citizennmlimrg OMB No 1545-0047 Return of Organization Exempt From Income Tax em990 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benet trust or private foundation) Department of the Treasury Internal Revenue Service F The organization may have to use a copy of this return to satisfy state reporting requirements and ending A For the 2012 calendar year, or tax year beginning B gzg-31;-rm C Name of organization D Employer identification number *.$:I8% CROSSROADS GRASSROOTS POLICY STRATEGIES 337:9 I3'1.'.?.'. Doing Business As Number and street (or P.O. box if mail IS not delivered to street address) 45 N. HILL DRIVE City, town, or post Ofce, state, and ZIP code $'i'L7:dd 2012 Open to Public Inspection 27 2753378 Room/suite E Telephone number 100 202-705 =io5/ G Gross receipts 5 1- 7 9 . 7 4 0 . 3 5 1 - lX :fg an I WARRENTON . VA 20185 H(a) Is this a group retum F Name and address of principal officer STEVEN LAW for affiliates? l:]Yes IX] No SAME AS C ABOVE H(b) Are all affiliates included? l:IYes E] No If "No," attach a list (see instructions) I Tax-exempt status Ll 501(c)(3) LY_I501(c)( 4 )4 (insert no.) L_l 4947(a)(1)or LI 527 H(c) Group exemption number D J Website; > W o o [L Year of formation: 2 01 0] M State of legal domicile: VA K Form of organization: LL] Corporation I_] Trust El Association M Other} FPart I] Summary 0 1 Briey describe the organization's mission or most signicant activities ENGAGING IN PUBLIC E 3 g 3 3 2 3 COMMUNICATIONS AND DIRECT CONTACT WITH INTERESTED CONSTITUENCIES TO Check this box P I: if the organization discontinued its operations or disposed of more than 25% of its net assets Number of voting members of the governing body (Part VI, line 1a) . _ 3 4 5 6 7a b Number of independent voting members of the governing body (Part VI, line 1b) Total number of individuals employed in calendar year 2012 (Part V, line 2a) Total number of volunteers (estimate if necessary) Total unrelated business revenue from Part VIII, column (C), line 12 Net unrelated business taxable income from Form 990-T, line 34 4 5 6 7a 7b 3 9 0 0 . 0 - Prior Year 2 5 8 9 Contnbutionsand grants (PartVI , ine1h) Program service revenue (Part VIII, line 2g) E 10 Investment income (Part VIII, column (A), lines 3, 4, and 7d) 12 Total 11 Other revenu reven -add t equa ,Part 9c, 10c, VIll,co umn and 11e)(A), line 12) 13 Grantsandsi ila ri pai ) ines1-3) 14 Benefits paid op for s a Iu Q , line 4) Z @.Elli I 3X"L\701Q 30 3 2 15 Salaries, othe Ono pehritrgigt, nigzzne 50%} art IX, column (A), lines 5-10) 162 Professional fundraising.fees:(l', A),' e 11e) . g b Total fundraisi g ex e ), Iin 25) P 8 60 . 9 33 . 17 Otherexpenses , ,11f-24e) 18 Total expenses Add lines 13-17 (must equal Part IX, column (A), line 25) 19 Revenue less expenses Subtract line 18 from line 12 g Eg 20 _ 21 $1.7: 22 [_T3art II TotaIassets(PartX, ine16) Total liabilities (Part x, line 26) , Net assets or fund balances Subtract line 21 from line 20 Signature Block 3 Current Year 28 , 402 , 008. 0 - 179 , 740 , 361. 0 . 0. 0 . 23 . 402 . 008 050.0000 . 179 . 740 . 351 0 35.095.0000 . 553 . 328 o 3 55 . 0 0 0 - 1 . 131 . 309 47 6 . 5 0 0 - 21.407.3022 2 . 3 75 . 5 3 0 o 5 , 0 26 , 378 . 152.194.751188 . 897 . 560 - 9 , 157 , 19 9 . Beginning ol current Year 12.189.002102 . 717 12 , 085 , 285 . End or Year 2.951.55522 . 570 2 . 929 . 086 - Undercorrect, penalties that iypimpr I have examined this return, schedules andpreparer statements, andknowledge. to the best of, my knowledge and belief, it IS true, andofcoperiury, .I delare lion / (btnan officer)including IS basedaccompanying on all information of which has any Sign Here Paid } t we 0 er VEN LAW , PRE Type or print name and title I D a I e ////i//3 I Print/Type preparei's name KAREN E . ATCHLEY IDENT i arer's sig tur <.~,:.u., _ CP6 D319 _ Check IJ PTIN 11/14/1-2,,.,,,.,,, P00238005 Preparer Use Only Firm's name LATCHLEY & ASSOCIATES , LLP 0 Firm'sE N) 74-2920819 Firm's address > 6 8 5 0 AUSTIN CENTER BLVD , STE 1 8 0 AUSTIN, TX 78731-3129 Phoneno. (512)346-2086 May the IFIS discuss this return with the preparer shown above? (see instructions) LXJ Yes ___] No 232001 12-10-12 LHA For Paperwork Reduction Act Notice. see the separate instructions. Form 990 (2012) SEE SCHEDULE O FOR ORGANIZATION MISSION STATEMENT CONTINUATION GIIS ) Form 990 (2012) CROSSROADS GRASSROOTS POLICY STRATEGIES 272753378 Paqe2 Part III Statement of Program Service Accomplishments Check if Schedule 0 contains a response to any question in this Part III . . . . [X] 1 Briey describe the organization's mission CROSSROADS GRASSROOTS POLICY STRATEGIES IS A NONPROFIT PUBLIC POLICY ADVOCACY ORGANIZATION THAT IS DEDICATED TO EDUCATING, EQUIPPING, AND ENGAGING AMERICAN CITIZENS TO TAKE ACTION ON IMPORTANT ECONOMIC AND LEGISLATIVE ISSUES THAT WILL SHAPE OUR NATION'S FUTURE. THE VISION OF 2 3 4 43 4!) 4C V Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 or 990EZ', . _ : Yes [XI No If "Yes," describe these new services on Schedule 0 Did the organization cease conducting, or make significant changes in how it conducts, any program services? :'Yes '1' No If "Yes," describe these changes on Schedule 0 Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported (Code ) (Expenses S 7 4 1 1 4 3 1 2 1 7 - including gents ol 3 ) (Revenue 3 ) THE ORGANIZATION CONDUCTS PUBLIC COMUNICATIONS AND BUILDS GRASSROOTS TO INFLUENCE POLICYMAKING OUTCOMES THROUGH GRASSROOTS MOBILIZATION AND ADVOCACY. THE FOCUS OF THESE ADVOCACY EFFORTS MAY INCLUDE LEGISLATION, BUDGET PRIORITIES, REGULATIONS, PUBLIC HEARINGS AND INVESTIGATIONS, AND OTHER POLICYMAKING ACTIVITIES. THE ORGANIZATION ALSO ENGAGES CITIZENS TO PARTICIPATE IN GRASSROOTS ADVOCACY ON PENDING LEGISLATIVE ISSUES THROUGH PAID ADVERTISING, MAILINGS, E-MAILS, AND WEB-BASED ADVOCACY TOOLS. (Code )(ExpensesS 35 1 0 1 0 - including grants of$ THE ORGANIZATION PROMOTES SOCIAL WELFARE GROUPS THAT SHARE SIMILAR MISSIONS. ) 501C (Code ) (Expenses S 3 1 2 6 7 1 1 7 3 - including grants 01$ ) (Revenue 3 ) 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 PARTICIPATION. CROSSROADS GPS ALSO SPONSORS IN-DEPTH POLICY RESEARCH ON SIGNIFICANT ISSUES, ESPECIALLY THOSE THAT ARE CURRENTLY UNDER-REPORTED BUT ARE LIKELY TO HAVE A SUBSTANTIAL IMPACT ON GOVERNMENT POLICYMAKING IN THE FUTURE. 4d Other program services (Describe in Schedule 0) (Expenses 3 including grants of S 4e 1 1 0 O O 0 ) (Revenues PURPOSES OF NONPROFIT Total program service expenses ) (Revenue 3 Form 990 (2012) 232002 12-10- 12 12471114 ) 112 1 505 1 390 - 796448 08041 20l2.04040 2 CROSSROADS GRASSROOTS POLIC 08041__1 Form 990 (2012) CROSSROADS GRASSROOTS POLICY STRATEGI ES {Part IV] Checklist of Required Schedules 27 275 3378 Page 3 Yes 1 2 3 4 5 6 7 8 9 10 11 a b c d e I 123 b 13 14a b 15 16 17 18 , 19 203 b Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? ll Yes, complete Schedule A _ Is the organization required to complete Schedule B, Schedule of Contnbutorst Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public ofce'7 If Yes, complete Schedule C, Partl Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If Yes, complete Schedule C, Part II Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If Yes, ' complete Schedule C, Part III 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 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 II Did the organization maintain collections of works of art, historical treasures, or other similar assets? If Yes, complete Schedule D, Part III 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 X, or provide credit counseling, debt management, credit repair, or debt negotiation services? If Yes, complete Schedule D, Part IV 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 V If the organization's answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable Did the organization report an amount for land, buildings, and equipment in Part X, line 107 "Yes. ' Complete Schedule D, Part VI 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? If Yes, complete Schedule D, Part VII 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? If Yes, complete Schedule D, Part VII] _ 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, Ilne 167 If Yes, ' complete Schedule D, Part IX Did the organization report an amount for other liabilities in Part X, line 25'? If Yes, complete Schedule D, Part X Did the organization s separate or consolidated nancial statements for the tax year include a footnote that addresses the organization s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes, " complete Schedule D, Part X Did the organization obtain separate, independent audited financial statements for the tax year? If Yes, complete Schedule D, Parts XI and X/I Was the organization included in consolidated, independent audited financial statements for the tax yeai? If Yes, ' and if the organization answered No to line 12a, then completing Schedule D, Parts XI and XII is optlonal Is the organization a school described in section 170(b)(1)(A)(iD? If Yes, ' complete Schedule E Did the organization maintain an office, employees, or agents outside of the United States? 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 F, Parts I and /V _ Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the United States? If Yes, complete Schedule F, Parts /I and IV Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the United States? If Yes, complete Schedule F, Parts /II and IV _ Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If Yes, complete Schedule G, Part I Did the organization report more than $15,000 total of Iundraising event gross income and contributions on Part VIII, lines 1c and 8a? If Yes, ' complete Schedule G, Part II Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a'7 If Yes, ' complete Schedule G, Part III _ Did the organization operate one or more hospital facilities? If Yes, ' complete Schedule H If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this retum'7 , No 1 X X 3 X 4 N/ A 5 X 6 X 7 X 3 X 9 X 10 X 11a X 11:; X 11c X 1 1.1 1 1e X X 11f X 123 X 12b 13 14a X X X 14:; X 15 X 16 X 17 13 X X 19 X 203 X 20b Form 990 (2012) 232003 12-10-12 12471114 796448 08041 2012 . 04040 3 CROSSROADS GRASSROOTS POLIC 08041_1 Form 990 (2012) CROSSROADS GRASSROOTS POLICY STRATEGIES Bart IV ] Checklist of Required Schedules (continued) 272753378 Paqe4 Yes 21 22 23 Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If Yes, complete Schedule I, Parts I and II _ _ Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If Yes, complete Schedule I, Parts I and Ill 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 J 24a 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 Schedule K If No, go to line 25 , , b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? c Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds? . d Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year? 25a Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If Yes, complete Schedule L, Part I b Is the organization aware that it engaged in an excess benet transaction with a disqualied person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ? If Yes, ' complete Schedule L, Part I _ , 26 Was a loan to or by a current or former ofcer, director, trustee, key employee, highest compensated employee, or disqualified person outstanding as of the end of the organization's tax year? If Yes, complete Schedule L, Part ll _ 27 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 III 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 b A family member of a current or fonner ofcer, director, tmstee, or key employee? If Yes, complete Schedule L, Part IV c 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 IV 29 Did the organization receive more than $25,000 in non-cash contributions? If "Yes, " complete Schedule M 30 Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If Yes, " complete Schedule M , , 31 Did the organization liquidate, terminate, or dissolve and cease operations? If Yes, complete Schedule N, Partl _ 32 Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?lf Yes, complete Schedule N, Part II , _ _ _ 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 Ft, Part I 34 Was the organization related to any tax-exempt or taxable entity? If Yes, complete Schedule R, Part II, III, or IV, and Part v, line 1 _ 353 Did the organization have a controlled entity within the meaning of section 512(b)(13)7 b 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)7 If Yes, complete Schedule B, Part V, line 2 36 Section 501(c)(3) organizations. Did the organization make any transfers to an exempt noncharitable related organization? it Yes, ' complete Schedule H, Part v, line 2 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 Fi, Part VI . 38 Did the organization complete Schedule 0 and provide explanations in Schedule 0 for Part VI, lines 11 b and 197 Note. All Form 990 lers are required to complete Schedule 0 . 21 No X 22 23 X X 24a 24b X 24 24d 25a X 25:; X 26 X 27 X 28a 28b X X 28c 29 X X 30 X 31 X 32 X 33 X 34 35a X X 35b as 37 N/ A X 38 X Form 990 (2012) 232004 12-10-12 4 12471114 796448 08041 2012.04040 CROSSROADS GRASSROOTS POLIC 08041_1 Form 990 2012 CROSSROADS GRASSROOTS POLICY STRATEGIES ml Statements Regarding Other IRS Filings and Tax Compliance Check if Schedule 0 contains a response to any question In this Part V 27-2753378 Past;-5 Yes 1a Enter the number reported in Box 3 of Form 1096. Enter 0 if not applicable 1a 39 b Enter the number of Forms W-2G included in line 1a Enter -0- if not applicable 1b 0 c Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to pnze winners? 1c 2a Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, led for the calendar year ending with or within the year covered by this retum 2a 9 b If at least one is reported on line 2a, did the organization file all required federal employment tax retums? 2b Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions) 3a Did the organization have unrelated business gross income of $1,000 or more during the year? 3a b If "Yes," has it filed a Form 990-T for this year? If No, ' 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)? 4a b If "Yes," enter the name of the foreign country 5 See instructions for filing requirements for Form TD F 90-22 1, Report of Foreign Bank and Financial Accounts 5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? 5a b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? 5b c If "Yes," to line 5a or 5b, did the organization file Form 8886-T? _ 5c 6: 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? 6a b If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? Gb 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? b If "Yes," did the organization notify the donor of the value of the goods or services provided? c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to le Form 32329 d e 1 g h 8 9 a b 10 a b 11 a b 123 b 13 a b c 14a b If "Yes,' indicate the number of Forms 8282 filed during the year I 7d I Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? Sponsoring organizations maintaining donor advised funds and section 509(c)(3) supporting organizations. Did the supporting N/A organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year? Sponsoring organizations maintaining donor advised funds. Did the organization make any taxable distributions under section 4966? N/ A Did the organization make a distribution to a donor, donor advisor, or related person? N/ A Section 501(c)(7) organizations. Enter Initiation fees and capital contributions included on Part VIII, line 12 . N/A 10a Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities 10b Section 501(c)(12) organizations. Enter Gross income from members or shareholders N/A 11a Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them) , _ 1 1b Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041? If "Yes,' enter the amount of tax-exempt interest received or accrued during the year N/A 12b Section 501(c)(29) qualified nonprot health insurance issuers. Is the organization licensed to issue qualied health plans In more than one state? N/A 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 13b Enter the amount of reserves on hand _ 13c Did the organization receive any payments for indoor tanning services during the tax year? If "Yes,' has it filed a Form 720 to report these payments? If No, ' provide an explanation in Schedule 0 I:] No X X X X X X X X 7a 7b X 7c X 7e 71 79 7h X X N/ A N/ A 8 9a 9b 12a 13a 14a X 14b Form 990 (2012) 232005 12-1o-12 12471114 796448 08041 2012 . 04040 5 CROSSROADS GRASSROOTS POLIC 08041_1 272753378 CROSSROADS GRASSROOTS POLICY STRATEGIES Page 6 W Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and fora "No" response to line 6a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule 0. See instmctions Form 990 2012 El Check if Schedule 0 contains a response to amggestion in this Part VI Section A. Governing Boy and Management Yes 1a Enter the number of voting members of the governing body at the end of the tax year 1a 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. b Enter the number of voting members included in line 1a, above, who are independent 1b 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? 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? 5 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 of the goveming body? b Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? 8 Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following: a The goveming body? b Each committee with authority to act on behalf of the governing body? 9 Is there any officer, director, tmstee, 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 Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.) 3 i 3 i _ __ _j 2 X 3 4 5 6 X X X X 7a X 7b X _ __ __}i 8a X 8b X 9 X Yes 10a Did the organization have local chapters, branches, or affiliates? b 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 '5 exempt purposes? 11a Has the organization provided a complete copy of this Fomi 990 to all members of its governing body before ling the form? b 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 b Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? c Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule 0 how this was done 13 14 15 Did the organization have a written whistleblower policy? Did the organization have a written document retention and destruction policy? 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 b Other officers or key employees of the organization If "Yes" to line 15a or 15b, describe the process in Schedule 0 (see instructions). 15a Did the organization invest in, contribute assets to, or participate in a Joint venture or similar arrangement with a taxable entity during the year? b If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in ]Oll'1t venture arrangements under applicable federal tax law, and take steps to safeguard the organization's exempt status with respect to such arrangements? Section C. Disclosure 17 18 No 10a No X 10b 11a X 12a 12b X X 12c X 13 14 X X I ' 15a 15b X X l ___ _ __j 16a X i j _ _ _J 16b List the states with which a copy of this Form 990 is required to be led F NONE Section 6104 requires an organization to make its Forms 1023 (or 1024 if applicable), 990, and 990-T (Section 501 (c)(3)s only) available for public inspection. Indicate how you made these available Check all that apply. Own website Anothers website Upon request 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, physical address, and telephone number of the person who possesses the books and records of the organization: D CALEB CROSBY - 202-706-7051 1615 L STREET NW, STE 1230, WASHINGTON, DC 20036 Form 990 (2012) 12-10-12 0 Form 990 2012 CROSSROADS GRASSROOTS POLICY STRATEGIES 272753378 Compensation of Officers, Directors, Tnistees, Key Employees, Highest Compensated Employees, and Independent Contractors Check if Schedule 0 contains a response to any question in this Pan VII . . _ , Page7 IX] 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, tnistees (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 live current highest compensated employees (other than an officer, director, trustee, or key employee) who received reportable 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 $10,000 of reportable compensation from the organization and any related organizations List persons in the following order. individual trustees or directors, institutional trustees, ofcers, key employees, highest compensated employees, and former such persons El Check this box if nerther the organization nor any related organization compensated any current officer, director, or trustee (A) (B) (C) (D) (E) Name and Title (1) STEVEN LAW PRESIDENT (2) SALLY vAsToLA DIRECTOR AND SECRETARY (3) BOBBY BURCI-IFIELD DIRECTOR AND CHAIRMAN (4) CALEB CROSBY TREASURER (5) R03 COLLINS DIRECTOR Average hours per week (list any hours for related organizations below "'19) 48.00 (do M f,2k51'3;,han one box, unless person I! both an "'' " 3 "''"'" E 3 2 E E; E0 E E E E E E E E 5 :E"E E 796448 (F) Reportable compensation from related organizations (W-2/1099M SC) Estimated amount of other compensation from the organization and related organizations X X 538,000. 94,063. 5,499. X X 0 . 0. 0 . 0 . 0 . 0. 56,000. 55,000. 0. 0. 0 . 0 . 1 . 00 1 . 00 X 20 . 00 X X 1 . 00 X 232007 12-1o-12 12471114 Reportable compensation from the organization (W-2/1099-MISC) 7 08041 2012.04040 CROSSROADS GRASSROOTS POLIC Form 990 (2012) 0B041__1 Fmm9mmmna_ CROSSROADS GRASSROOTS POLICY STRATEGIES 272753378 P@e8 [Pa V"I Section A. Otficers, DirectorsLTrustees, Key Em oloyees, and Hhhgi Compensated Employees (continued) mi (N w) (m (H in Name and title AVe"399 h0'-"S P97 Week (I51 an) hours for Telaled 0 '9a0 Z3t'03 be'W line) (do no, ,f;;,'$,',3,',',,,,,,, one box. unless person is both an "'" 8" d"t'/'"') 53 E Q 5 E 2 g E E 5 a g 2; 3; E: E: ; E as E Reportable compensation from Reportable compensation from related Estimated amount of other the organization (W-2/1 099-MISC) organizations (VV2/1099-MISC) compensation from the organization and related organizations 11; subtotal 5 594,000. 150,063. c Total from continuation sheets to Part VII, Section A D 0 . 0 . dTmahddmmsmamHq . > 594.000150.0632 Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization D 5,499. 0 . 5.499- Yes 1 No 3 Did the organization list any former officer, director, or tmstee, key employee, or highest compensated employee on line 1a? If Yes, ' complete Schedule J for such individual . 3 X 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 J for such individual 4 X 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 Yes, ' complete Schedule J for such person 5 X 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 calendar year ending with or within the organization's tax year (A) (B) (0) Name and business address Description of services Compensation CROSSROADS MEDIA, LLC , 6 6 CANAL CENTER PLAZA, STE 555, ALEXANDRIA, VA 22314 MEDIA SERVICES 118,657,395. TARGETED VICTORY PO BOX 2187, ARLINGTON, VA 22202 MEDIA SERVICES 4,801,668. PHONE COMMUNICATION CONNECTION STRATEGY LLC SERVICES 2,649,215. PO BOX 2192, ARLINGTON, VA 22202 GOP DATA TRUST PO BOX 12365, ARLINGTON, VA 22219 DATABASE SERVICES 1,000,000. ARENA , 17 8 0 W . SEQUOIA VISTA CIRCLE , SALT LAKE CITY , UT 84104 MEDIA SERVICES 910,118. 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 D 17 Form 990 (2012) 232003 12-10-12 8 12471114 796448 08041 2012.0404O CROSSROADS GRASSROOTS POLIC 08041__1 CROSSROADS GRASSROOTS POLICY STRATEGIES Form 990 (20121 Part VIII Statement of Revenue Check if Schedule 0 contains a response to any question in this Part VIII UH ' (Bl Related or Total revenue exempt function revenue mhuilnterasr GrGiConatrntfibuts.tsiolns, AmoSlOtand Federated campaigns Membership dues Fundraising events Related organizations Government grants (contributions) $0.099 All other contributions, gifts, grants, and similar amounts not included above Noncash contribution: included in lines 1a-1f S :-in Tgal. Add lines 1a1f 272753378 Page 9 Cl D Revenug e)xcluded from tax under sections 512, 5 3, or 514 (0) Unrelated business revenue 1a 1b 1c 1d 1e 11 179,740,361. D Business Code 179,740,361. Seramvice evenue Prog OtRevhenueer All other program service revenue In-o .ou-in Total. Add lines 2a-2f 3 Investment income (including dividends, interest, and other similar amounts) 4 Income from investment 01 tax-exempt bond proceeds 'V V 'VV 5 Royalties (i) Real (ll) Personal Gross rents b Less rental expenses c Rental income or (loss) Dd Net rental income or (loss) Gross amount from sales of 0) Securities (ll) Other assets other than inventory b Less cost or other basis and sales expenses c Gain or (loss) d Net gain or (loss) Gross income from fundraising events (not of including $ contributions reported on line 1c) See 3 Part IV, line 18 b b Less direct expenses c Net income or (loss) from fundraising events Gross income from gaming activities See Part IV, line 19 b Less direct expenses c Net income or (loss) from gaming activities Gross sales of inventory, less returns 3 and allowances b 5' Less cost of goods sold 0 Net income or (loss) from sales of inventory )Business Code Miscellaneous Revenue All other revenue 0 .039! Total. Add lines 11a-11d 12 Total revenue. See instructions. 25 2 0 9 12-10-12 >D- 179,740,361. 0. 0. Form 990 (2012) 9 12471114 796448 08041 2012.04040 CROSSROADS GRASSROOTS POLIC 08041__1 CROSSROADS GRASSROOTS POLICY STRATEGIES orm 990 2012) 27-2753378 Page 10 Part IX Statement of Functional Expenses Er Section 501(c)(3) and 501(c)(4) organizations must complete all columns All other organizations must complete column (A) L] Check if Schedule 0 contains a response to any question in this Part IX (N (0 rm Do not include amounts reported on lines 6b, Fundraising Total expenses Management and Program service 7b, 8b, 9b, and 10b of Part V/ll expenses expenses general expenses 1 Grants and other assistance to governments and organizations in the United Slates. See Part IV, line 21 35,095,000. 35,095,000. 2 Grants and other assistance to individuals in the United States See Part IV, line 22 3 Grants and other assistance to governments, organizations, and individuals outside the United States See Part IV, lines 15 and 16 Benefits paid to or for members Compensation of current officers, directors, 538,000. 217,849. 158,751. 161,400. trustees, and key employees Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) 536,200. 288,219. 169,731. 78,250. Other salaries and wages Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) 3,295. 3,295. Other employee benefits 10 Payroll taxes 53,814. 23,274. 21,202. 9,338. 11 Fees for services (non-employees) Management 225,906. 679,790. 453,884. may 109,608. 109,608. Accounting Lobbying 476,500. 476,500. Professional fundraising services. See Part IV, line 17 Investment management fees (D"0 .0U'Il other (If line 119 amount exceeds 10% ofline 25, 399,300. 342,958. 56,342. column (A) amount, list line 119 expenses on Sch 0.) 12 Advertising and promotion 289. 13 Office expenses 10,195. 9,906. 14 Information technology 21,443. 5,000. 9,443. 7,000. 15 Royalties 43,026. 43,026. 16 Occupancy 3,553. 22,798. 14,121. 17 Travel 40,472. , , 18 Payments of travel or entertainment expenses for any federal, state, or local public officials 68,035. 6,137. 43,777. 18,121. 19 Conferences, conventions, and meetings Interest , Payments to afliates 9,995. 9,995. Depreciation, depletion, and amortization 167.951. 167,951. Insurance Other expenses. ltemize expenses not covered above. (List miscellaneous expenses in line 24a. If line 24e amount exceeds 10% of line 25, column (A) amount. list line 24e expenses on Schedule 0.) GRASSROOTS ISSUE ADVOCA 74,471,410. 74,471,410. POLITICAL DIRECT 74,245,514. 74,245,514. SURVEY AND FILE MAINTEN 1,748,205. 1,748,205. CONTRIBUTION PROCESSING 90,418. 90,418. 89,389. 77,879. 6,014. 5,496. (DQOUN All other expenses 860,933. Total functional expenses Add lines 1 through 24e 188,897,560. 112,505,390. 75,531,237. 83 Joint costs. Complete this line only if the organization reported in column (B) ]DInI costs from a combined educational campaign and fundraising solicitation. Ch<* here I E] ii following sop ea-2 (A50 953-720) 232010 12-I0-12 Form 990 (2012) 10 12471114 796448 08041 2012.04040 CROSSROADS GRASSROOTS POLIC 08041__1 Form 990 (2012) CROSSROADS GRASSROOTS POLICY STRATEGIES Part X Balance Sheet Check if Schedule 0 contains a response to any question in this Part X , (A) Beginning of year , 1 2 3 4 Cash - non-interest-beanng Savings and temporary cash investments Pledges and grants receivable, net Accounts receivable, net 5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees Complete Part II of Schedule L . 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 6 m *3 2 3 23 24 25 26 3 1.-,' 2 155 . employees beneficiary organizations (see instr) Complete Part II of Sch L Notes and loans receivable, net Inventories for sale or use Prepaid expenses and deferred charges Land, buildings, and equipment cost or other basls Complete Part VI of Schedule D 10a 30 . 412 b Less accumulated depreciation 10b 12 I 609 11 Investments - publicly traded securities 12 Investments - other securities See Part IV, line 11 13 Investments - program-related See Part IV, line 11 14 Intangible assets 15 Other assets See Pan IV, Ilne 11 16 Total assets. Add lines 1 through 15 (must equal line 34) 17 Accounts payable and accrued expenses 18 Grants payable 19 Deferred revenue 20 Tax-exempt bond liabilities 5'3 -' 5. E 3 '6 12 11 , 119 , 015 . 1 I 000 I 000 o 7 8 9 10a 21 2 27 28 29 272753378 Escrow or custodial account liability Complete Part IV of Schedule D Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons Complete Part II of Schedule L Secured mortgages and notes payable to unrelated third parties Unsecured notes and loans payable to unrelated third parties Other liabilities Gncluding federal income tax, payables to related third parties, and other liabilities not included on lines 17-24) Complete Pait X of Schedule D . Total liabilities. Add lines 17 through 25 _ Organizations that follow SFAS 1 17 (ASC 958), check here D LT. and complete lines 27 through 29, and lines 33 and 34. Page_11 D (El End of year 1 2 3 4 930 , 613 . 2 , 000 , 000 o 0. 5 45 I 663 - 6 7 8 9 24 1 15 9 - 10c 11 12 13 14 O . 15 1 2 I 1 8 9 . 0 0 2 o 16 1 0 2 I 7 1 7 o 17 18 19 20 0- 17 , 30 3 - 3 . 240 2 , 951 , 555 22 . 570 o 21 22 23 24 102 , 717 . 12:086:285- 25 26 30 Unrestrictednetassets Temporarily restricted net assets Permanently restricted net assets _ Organizations that do not follow SFAS 117 (ASC 958), check here D :1 and complete lines 30 through 34. Capital stock or trust principal, or current funds 27 28 29 31 32 33 Paid-in or capital surplus, or land, building, or equipment fund Retained eamings, endowment, accumulated income, or other funds Totalnetassetsorfundbalances 12,035.235- 31 32 33 34 Total liabilrties a_nd net assets/fund balances 12 I 189 , 002 o 34 2 2 . 5 70 - 219291086- 30 2192910852 , 951 , 656 . Form 990 (2012) $%?$o.12 11 12471114 796448 08041 2012.04040 CROSSROADS GRASSROOTS POLIC 08041_1 Form 99o(2o12) CROSSROADS GRASSROOTS POLICY STRATEGIES Part XI [ Reconciliation of Net Assets Check if Schedule 0 contains a response to any question in this Part XI Total revenue (must equal Part VIII, column (A), line 12) Total expenses (must equal Part IX, column (A), line 25) Revenue less expenses Subtract line 2 from line I Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) Net unrealized gains (losses) on investments Donated services and use of facilities Investment expenses Prior period adiustments CDWNIOSLI-DUN-I Other changes in net assets or fund balances (explain in Schedule 0) .5 C Net assets or fund balances at end of year Combine lines 3 through 9 (must equal Part X, line 33, column (B)) Part XIII Financial Statements and Reporting Check if Schedule 0 contains a response to any question in this Part XII Page12 27-2 :] 179,740 , 361. 188, 897,560. 9,157,l99. 12,086,285. 0. CDWVIUCJ1-h(n)l\-I .5 0 Accounting method used to prepare the Form 990 [:1 Cash IE Accrual I: 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 nancial statements compiled or reviewed by an independent accountant? If "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 [:1 Consolidated basis E] Both consolidated and separate basis Were the organization's financial statements audited by an independent accountant? 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 :1 Consolidated basis :1 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 nancial statements and selection of an independent accountant? If the organization changed either its oversight process or selection process during the tax year, explain in Schedule 0 :33 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 A-133? ,_ 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 describeany steps taken to undergo such audits 2,929,086. Yes l:l No 2b 2c 3a 3b Form 990 (2012) 232012 12-10-12 12 12471114 796448 08041 2012.04040 CROSSROADS GRASSROOTS POLIC 08041_1 SCHEDULE 0 (Form 990 or 990-EZ) Political Campaign and Lobbying Activities F or Organizations _ _ _ 501(c) and section _ 527 Exempt From Income Tax Under section , " 55' Department of the Treasury 5 Complete if the organization is described below. 5 Attach to Form 990 or Form 990-EZ. Open to Public Internal Revenue Service } see separate instructions. Inspection If the organization answered "Yes," to Form 990, Part IV, line 3, 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 I-C 0 Section 501 (c) (other than section 501(c)(3)) organizations Complete Parts I-A and C below Do not complete Part lB 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 ll-A Do not complete Part ll-B 0 Section 501(c)(3) organizations that have NOT led Form 5768 (election under section 501(h)) Complete Part ll-B Do not complete Part ll-A If the organization answered "Yes," to Form 990, Part IV, line 5 (Proxy Tax), or Form 990-EZ, Part V, line 35c (Proxy Tax), then 0 Section 501(c)(4), (5), or (6) organizations Comglete Part III Name of organization Employer identification number CROSSROADS GRASSROOTS POLICY STRATEGIES 27 2753378 [Part I-I-H Complete if the organization is exempt under section 501 (c) or is a section .327 organization. 1 Provide a description of the organization's direct and indirect political campaign activities in Part IV 2 Political expenditures , 3 Volunteer hours _ _ , _ >$ 7 4 r 5 10 r 3 34 0 - [Part I-BI 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 >$ 2 Enter the amount of any excise tax incurred by organization managers under section 4955 >$ 3 If the organization incurred a section 4955 tax, did it file Form 4720 for this year? Yes No 4a was a correction made? El Yes I: No b If "Yes," describe in Part IV Part I-C Complete if the organization is exempt under section 501(c), except section 501(c)(3). 1 Enter the amount directly expended by the ling organization for section 527 exempt function activities P$ 74 r 510 r 334 o 2 Enter the amount of the filing organizations funds contributed to other organizations for section 527 exempt function activities _ >$ 3 Total exempt function expenditures Add lines 1 and 2 Enter here and on Form 1120-POL, line17b , >5 74.510.3344 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 527 political organizations to which the filing organization made payments For each organization listed, enter the amount paid from the ling organization's funds Also enter the amount of political contributions received that were promptly 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 (a) Name (b) Address (c) EIN For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. LHA (d) Amount paid from filing organization's funds If none, enter -0- (e) Amount of political contributions received and promptly and directly delivered to a separate political organization If none, enter -0- Schedule C (Form 990 or 990-EZ) 2012 232041 01-07-13 65 12471114 796448 08041 2012.04040 CROSSROADS GRASSROOTS POLIC O8041__1 Schedule C For m 990 or 990 2012 CROSSROADS GRASSROOTS POLICY STRATEGIES 27 omp ete I t e organization is exempt uner section I c an ie orm " 7: (election under section 501(h)). 27 5 3 37 8 Pae 2 A Check 5 :1 if the ling organization belongs to an afliated group (and list in Part IV each afliated group member's name, address, EIN, expenses, and share of excess lobbying expendrtures) 8 Check 5 [:1 if the ling organization checked box A and "limited control" provisions apply . . . . (a) Filing (b) Affiliated group Limits on Lobbying Expenditures _ organizations totals (The term "expenditures" means amounts paid or incurred.) totals 1a b c 11 e f Total lobbying expenditures to inuence public opinion (grass roots lobbying) Total lobbying expenditures to influence a legislative body (direct lobbying) Total lobbying expenditures (add lines 1a and 1b) Other exempt purpose expenditures Total exempt purpose expenditures (add lines 1c and 1d) Lobbying nontaxable amount Enter the amount from the following table in both columns ltltie amounton line 111, column (a) or (la) 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 $509,000 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 g Grassroots nontaxable amount (enter 25% of line 1f) h Subtract line 1g from line 1a If zero or less, enter -0'I Subtract line 1f1rom line 1c If zero or less, enter -0J If there is an amount other than zero on erther line 1h or line 11, did the organization file Form 4720 reporting section 4911 tax for this year? [:1 Yes 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 tive columns below. See the instructions for lines 2a through 21 on page 4.) Lobbying Expenditures During 4-Year Averaging Period (or scg a;:';:i'3e>;:rng In) (a) 2009 (b) 2010 (c) 2011 (d) 2012 [: No (e) Total 2a Lobbying nontaxable amount b Lobbying ceiling amount (150% of line 2a, column(e)) c Total lobbying expenditures d Grassroots nontaxable amount e Grassroots ceiling amount (150% of line 2d, column (e)) 1 Grassroots lobbying expenditures Schedule C (Form 990 or 990-12) 2012 232042 0 1 -07- 1 3 66 12471114 796448 08041 2012.0404O CROSSROADS GRASSROOTS POLIC 08041_1 Schedule c Form 990or990- 2012 CROSSROADS GRASSROOTS POLICY STRATEGIES 272753378 Pae3 omp etei t eorganization is exempt uner section "I c an as 0 ie orm 5: (election under section 501(h)). For each Yes, ' response to lines 1a through 1: below, provide in Part Iva detailed description of the lobbying activity 1 (3) Yes lb) No Amount 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 Volunteers? . Paid staff or management (include compensation in expenses reported on lines 1c through 10? Media advertisements? Mailings to members, legislators, or the public? Publications, or published or broadcast statements? Grants to other organizations for lobbying purposes? Direct contact with legislators, their staffs, govemment officials, or a legislative body? 3'10-I .0U'l Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? Other activities? j Total Add lines 1c through 1i . 23 Did the activities in line 1 cause the organization to be not described in section 501 (c)(3)? b If "Yes," enter the amount of any tax incurred under section 4912 c If "Yes," enter the amount of any tax incurred by organization managers under section 4912 d If the lin or anization incurred a section 4912;ax, did it le Fom1 4720 for this yeai? te if the organization is exempt under section 501(c)(4), section 501(c)(5). or section 501(c)(6). Yes 1 2 3 Were substantially all (90% or more) dues received nondeductible by members? Did the organization make only in-house lobbying expenditures of $2,000 or less? Did the or anization agree to carry over lobbying and political expenditures from the prior year? No 1 _ 3 omplete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No," OR (b) Part Ill-A, line 3, is answered "Yes." 1 2 Dues, assessments and similar amounts from members 1 Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid). a Current year 23 b Carryover from last year 2b c 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 year? _ _ , 4 5 Taxable amount of lobbying and political expenditures (see instructions) 5 [Part IV I Supplemental Information Complete this part to provide the descriptions required for Part I-A line 1, Part I-B, line 4, Part I-C, line 5, Part ll-A (afliated group list), Part ll-A, line 2, and Part ll-B, line 1 Also, complete this part for any additional information PART IA , LINE 1: POLITICAL MEDIA PLACEMENT AND PRODUCTION, PHONES, ONLINE ADVERTISING, MAIL, LEGAL & MANAGEMENT SUPPORT. Schedule C (Form 990 or 990-E2) 2012 ??3;?u 67 12471114 796448 08041 2012.04040 CROSSROADS GRASSROOTS POLIC O8041__1 Supplemental Financial Statements D Complete if the organization answered "Yes," to Form 990, Part iv, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 123, or 12:. D Attach to Form 990. D See separate instructions. SCHEDULE D (Form 990) W Name of the organization CROSSROADS GRASSROOTS POLICY STRATEGIES I Part I O - 4 iiopen to pubiic Inspection Employer identication number 27-2753378 Organizations Maintaining onor Advised Funds or Other Similar _=unds or Accounts.compiete If the organization answered "Yes" to Form 990, Part IV, line 6 (a) Donor advised funds (b) Funds and other accounts Total number at end of year Aggregate contributions to (during year) Aggregate grants from (during year) Aggregate value at end of year (.l' #i3l0 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? I: Yes El No 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 private benefit? . :.' Yes I: No T3art II iconservation 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 (e g , recreation or education) Preservation of an historically important land area :] Protection of natural habitat Preservation of a certified historic structure I: 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 day of the tax year Held attire End of the Tax Year a Total number of conservation easements 2a b Total acreage restricted by conservation easements 2b c Number of conservation easements on a certified historic structure included in (a) 2c d Number of conservation easements included in (c) 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 D 4 Number of states where property subject to conservation easement is located D 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: Yes El No 6 Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year D 7 Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year D $ 8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section170(h)(4)(B)(ii)'? , , I: Yes Cl No 9 In Part XIII, 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 III Organizations Maintaining Collections of Art, Historical Treasures, 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 (ASC 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 Xlll, the text of the footnote to its nancial statements that describes these items b If the organization elected, as permitted under SFAS 116 (ASC 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 li) Revenues included in Form 990, Part VIII, line 1 D $ (ii) Assets included in Form 990, Part X _ D $ 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 (ASC 958) relating to these items a Revenues included in Form 990, Part VIII, line 1 D $ b Assets included in Form 990, Part X D $ LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990. 'i3?$ii.i2 68 12471114 796448 08041 2012.04040 CROSSROADS GRASSROOTS Schedule D (Form 990) 2012 POLIC 08041__1 Schedule D Form 990 2012 CROSSROADS GRASSROOTS POLICY STRATEGIES 272753378 Pa e2 Ognizations Maintainiricollections of Art, Historical Treasures, or Other Similar Assets(continued) Using the organization's acquisition, accession, and other records, check any of the following that are a signicant use of its collection items (check all that apply) a :1 Public exhibition d D Loan or exchange programs b I: Scholarly research e I: Other c 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 XIII 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 of the organizations collection? I: Yes :] No 3 Part IV I Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Fonn 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, Part X? b If "Yes," explain the arrangement in Part XIII and complete the following table I: Yes :] No Amount Beginning balance Additions during the year Distributions during the year "$90.0 Ending balance 2a Did the organization include an amount on Form 990, Part X, line 217 Yes No b If "Yes," explain the arrangement in Part XIII Check here if the explanation has been pi/ided in Part XIII :] [Part V I Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10 (b) Prior year (a) Current year (c) Two years back (a) Three years back (e) Four years back 1a Beginning of year balance Contributions Net investment earnings, gains, and losses Grants or scholarships Other expenditures for facilities and programs "00.05 Ad ministratlve expenses g End of year balance 2 Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as a Board designated or quasi-endowment D % b Permanent endowment D % c Temporarily restricted endowment D % The percentages in lines 2a, 2b, and 2c should equal 100% 3a Are there endowment funds not in the possession of the organization that are held and administered for the organization by (i) unrelated organizations (ii) related organizations H _ b If 'Yes" to 33(Il), are the related organizations listed as required on Schedule R? _ 4 Describe in Part XIII the intended uses of the organization's endowment funds 3art VI TLand, Buildings, and Equipment. See Form 990, Part X line 10 Description of property (a) Cost or other (b) Cost or other (c) Accumulated basis Gnvestment) basis (other) depreciation 1a Land b Buildings c Leasehold improvements ., E,,,,,,,,,,e,,, 8,412. ., ome, _ 22,000. Total. Add lines 13 through 19 (Column ((1) must equal Fonn 990, Part x, column (3), line 10(c) ) (cl) Book value 4,053. 4,359. 8,556. 13,444. p 17 , 803 . Schedule D (Form 990) 2012 %3?l?i2 69 12471114 796448 08041 2012.04040 CROSSROADS GRASSROOTS POLIC 08041__l CROSSROADS GRASSROOTS POLICY STRATEGIES 272753378 es. See Form 990, Part X, line 12 security 0 category (including name of security) (b) BOOK value (c) Method of valuation Cost or end-of-year market value D 2012 rt (H) 3 (1) Financial derivatives (2) Closely-held equity interests (3) Other Part col. B line 12. Total. Col. b must uaIForm art Investments ram Related. See Form 990 Part line 13 (a) Description of investment type (b) Book value 1 Total. Col. IX must ual Form (c) Method of valuation Cost or end-of-year market value Part col. 8 line 13. See Form 990, Part X, line 15 (a) Description 1 Form 990 Part col line 15 Total. Part - See Form 990, Part X, line 25 (a) Description of liability 1. 1 Federal income taxes (b) Book value (b) Book value 1 1 Total. 2. rnn must Form 990 Pan col line 25 FIN 48 (ASC 740) Footnote In Part XIII, provide the text of the footnote to the organization's nancial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 7401 Check here if the text of the footnote has been provided in Part XIII Schedule D (Form 990) 2012 232053 12-10-12 70 12471114 796448 08041 2 0 1 2 . 0 4 0 4 0 CROSSROADS GRASSROOTS POLIC 0 8 0 4l___l Schedule D Form 990 2012 CROSSROADS GRASSROOTS POLICY STRATEGIES 2 7 2 7 5 3 3 7 8 Paqe4 ]Part XI I Reconciliation of Revenue per Audited Financial Statements with Revenue per Return 1 Total revenue, gains, and other support per audited financial statements _ 1 179 1 740 I 361 2 Amounts included on line 1 but not on Form 990, Part VIII, line 12 a Net unrealized gains on investments b Donated services and use 01 facilities c Recoveries of prior year grants d Other (Describe in Part XIII ) 293$ _ _ e Add lines 2a through 2d 2e 0 . 3 Subtract ine2efromline1 3 179,740,351. 4 Amounts included on Form 990, Part VIII, line 12, but not on line 1 a Investment expenses not included on Form 990, Pait VIII, line 7b #3 b Other (Describe in Part XIII ) , c Add lines 4a and 4b _ _ 4c 0 5 Total revenue Add lines 3 and 4c. (zhls must egual Form 990, Part I, line 12) . _5 1 7 9 , 7 4 0 , 3 5 1 . Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return 1 Total expenses and losses per audited financial statements 1 1 8 8 1 8 9 7 , 5 60(2 Amounts included on line 1 but not on Form 990, Part IX, line 25 Donated services and use of facilities , 2a Prior year adjustments _ 2b Other losses 2c Other (Describe in Part XIII ) , 2d OUN0D. Add lines 2a through 2d 2e 0 . 3 Subtract ine2efromIine1 _ 3 188:897:5604 Amounts included on Form 990, Part IX, line 25, but not on line 1 a Investment expenses not included on Form 990, Part VIII, line 7b 4a b Other (Describe in Part XIII) 4b c Add lines 4a and 4b 4c 0 5 Total expenses Add lines 3 and 4c. (This must equal Form 990, Part I, line 78) 5 1 8 3, 8 97 , 5 60 . Part XIII] Supplemental Information Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9, Part III, Iiries 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 infonnation 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 . Schedule D (Form 990) 2012 232054 12-10-12 71 12471114 796448 08041 2012.04040 CROSSROADS GRASSROOTS POLIC 0804l__1 SCHEDULE G (Form 990 or 990EZ) Department of the Treasury Internal Revenue Service Name of the organization OMB No 1545-0047 Supplemental Information Regarding Fundraising or Gaming Activities 2012 Complete if the organization answered "Yes" to Form 9%, Part IV, lines 17, 18, or 19, Open To Public or if the organization entered more than $15,000 on Form 990EZ, line 6a. Inspection b Attach to Form 990 or Form 990-EZ. 2 See separate instructions. Employer identification number CROSSROADS GRASSROOTS POLICY STRATEGIES 27 2753378 Fundraising Activities. Complete if the organization answered "Yes' to Form 990, Part IV. line 17 Form 9908 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 E] Mail solicitations e Solicitation of non-govemment grants E lntemet and email solicitations t l:] Solicitation of government grants 099 Phone solicitations g :] Special fundraising events d [XI In-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 VI I) or entity in connection with professional fundraising services? Yes b 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 (i) Name and address of individual or entity (fundraiser) (ii) Activity GROSS CONTRIBUTIONS - 45 N. HILL DRIVE, sma. 100, CPL ASSOCIATES - 4189 s FOUR l:No haiggrgigrd (iv) Gross receipts ti(gv()ofEmre3LaJiri?i1e'c)latl>cy) ,(g",)():*';"e E1 2 of number 501(total and tline logsiablrentsingvcat.enericnzoadme)nrt(ioe3n)st 7 the D E1 ot3 of number ltotal line tthe oiablrsin ntgah-tneizeradetirons Pa(I NotRFor ScIAct 990. Form 990) LHA ttie for nes2Ftsee dhpruorm 012) edulecrtiwocnore,sek 7 2326 101 12-18-12 (Sc990) I Fhorm edule asoristance Purgrant (h) of pose 272753378 Paqe1 Description (9) of (0 Method of noncas istansche valuation (book, FMV, other) appraisal, 0. WESOCILFAREL of Amount (e) 0. WESOLCIFARLE 0. WESOLCIFARLE 0. WESOLCIFARLE non-cash as istance 77 30,000. 40,000. (d) of Amount IRC (c) section 1,425,000. 2,000,000. 501C(4) 501C(6) EOICM) 501C(3) 35-1393803 94070729 520986195 202308649 LIRIINDIGFAHTNEA 200 TO COUNSELORS 46240 9465 STE ROW, IN INDIANAPOLIS, 200 WASH-INGTON, DC SNW, BTREET F STE USI-NES 20004 INDAETPIONDEANLT 1201 OF FED 512 NW 20004 STREET, LIRINAGTIFOHTNEAL 10TH TO WASHINGTON, DC 919 MAIN 23219 E STE STREET, RICHMOND, VA FTHE OAUNMIDATLIOYN 1110 cash grant applicable if EIN (b) GRCSPOLI RTOARSATREOGCAOTIDEYS (a) addres and Name of (S990) I Fchorm edule II] I C990), (StOtGrI ) II Part of UniOrGAand oSin the to Fsncvgtaeiorm hnsrutedulntamieerzntaiocsdteniones goror gvaenmizmeationt 232 41 05-01-12 S2Fchorm (I 990) 012) edule non-(f) of aDes si ctrainpsctheion 27-2Paqeg 753 78 0916' a(Pbcash FMV. aPYgrant rse00k. c3is tpaSniaec )nte. s of Amount (cl) (c) Number Met(b) v(e) alnon-uahtiodon Type (a) of agrant soristance Part duplIII abe if needed dspace canitiocnatel d is SPOLI GCTROAS(i:hST2eRdEuO012) G CeAOTI(FEDYoSrm9 0) I III 22 line IV, Part aGrii "Yes" 990, Form StUniIAOtto Compl the and oin nsrdgiawvshitnedntaeriunzeracs.delstitoen Fart I S2, Compl rthis line cI, III, Part and a(b). Iother prIv the npart to udeofany pInquilriumotleamnovimtnioreandel.tedal 2: MITHE CARECSI, EGPS LINE PART RVCOASHELSISUFRDOUATULLNSAEDYSE RECIACTIANY PRIOOF MAKI TO GRANTS AND RGANVPIZOIATENINTOERGNS 501(OF ENSURE FUNDS FOR ONLY USED PURPOS REXEMPT THAT ARE ECOGNICZ)E(DS4) (4) C 501 6 ( To OSECTI MADE GRANTS TRAGXAENXIZEATMOI)PNTS. AND 501(FOR MICOTHEI OUR MADE WIARE ROGNSASNSIIZTSCAOTEHI)ORN(3TS ) PURPOS TAGRANTS OF LARE A BY RCAETTER XONEMSXPEAIMTNEPIASTLD. 501(PURPOSES, STATI FUNDS TO FOR ONLY USED THECN)(G4) THAT ARE BE EXEMPT OTHE POLRAND FOR WICENOT XOGPANSENIZTDISAITCHEOUALNR'TSES, MITAXS-ESIXEOMN.PT 7 8123-218-012 SCHEDULE J Compensation Information For certain Officers, Dlrectors, Trustees, Key Employees, and Highest Compensated Employees D Complete if the organization answered "Yes" to Form 990, Part IV. line B. b Attach to Form 990. D See separate instructions. (Form 990) Department ol the Treasury Internal Revenue service Name of the organization OMB No 1545-0047 2012 Open to Public '"5P" Employer identication number _ CROSSROADS GRASSROOTS POLICY STRATEGIES LPart I [ Questions Regarding Compensation 27 2753378 Yes No b Check the appropriate box(es) if the organization provided any of the following to or for a person listed in Fomi 990, Part VII, Section A, line 1a Complete Part III to provide any relevant information regarding these items :1 First-class or charter travel Housing allowance or residence for personal use Travel for companions Payments for business use of personal residence Tax indemnication and gross-up payments Health or social club dues or initiation fees I: Discretionary spending account E] Personal services (e g , maid, chauffeur, chef) b 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 "No," complete Part III to explain 2 Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? 3 1b 2 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 III Compensation committee Written employment contract Independent compensation consultant Compensation survey or study Form 990 of other organizations [XI 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 ling organization or a related organization a Receive a severance payment or change-of-control payment? b Participate in, or receive payment trom, a supplemental nonqualified retirement plan? c Participate in, or receive payment from, an equity-based compensation arrangement? If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III 5 a b 6 a b 7 8 9 LHA Only section 501(c)(3) and 501(c)(4) organizations must complete lines 5-9. 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 The organization? Any related organization? If "Yes" to line 5a or 5b, describe in Part III For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accme any compensation contingent on the net earnings of The organization? Any related organization? If "Yes" to line 6a or 6b, describe in Part III For persons listed in Form 990, Part Vll, Section A, line 1a, did the organization provide any non-xed payments not described in lines 5 and 6? If "Yes," describe in Part III 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 53 4958-4(a)(3)? If "Yes," describe in Part III If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53 4958-6(c)? For Paperwork Reduction Act Notice, see the Instructions for Form 990. 4a 4b 4c X X X 5a 5b X X 6a 6b X X 7 X 8 X 9 Schedule J (Form 990) 2012 232111 12-10-12 79 12471114 796448 08041 2012.04040 CROSSROADS GRASSROOTS POLIC 0804l__1 990) (ScFhorm J 2012 edule defr(benefdeotBeas por)fe(hri)er-eit(deDsd) IV compensation C(E) (F) c(D) of Total Rao(8) (0) Noand nW-2 Bemdrt/lneoiuprta1emnsk0mnx9daso-ebMwntlIaSeioCn r((cori:;Form li990 )rc1o(in DriomiE:lp:(aern(A) Tilel)s'oart:Iior3tanurlht:eaSe&et;3io ;n and Name 3 8 5 2 7 CTR2 POLI SROOTS SGRAS OPaqe AS990) (T2012 J cFREhGOCorm eIAEdDYSule I dei(0 the rSoJ, from and For be ncwhose each ereport must rson row in ogdihtmlracporuenvrpcitdezbenaulouastdniaoetsinl.odsn. Part l990, Fomi VII Do ilist that not nsdon any are ivtediduals ifor (E) that n(D) capplSectaA, and VII, Part 990, Form line l(dmust each ifor of amount total the equal la, NotonmBidslvuosum The )ivdted(mnimnsucdno)a-uetns(lblai.lei) needed duplECHiOfPart aUse if II TrDidomspace Key and is copiruipfplgteislochesttnyeresaoelesrtsed., (ll) 0. 538,120, 418,(1) S(3) LAW TE0V00.EN 0. 99,5,94,4P(ii) R50E99. SI62.D63.ENT 0 2328 1 2 12-12-12 OMB No 1545-0047 SCHEDULEO (Form 990 or 990-EZ) Department oi the Treasury Internal Revenue Service Name of the organization FORM 990, Supplemental Information to Form 990 or 990-EZ Complete to provide information for responses to specic questions on Form 990 or 990-EZ or to provide any additional information. open to pubc D Attach to Form 990 or 990-EZ. inspection Employer identication number CROSSROADS GRASSROOTS POLICY STRATEGIES 272753378 PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: ADVOCATE POLICY OUTCOMES ON PENDING LEGISLATIVE AND REGULATORY 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 POLICIES THAT STRENGTHEN THE NATION'S ECONOMY, PRIVATE SECTOR ACTIVITY, ISSUES IS TO PROMOTE REDUCE REGULATION OF AND RESTORE GOVERNMENT TO A SOUND FINANCIAL FOOTING. FORM 990, PART CROSSROADS GPS III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: IS TO EMPOWER PRIVATE CITIZENS TO DETERMINE THE DIRECTION OF GOVERNMENT POLICYMAKING RATHER THAN BEING THE DISENFRANCHISED VICTIMS OF COMMUNICATIONS, CITIZENS, IT. THROUGH ISSUE RESEARCH, EVENTS WITH POLICYMAKERS, PUBLIC AND OUTREACH TO INTERESTED 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 AMERICA'S NATIONAL SECURITY. PART III, LINE 4A AND 4C PROGRAM SERVICE EXPENSES TOTAL EXPENSES FOR THESE PROGRAM SERVICES OVERHEAD, INCLUDE AN ALLOCATION OF SALARIES AND CONSULTING EXPENSES. Schedule 0 (Form 990 or 990-EZ) (2012) LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. 232211 01-04-13 81 12471114 796448 08041 2012.04040 CROSSROADS GRASSROOTS POLIC 08041__1 Schedule 0 (Form 990 or 990@i2012) Name of the organization CROSSROADS GRASSROOTS POLICY STRATEGIES FORM 990, PART III, LINE 4D, Page 2 Employer identification number 272753378 OTHER PROGRAM SERVICES: THE ORGANIZATION EDUCATES THE PUBLIC ON NATIONAL POLICY AND LEGISLATIVE ISSUES SUCH AS THE NATIONAL DEBT, HEALTH CARE POLICY, IMMIGRATION, GOVERNMENT SPENDING PRIORITIES, ENERGY AND PENSION REFORM. CROSSROADS GPS CONDUCTS PUBLIC EDUCATION THROUGH A WIDE VARIETY OF COMUNICATIONS CHANNELS, POLICY INCLUDING PAID ADVERTISING, INFORMATION ON ITS WEBSITES, STATEMENTS IN NEWS ARTICLES, AND PUBLICLY RELEASED POLICY STUDIES. FORM 990, PART VI, THE FORM 990 BEFORE SECTION B. IT LINE 11: ALL BOARD MEMBERS RECEIVE A COPY OF IS FILED WITH THE IRS. BOARD DISCUSSES THE FORM 990 WITH ACCOUNTANTS, FORM 990, PART VI, SECTION B, INTEREST POLICY REQUIRES ALL ACTUAL CONFLICTS OF FORM 990, PART VI, LINE 12C: DURING THE REVIEW PROCESS THE COUNSEL AND THE CFO. THE ORGANIZATION'S CONFLICT OF INTERESTED PERSONS TO DISCLOSE ANY POSSIBLE OR INTEREST. SECTION B, LINE 15: OFFICERS' COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, FORM 990, PART VII, SECTION C, LINE 19: UPON REQUEST SECTION A: COMPENSATION OF OFFICERS STEVEN LAW AND CALEB CROSBY WERE COMPENSATED FOR THEIR ROLES IN THE DAY-TODAY OPERATIONS OF THE ORGANIZATION AND NOT AS OFFICERS. ??.a 12471114 82 796448 08041 20l2.0404O Schedule 0 (Form 990 or 990-EZ) (2012) CROSSROADS GRASSROOTS POLIC 08041__1 Schedule 0 (Form 990 or 990-EZ) (2012) Name of the organization CROSSROADS GRASSROOTS POLICY STRATEGIES STEVEN LAW WORKS AN AVERAGE OF ORGANIZATION, 12 Page 2 Employer identification number 272753378 HOURS PER WEEK FOR THE RELATED AMERICAN CROSSROADS. CALEB CROSBY WAS PAID THROUGH CFC CONSULTING: ORGANIZATION AND $56,000 $55,000 WAS PAID BY THE WAS PAID BY THE RELATED ORGANIZATION, AMERICAN CROSSROADS. 232212 D1-04-13 Schedule 0 (Form 990 or 990-EZ) (2012) 83 12471114 796448 08041 2012.04040 CROSSROADS GRASSROOTS POLIC 0804l__1 entity? 2 201 1OMB No545-0 47 Open Publ toic Inspection No Yes Sectien(2(b?)(1?3) lfl entity Dicontrectrol ing (SFchorm R 3112 990) edule 272'753378 iEmpldenticaotiyner number cDiontrectrw,ol, i,nagd (9) Eassetnd-of-ysear Publicty chari of ssteactiuons count foreigryn) foreigryn) count domisortatecile (Legal D Sisnestee rpaructionast. e Legal (state domiorcile (b) lb) Priactmivaryity D Ato 990. Form t ach 527 PSOECLITIOCANL ORGANIZATION ParOrand UnrRelgtanineaerlatedztsaehtdiopnss D Cline IV. Part 990. Form 36. 35. 34. 33. 37. oto the aif "Yes" nromplor gsawneizraetditoen GRCRTORASTREOGCAOTIDEYS SPOLI lal la) denti of isregardteyd addractpplmiceavarysbitle,y) aName, (if EIN Priand SCHEDULE 990) R (Form Dof Terpeartsmuernyt SRInetvrevniucael Name the the of organization (l990, Fonn IV, Part 33) ICto DiI Entof the aif "Yes" doneiomplrsngtwieaftcngairetzoasdentioedn roerglantiezadtion addres , of Name, EIN and (OrTRelIrit of the aif "Yes" Form line IV, becPart had dC34 990, oenagromplxstone tto morl-iwafnEecitxazuseriotamdnieoptnptes or "oyear) Pa" duritax the rganizantiogns BOX 20043 P.0. 2CAR7MO2ES1R4I1CO2A7DNS 34413 WASHINGTON, DC PaForm NotRFor Act Ifor the 990. nesdseeptruecrtiwconore.s k 12-10-i2 232161LHA El Pa (ii Section (kl Percentage ownership (ii rere lated arorierel managing partner? Yed No (hi Percentageownership (S2012 R 990) cFhorm edule 272753378 V-UBI Code (9) box ain mount Sof 20 chedule 1065) (Form K-1 of Share endof-year assets No (i) (h) Disproporticn- alateocations? Yes (9) of Share end~of-year assets (fl (9) trust) or Share Type of total entrty S (C icncorp,ome corp, income of Share total (dl entity Dicontrectrol ing (f) (e) 85 Preidnocmoinmeant unr(reelatedd,, 512-sectio5ns14) etax from under xcluded (dl domic le Legal (sortate foreign country) entity lc) (bl cDiontrectrol ing Priactmivaryity (sortate loreigi country) dz-;Priactm?iv:ary_it'yIe GRCRTORAATS REOGCAOTIDEYS SPOLI la) roerglantiezadtion addrandess. of Name. EIN (6) (b) (3) rhad Form IV, becPart (eto the aif "Yes" l990. 34 it RelICdnmorirone oPTaxOrof or aelomplgsas a nanwtianfuecitzeblrasdietohniotepns year) pttax duri the oraegas a ratatniezarnstdihognips S990) (2012 R cFhorm edule III Part roerglantiezadtion EIN addres , of Name, and OrRelIhad of (CTaxabl Trust dForm the aif bec"Yes" 34 line IV, Part 990, oengromplone to it mo or a as satpiawfnocitezaruseiatoedinotnes year) ttrust duri the coreor tax agraatpnoiezrandtiogns as IV Part 123-210-612 0 2 ><>><><>< N>><><>< NNN >< NM NM 3 Page Yes (S2012 R 990) cFhorm edule (3-5) M39 la) (dl (0) lb) 8 3 5 7 2 SCPOLI GRTORAST-REOGCAOTIDEYS (S2012 R 990) Fchorm edule other of Name oAmount iTof dMetrnagemvantoesountairlhzmvcatodeionding 36) Form Part 35b, 34, line (Orto aif "Yes" 990, IV, TConraor RelWiV the gomplsnawnaeictzraeihotndeiostnes Compl Note. line ienti l1 III, II, sParts this of IV icsor any IS in hetedfduletye oby rlLoans geouor alananritzaentidoen(s) lParts rwiotof Duri fdid the tax ieora-singone year, any morengage or nlaIstnoVtecizwihao?dtneiosngs 1a (iii) (iv) cfrom Recei (i) of r(ii) enti rent oaina ortyalnreuoriltesitdpeyts 1b rcGift, ofrom grant, capi egnor altarnibtzuaetitdona(sl) 1d ofor rlLoans geouor to alnaanriztaentidoen(s) 1e Gift, orccapi grant, to engorltarnibtzueatitodnal(s) 1c (IDOU0 1 1! rDiegvaliandietzaentidosn(s) 19 ofrom orwiof Excasset egalnahitzaangeehtiodsn(s) 11 Salto orof asset eglanitzeaetdison(s) 1h Purasset rof ofrom egalancihtzaetisdoen(s) 1i orotof fLease eagqor asset to acluanhilptzieraemtidesons(t,s) V-U3.C._ ._. fasset of Lease rother ofrom 1k eagqor caluanilpiztameitdoesn(,ts) 1 ofor Puegrlndrifor rsfmeof sacomeanrtmibtzvaeiocntreidsohin(psg) o1m Puegrlor rsfmeof by sndriafcomenartimbzvtaiecotnrisdceinh(isgp) 1n emplShari paid wiegalanitzoeahtydionees(gs) 1o oShari fasset lmaiof rwiother eaigqor acslunailptzits,amlehitdoens g(,ts) orof Eco Rfor orpaid 1p to eeigmealbanuxripszteaemtniedosnte(s) 1q rReimgelabxunrpistzeamtnediostne(s) by opaid for 0. 612-10-12 8 If above of "Yes, for iwho line, rcthis tand to must nheofIS asrlon any see cetnvmplslmueiahocwrtndiieolsdnehrsni"tpges tOtrcash oof pregaorlnsonahiperztaerfetidornt(ys) Otofrom to 1r t15 cash rof pregaorlnsaonhitzpereraeftidornt(ys) the (1) (2) (3) (4) (5) (6) 232163 (S2012 R 990) Fchorm edule 27-2753373 Paqe4 COUNW) asset1065) (I512-under snFecocorm mtyes yise5o14)nes No la) (C) (bl (kl ll) (I) (h) lg) (fl Ale) (d) 3(ga,T)52,1,3) Ylfc1(hl,:fre:(state of 1Ownms fenti total ]l;deon '[or ddug;fIdotureil 0fm, )e(J&-_y2ge1th0-r2lyan;mpr-1=e:1gi;'l?ui pannwsec C008 V-PrPeGoShare addrof PriName, EN and domiacteIdnsorUorcmaormB evinmeaecvnorlaryntiss,laetgye lLegal CSPOLI GRRTORAScAThSedRuE OeRGC(AFOToIDrEmYS9 0)2012 VI Part (PTaxOrUnForm 37) the if "Yes" line IV, 990, Cato ongomplras asatewnalieblztarezsadiehotinopesn fPrby rthe iasset each tpfor five (01 total cwhienti aperthan Its nomehafor gross cras a olvenue) morntgerxedidamovvinuiacewistdughzurienteoashrtendioygdpn See rthat eionot pfor cnexara was svclgtgaraerunstcemaizrodieasnhtsinopngs 7 23218 64 12-10-12 ammmenmmnmmzmz CROSSROADS GRASSROOTS POLICY STRATEGIES 272753378 Pmes IP31 V" Supp ementa Information Conynlete this part to provide addmonal Information for responses to questions on Schedule H (see Instruc(IonsL 232165 12-1o-12 Schedule H (Form 990) 2012 88 12471114 796448 08041 2012.0404O CROSSROADS GRASSROOTS POLIC 08041__1 DeExpense Excl preciation DeBasi 179 ECc% Noxpense cudspmtur0ecrulBtaiotesndiosn ReductEndi CCurBegiBasSectIn Unaur eLitrnidsteijoYFuninnteorsantergdASec Bus 179 oo:> 89 D1 2,1,965. o9SL 16 3.00 cou/230pu251.a5.w94./n1o ec v-I DREPORT A2012 AND MEPORETCIZATION Acqafed Afft MetDeschriodption Lite 990 10 FORM PAGE 1,105. 735. 630. 3.1SL 16 CO/M810PU89./T1E0R (V 587. 3.0SL 1,16 L1A/T92I0T4U22./D01E2 DELL m 0SL E5520 16 1,3.00 427. DELL 4/70908./12 If 3.8,1SL 7,1,22,16 WE/532B0S55.33,22.I/T00.100,0E DEV IE 9,*12,2,30,10 990 ro96wan5442.13.55. PAGE papa 2 21 1 Sal di(D) -G0 CZone DeRBonus, *A0eov5smTC_ i-ssetdt0pamev1uclizos-age,a1rt2cioaenln,d