable amounts for each item in Part Only section 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9. 5 For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any compensation contingent on the revenues of: a The organization? 5a Anyrelatedorganization? 5b If "Yes" to line 5a or 5b, describe in Part 6 For persons listed in Form 990, Part VII, Section A, line ?la, did the organization pay or accrue any compensation contingent on the net earnings of: a Theorganization? .. .. 6a bAnVrelatedorganizaiion"Yes" to line 6a or 6b, describe in Part Ill. 7 For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed payments notdescribed in line35and 6? If "Yes," describe in 7 8 Were any amounts reported in Form 990, Part VII, paid or accrued pursuant to a contract that was subject to the initial contract exception described in Regulations section If "Yes," describe in Part 8 9 If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations aeolian 534958-6lci? . .. 9 LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule (Form 990) 2014 432111 10?13?14 44 13501116 796448 08041 2014.05000 CROSSROADS GRASSROOTS POLIC Schedule (Form 999} 2014 CROS SROADS GRASSROOTS POLICY STRATEGIES page 2 I Part II I Of?cers. Directors, Trustees, Key Employees. and Highest Compensated Employees. Use duplicate copies if additional space is needed. For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row and from related organizations, described in the instructions. on row Do not list any individuals that are not listed on Form 990, Part VII. Note. The sum of columns for each listed individual must equal the total amount of Form 990, Part VII, Section A, line ?la, applicable column (D) and (E) amounts for that individual. (B) Breakdown of we Compensation (0) Retirement and (D) Nontaxable (E) Total of columns (F) Compensation 0 cm other deferred benefits in column (B) I ase ll onus er - (A) Name and T'?e compensation incentive reportable compensatlon reizogzdr compensation compensation (1) STEVEN LAW 239,005. 78,000. 0. 10,755. 0. 327,760. 0. PRESIDENT (ii) 117,650. 42,000. 0. 5,519. 6,133. 171,302. 0. (2) CALEB CROSBY 105,500. 0. 0. 0. 0. 105,500. 0. TREASURER (ii) 51,000. 0. 0. 0. 0. 51,000. 0. (ii (ii) (in ii) (ii) (ii ii) (0 (ii (ii) (0 (ill 0) (ii) (ii) ii) (ii) (ii) (ii) Schedule (Form 990) 2014 432112 10-13-14 Schedule {FOrm 99012014 CROSSROADS GRASSROOTS POLICY STRATEGIES page 3 Part [Supplemental Information Provide the information, explanation, or descriptions required for Part I, lines 1aand for Part II. Also complete this part for any additional information. Schedule (Form 990) 2014 432113 10-13-14 45 - OMB No 1545-0047 SCHEDULE 0 Supplemental Information to Form 990 or 990-EZ (Form 990 or 990452) Complete to provide information for responses_to specific questions on 1 4 Form 990 or 990-EZ or to provide any additional information. Department of the Treasury Attach to Form 990 or 990-EZ. Open to Publlc Intern-1 Ruvanua Service . - any! inspection Name of the organization Employer identification number CROSSROADS GRASSROOTS POLICY STRATEGIES 27?2753378 FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: ADVOCATE POLICY OUTCOMES ON PENDING LEGISLATIVE AND REGULATORY ISSUES SUCH AS: HEALTH CARE REFORM, TAXES, SPENDING AND DEFICITS, CONGRESSIONAL REFORM AND ENERGY AND ENVIRONMENT. THE PURPOSE OF THESE ISSUE ADVOCACY AND GRASSROOTS LOBBYING ACTIVITIES IS TO PROMOTE POLICIES THAT STRENGTHEN THE ECONOMY, REDUCE REGULATION OF PRIVATE SECTOR ACTIVITY, AND RESTORE GOVERNMENT TO A SOUND FINANCIAL FOOTING. FORM 990, PART LINE 1, DESCRIPTION OF ORGANIZATION MISSION: CROSSROADS GPS IS TO EMPOWER PRIVATE CITIZENS TO DETERMINE THE DIRECTION OF GOVERNMENT POLICYMAKING RATHER THAN BEING THE DISENFRANCHISED VICTIMS OF IT. THROUGH ISSUE RESEARCH, PUBLIC COMMUNICATIONS, EVENTS WITH POLICYMAKERS, AND OUTREACH TO INTERESTED CITIZENS. CROSSROADS GPS SEEKS TO ELEVATE UNDERSTANDING OF CONSEQUENTIAL NATIONAL POLICY ISSUES, AND TO BUILD GRASSROOTS SUPPORT FOR LEGISLATIVE AND POLICY CHANGES THAT PROMOTE PRIVATE SECTOR ECONOMIC GROWTH, REDUCE NEEDLESS GOVERNMENT REGULATIONS, IMPOSE STRONGER FINANCIAL DISCIPLINE AND ACCOUNTABILITY ON GOVERNMENT, AND STRENGTHEN NATIONAL SECURITY. FORM 990, PART VI, SECTION B, LINE 11: ALL BOARD MEMBERS RECEIVE A COPY OF THE FORM 990 BEFORE IT IS FILED WITH THE IRS. DURING THE REVIEW PROCESS THE BOARD DISCUSSES THE FORM 990 WITH ACCOUNTANTS, COUNSEL AND THE CFO. LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Schedule 0 (Form 990 or 990-EZ) (2014) 432211 08-27-14 47 13501116 796448 08041 2014.05000 CROSSROADS GRASSROOTS POLIC 08041__1 Schedule 0 [Form 990 or {2014} Page 2 Name of the organization Employer identification number CROSSROADS GRASSROOTS POLICY STRATEGIES 27-2753378 FORM 990, PART VI, SECTION B, LINE 12C: THE CONFLICT OF INTEREST POLICY REQUIRES ALL INTERESTED PERSONS TO DISCLOSE ANY POSSIBLE OR ACTUAL CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15: COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19: UPON REQUEST FORM 990, PART VII, SECTION A: STEVEN LAW AND CALEB CROSBY WERE COMPENSATED FOR THEIR ROLES IN THE OPERATIONS OF THE ORGANIZATION AND NOT AS OFFICERS. STEVEN LAW WORKS AN AVERAGE OF 17 HOURS PER WEEK FOR THE RELATED ORGANIZATION, AMERICAN CROSSROADS. CALEB CROSBY WAS PAID THROUGH CFC CONSULTING: $105,000 WAS PAID BY THE ORGANIZATION AND $51,000 WAS PAID BY THE RELATED ORGANIZATION, AMERICAN CROSSROADS. FORM 990, PART XII, LINE 2C: THE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. PART LINE 4A AND 4C 33329?214 Schedule 0 (Form 990 or 990-EZ) (2014) 48 13501116 796448 08041 2014.05000 CROSSROADS GRASSROOTS POLIC 08041__l Schedule 0 (Form 990 or {2014) Page 2 Name of the organization Employer identification number CROSSROADS GRASSROOTS POLICY STRATEGIES 27?2753378 TOTAL EXPENSES FOR THESE PROGRAM SERVICES INCLUDE AN ALLOCATION OF OVERHEAD, SALARIES AND CONSULTING EXPENSES. 33.257134 Schedule 0 (Form 990 or 990-152) (2014) 49 13501116 796448 08041 2014.05000 CROSSROADS GRASSROOTS POLIC 08041__1 SCHEDULE (Form 990) Department of the Treasury Intern Revenue Related Organizations and Unrelated Partnerships >Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37. Attach to Form 990. blnformation about Schedule [Form 9901 and its instructions is at rm OMB No 1545?0047 2014 Open to Public Inspection Name of the organization CROSSROADS GRASSROOTS POLICY STRATEGIES Employer identification number Part I Identification of Disregarded Entities Complete if the organization answered ?Yes? on Form 990, Part IV, line 33. (8) lb) (0) Name, address, and EIN (if applicable) Primary activity Legal domicile (state or Total income End-of?year assets Direct controlling of disregarded entity foreign country) entity rt Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt a organizations during the tax year. . . Name, address. and EIN Primary Legal (state or Exempt Code Public charity Direct controlling controlled of related organization foreign country) section status (if section entity entity? 501 Yes No AMERICAN CROSSROADS 27?2141277 P.O. BOX 34413 SECTION 527 POLITICAL WASHINGTON, DC 20 043 ORGANIZATION VIRGINIA 527 For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule (Form 990) 2014 432161 08-14?14 LHA 50 Schedule (Form 990) 2014 CROSSROADS GRASSROOTS POLICY STRATEGIES 27-2753378 Page 2 Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related Part organizations treated as a partnership during the tax year. (6) (9) (M (ii Name, address, and EIN Primary activity (1:232:18 Direct controlling Predominant income Share of total Share of Code V-UBI Emma'- or Percentage of related organization (State or entity (rBlated, unrelated, income end-of?year n. amount in box ownership foreign ?0 ?de from tax under assets a 003 ms? 20 of Schedule Pam?s?? country) sections 512?514) Yes No K-1 (Form 1065) Ye No Part Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year. id) Segre? Name, address, and EIN Primary activity Legal domicile Direct controlling Type of entity Share of total Share of Percentage 512(b)(13) of related organization (stat? or entity (C corp, corp, income end-of-year ownership Gong.?ng foreign or trust) assets an country) Yes NO 432152 08-14-14 5 1 Schedule (Form 990) 2014 Schedule Fi (Form 990) 2014 CROSSROADS GRASSROOTS POLICY STRATEGIES 27?2753378 Page3 Part Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36. Note. Complete line 1 if any entity is listed in Parts ll, ill, or IV of this schedule. Yes No 1 During the tax year. did the organization engage in any of the following transactions with one or more related organizations listed in Parts ll-IV? a Receipt of in interest. (ii) annuities royalties or (iv) rent from a controlled entity 1a Gift. grant, or capital contribution to related organization(s) .. 1b Gift, grant, or capital contribution from related organization(s) 16 Loans or loan guarantees to or for related organization(s) 1d Loans or loan guarantees by related organization(s) . .. .. 1e Dividends from related organization(Sale of assets to related organization(s) 19 Purchase of assets from related organization(s) . 1h i Exchange of assets with related organization(s) 1i Lease of facilities, equipment, or other assets to related organization(s) 1j Lease of facilities, equipment, or other assets from related organization(s) 1k Performance of services or membership or fundraising solicitations for related organization(s) 1 Performance of services or membership or fundraising solicitations by related organization(s) 1m Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) 1n 0 Sharing of paid employees with related organization(s) .. 10 Reimbursement paid to related organization(S) for expenses .. 1p Reimbursement paid by related organization(s) for expenses 1q Other transfer of cash or property to related organization(s) ?lr 5 Other transfer of cash or property from related organization(s) .. 15 2 If the answer to an},r of the above is "Yes." see the instructions for information on who must complete this line, including covered relationships and transaction thresholds. (al Name of related organization Transaction Amount involved Method of determining amount involved type l3} {51 (5) 432163 03-14?14 5 2 Schedule (Form 990) 2014 Schedule Ft (Form 990;- 2014 CROSSROADS GRASSROOTS POLI CY STRATEGIES Page 4 Part VI Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37. Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships. (bi (cl (dl A(el? (9) (D (kl Name, address, and EIN Primary activity Legal domicile P(rel?otmdinant Share of Share of 20 Percentage - - re a unre a 501m on amoun In 0x - of entity (state or foreign excluded from tax under J, total end of year ?lemons? of Scheme ammo ownership country) sections 512-514) Yes No Income assets Yes No (Form 1055) Yes NO Schedule (Form 990) 2014 5 3 432164 08-14-14 CROSSROADS GRASSROOTS POLICY STRATEGIES 27?2753378 Paws [Part [Supplemental Information Provide additional information for responses to questions on Schedule (see instructions). 432165 08?14-14 Schedule (Form 990) 2014 54 13501116 796448 08041 2014.05000 CROSSROADS GRASSROOTS POLIC 08041__1 2014 DEPRECIATION AND AMORTIZATION REPORT FORM 990 PAGE 10 990 Asset . . Date . Llne Unadjusted Bus Section 179 Reduction In Basis For Beginning Current Current Year Ending No DESCFIDUOH Acqurred Memo? LITE No- Cost 0r Basis Expense Basis Depreciation Accumulated Sec 179 Deduction Accumulated Excl Depreciation Expense Depreciation 1 EQUIPMENT 09/02/10 SL 3.00 16 8,412. 8,412. 6,537. 1,734. 8,271. 2 WEBSITE 11/30/11 SL 3.00 16 22,000. 22,000. 15,888. 6,112. 22,000. TOTAL 990 PAGE 10 DEPR 30,412. 30,412. 22,425. 7,846. 30,271. 428111 . . . . . 05?01-14 (D) - Asset disposed ITC, Salvage, Bonus, Commercral Revrtalizatlon Deduction. GO Zone 55 Form 8868 (Rev. 12014) Page 2 0 If you are filing for an Additional (Not Automatic) 3-Month Extension. complete only Part II and check this box Note. Only complete Part II if you have already been granted an automatic 3-month extension on a previously filed Form 8868. 0 If you?- are filing for an Automatic 3?Month Extension, compliete only Part I (on page [Part II Additional (Not Automatic] S-Month Extension of Time.Only file the original (no copies needegL Enter identifying number. see Instructions Type or Name of exempt organization or other filer, see instructions. Employer identification number (EIN) or print File by the CROSSROADS GRASSROOTS POLICY STRATEGIES Number, street, and room or suite no. If a PO. box, see instructions. Social security number (SSN) return. 869 4 5 0 0 instruct?; City, town or post office, state, and ZIP code For a foreign address, see instructions. VA 2 1 8 6 Enter the Return code forthe return that this application is for (file a separate application for each returnApplication Return Application Return Is For Code Is For Code Form 990 or Form 990-EZ 01 Form BBQ-BL 02 Form 1041-A 08 Form 4720 (individual) 03 Form 4720 (other than individual) 09 Form QED-PF 04 Form 5227 10 Form QED-T (sec. 401 or 408ia) trust} 05 Form 6069 11 Form 990T {trust other than above] 06 Form 8870 12 Do not complete Part II If you were not already granted an automatic S-month extension on a previously filed Form 8868. CALEB CROSBY The books are in the care TelephoneNo.} 202?706-7051 FaxNo_ 0 If the organization does not have an office or place of business in the United States, check this box El 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 :1 . If it is for part of the group. check this box I: and attach slat with the names and Ele ot all members the extension is for. 4 request an additional 3-month extension of time until NOVEMBER 1 5 2 1 5. 5 For calendar year 2 0 1 4 or other tax year beginning . and ending 6 If the tax year entered in line 5 is for less than 12 months, check reason: Initial return Final return Cl Change in accounting period 7 State in detail why you need the extension ADDITIONAL TIME NEEDED IN ORDER TO OBTAIN ALL NECESSARY INFORMATION. 8a If this application is for Forms QQO-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any nonrefundable credits. See instructions. Ba 5 0 - If this application is for Forms 990-PF, 990-T, 4720, or 6069, 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. 8b 5 0 . Balance due. Subtract line 8b from line 83. Include your payment with this form, if required, by using EFTPS {Eleotronic Federal Tax Payment System]. See instructions. 8c 8 0 Signature and Verification must be completed for Part II only. Under penalties of perjury, I declare that have examined this form, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete, and that 1 am authorized to prepare this form. Signature Title CPA Date Form 8868 (Rev. 1-2014) 423842 09-15?14 56 13501116 796448 08041 2014.05000 CROSSROADS GRASSROOTS POLIC 08041?1