am990 Department of the Treasury internal Revenue Service PUBLIC DISCLOSURE COPY Return of Organization Exempt From Income Tax Under section 501(c), 527 or 4947(a)(1) of the Internal Revenue Code (except private foundations) Do not enter social security numbers on this form as it may be made public. Go to for instructions and the latest information. OMB No. 1545-004? 2017 Open to Public Inspection A For the 2017 calendar year, or tax year beginning and ending Check if Name of organization Employer identification number m3? CROSSROADS GRAS SROOTS POL I CY STRATEGIES 21:31; Doing business Number and direct (or 0 box if mail is not delivered to street address) Rnominllite Telephone number min; 45 HILL DRIVE, STE 100 202?706?7051 City or town, state or province, country, and ZIP or foreign postal code Gross receipts armada? WARRENTON VA 2 01 8 5 His) Is this a group return 355?? Name and address of principal officer:STEVEN LAW for subordinates? i:iYes No pending SAME AS ABOVE Are all subordinates included?i:YeS i:i NO I Tax exempt status Li5ouc} 3) LXI 501(c)( 4 Website: W. ORG Form of organization LXJ Corporation LI Trust I IAssociation I_i Other} I ummary )4 (insertno.) i_i 4947(a)(1) or i_i 52? If attach a list. (see instructions) ch) Group exemption number I I. Year of formation: 2 0 1 0 State of legal domicile: VA 1 Briefly describe the organization?s mission or most significant activities: ENGAGING IN PUBLI COMMUNICATIONS AND DIRECT CONTACT WITH INTERESTED CONSTITUENCIES TO Check this box i_i if the organization discontinued its operations or disposed of more than 25% of its net assets. 2 3 Number or voting members or the governing body {Part Vi, line la) a 2 4 Number of independent voting members of lire governing body (Pall VI, line 11)) 4 2 3 5 Total number of individuals employed in calendar year 2017 (Part V, line 2a) 5 2 2 6 Total number of volunteers (estimate if necessary) 6 0 7 a Total unrelated business revenue from Part column (C), line 12 7a 0 . Net unrelated business taxable income from Form BSD-T, line 34 7b 0 - Prior Year Current Year 8 Contributions and grants (Parr 15 111 . 499 . 75 000- 9 Program service revenue (Part line 29) 0 . 0 . 10 Investment income (Part column (A), lines Other revenue (Part column (A), lines 5, 6d, 8c, Qc, 100, and 11a) 0 . 0 . 12 Total 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 . 0 . 15 Salaries other compensatlon employee bene?ts {Part IX column (A) lines 16a Professronal fees (Part IX column (A) line 119Total fundralsmg expenses (Part IX column (D), Ilne 25Otherexpenses(Part IX 2:608:965- 1:166:313- 18 Total expenses Add lines 13 17 (must equal Part IX column (A) line 25Revenue less expenses. Subtract line 18 from llne12 50E Beginning of Current Year End of Year ES 20 Totalassetsreartwinelol 4.692.028. 2.752-207- 21 Total liabilities (Parr X. line 26) 0 - 0 - gE22 Net assets or fund balances Subtract line 21 from line Signature Block Under penalties of perjury, I declare that have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and comglete?eclarationo than officer) 15 based on all information of which preparer has any knowledge. SI atureof officer Sign Date Here 8 EVEN LAW PRE IDENT Type or print name and title Printi'Type preparer's name Preparer's signature Date Chick i__i Paid KAREN . ATCHLEY 74mg 8. we . we 10/911 Preparer Firm's name ATCHLEY S: ASSOCIATES LLP FirmUse Only Firm?s address 1 0 0 5 LA POSADA DRIVE AUSTIN, TX 78752 May the IRS discuss this return with the preparer shown above? {see instructions) LXJ Yes i_i No razoo?l 11-234? LHA For Paperwork Reduction Act Notice, see the separate instructions. Form 990 (2017) SEE SCHEDULE 0 FOR ORGANIZATION MISSION STATEMENT CONTINUATION meemumnn CROSSROADS GRASSROOTS POLICY STRATEGIES 27?2753378 Pme2 Part ,1 Statement of Program Service Accomplishments Check if Schedule 0 contains a response or note to any line in this Part 1 Briefly describe the organization's mission: CROSSROADS GRASSROOTS POLICY STRATEGIES IS A 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 FUTURE. THE VISION OF 2 Did the organization undertake any significant program services during the year which were not listed on the prlor l-orm 990 or EYes No If "Yet." describe ll reel-.1 new services. on Schedule 0. 3 Did ll re cease cur IUULlilig, or make nllcalil cl Idl Iges how it conducts, an Iy program services? LXJ 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(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. 43 (Code: (Expenses including grants of (Revenue 5 THE ORGANIZATION CONDUCTS PUBLIC COMMUNICATIONS 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 0N PENDING LEGISLATIVE ISSUES ILIN AND ED ADV A TOOLS. 4b (Code: (Expenses 5 2 3 1 6 - including grants of 3 (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 PARTICIPATION. CROSSROADS GPS ALSO SPONSORS IN-DEPTH POLICY RESEARCH ON SIGNIFICANT ISSUES, ESPECIALLY THOSE THAT ARE CURRENTLY BUT ARE LIKELY TO HAVE A SUBSTANTIAL IMPACT ON GOVERNMENT POLICYMAKING IN THE FUTURE. 48 (Code: (Expenses including grants of (Revenue THE ORGANIZATION PROMOTES SOCIAL WELFARE PURPOSES OF NONPROFIT 501C GROUPS THAT SHARE SIMILAR MISSIONS. 4d Other program services (Describe in Schedule (Expenses including grants of (Revenue 5 4e Total program service expenses Form 990 (2017) rezooz 11-234? 2 14471008 796448 08041 2017.04030 CROSSROADS GRASSROOTS POLIC Form 990 {2017} CROSSROADS GRASSROOTS POLICY STRATEGIES Page 3 at?! I Checklist of Required Schedules Yes No 1 Is the organization described in section 501(c)(3) or {other than a private foundation)? ll ?Yes, complete Schedule A 1 2 Is the organization required to complete Schedule Bl Schedule ol Contributors? 2 3 Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for Public office? ll' "Ye-9. complele Schedule Peril 3 4 Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501 election in effect during ?00 tax if "Vi-'31? '53? ll 4 in the organization a section 501(c)(4), 501(c)(5), or 501(c)(8) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 9849? If "Yes, complete Schedule C, Part 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? lf 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? ll Yes, complete Schedule D, Part ll 7 8 Did the organization maintain collections of works of art, historical treasures, or other similar assets? lf "Yes, complete Schedule D, Part 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 "res, complele Schedule 0, Pee lv . 9 10 Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments. OlquaSi-endowments? ll' ComPlEl?e SChedUle D. Pall 10 11 If the organization?s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, lX, or i I 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 ill Part X, line 16? ll? "Yes, complete Schedule D, Part I 1b 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? it "Yes," complete Schedule D, Part 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, line 16? ll "Yes, complete Schedule D. Part IX 11d Did the organization report an amount for other liabilities in Part X, line 25? ll? "Yes, complete Schedule 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 (A30 740)? ll? "Yes, complete Schedule D, Part 11f 123 Did the organization obtain separate, independent audited financial statements for the tax year? ll "Yes, complete Schedule 0, Parts Xl and 12a Was the organization included in consolidated, independent audited financial statements for the tax year? if Yes, and if the organization answered "No to line 1'23, then completing Schedule D, Parts Xl and is optional 12b 13 Is the organization a school described in section lf "Yes, complete Schedule 13 14a Did the organization maintain an office, employees, or agents outside of the United States? 143 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? ll "Yes, complete Schedule F, Parts and 14b 15 Did the organization report on Part lX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? lf "Yes, complete Schedule F, Parts 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? it "Yes, complete Schedule F, Parts and 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 11e? If "Yes, complete Schedule G. Partl 17 18 Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part lines 10 and 8a? ll "Ves, complete Schedule G, Pall ll 18 19 Did the organization report more than $15,000 of gross income from gaming activities on Part line 9a? ll "Yes, complete Schedule G, Part 19 Form 990 (2017) 732003 11-28- 1? 3 14471008 796448 08041 2017.04030 CROSSROADS GRASSROOTS POLIC 08041?1 rm 990 [2017) CROSSROADS GRASSROOTS POLICY STRATEGIES 27~2753378 Page4 Fo 3.3: '1 Checklist of Required Schedules (continued) Yes No 20a Did the organization operate one or more hospital facilities? lf "Ves, complete Schedule 20a If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? 20b 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 and ll 21 2? 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? ll "Yes, complete Schedule l, Pan?s and 22 ?3 Dirl ll'ril- vulgar Iilrliil Ill arrswel "Yes" In Pail VII, Pier. lion A, line 3, 41, or ?3 album of the organization's current and former officers, directors, trustees, key employees. and highest compensated employees? If "Yes. complete Schedule 23 24a Did the organization have a taxeexempt 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? lf "Yes, answer lines 24b through 24d and complete Schedule K- if so to line 25a 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 detease any tax-exempt bonds? 940 Did the organization act as an "on behalf 0 issuer for bonds outstanding at any time during the year? 24d 25a Section 501(cll3}, 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? ll "Yes," complete Schedule L, Part 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 ll "Yes," complete Schedule L, l?art 25b 2; 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? ll? "Yes," complete Schedule Part ll 26 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? ll "Yes, complete Schedule L, Part ill 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? lf "Yes, complete Schedule L, Part lV 28a A family member of a current or former officer, director, trustee, or key employee? ll "Yes," complete Schedule L, Part lV 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? lf "Yes, complete Schedule Part ll/ 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? if complEle Schedule 30 31 Did the organization liquidate, terminate, or dissolve and cease operations? if "Yes, complete Schedule N. Parr 31 32 Did the organization sell, exchange, diSpose of, or transfer more than 25% of its net assets?ll 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 .7?01-2 and ll "Yes, complete Schedule H, Part 33 34 Was the organization related to any tax-exempt or taxable entity? ll Yes, complete Schedule Fl, Part ll, or W, and Part 14 line 1 34 35a Did the organization have a controlled entity within the meaning of section 512(c)(13)? 35a If "Yes" to line 353, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? ll "Yes, complete Schedule H, Part V, line 2 35b 36 Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? ll complete Schedule it, Part V, line 2 36 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? ll "Yes, complete Schedule Fl, Part Vl 37 38 Did the organization complete Schedule 0 and provide explanations in Schedule 0 for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule 0 38 Form 990 (201 r) 1 1-23? 1? 4 14471008 796448 08041 2017.04030 CROSSROADS GRASSROOTS POLIC 0804l__1 Form 990 (2017) CROSSROADS GRASSROOTS POLICY STRATEGIES 27?2753378 Pages 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 1a 1 7 I in 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 (oamhlino) winnings tn prize winners? 1c 23 Enter the number of employees reported on Form W43, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by thin return 3'11 2 2 tiaraygimm . If at least one is reported on line did the organization file all required federal employment tax returns? 2b Note. if the sum of lines 1a and 2a is greater than 250, you may be required to e?fiie {see instructions) 3o Did the organization have unrelated business gross income of $1 ,000 or more during the year? So If ?Yes," has it filed a Form 990T for this year? if ?No, to fine 3b, provide an expianation in Scheduie 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 comitry {such as a bank account, securities account, or other financial account)? 4a If "Yes," enter the name of the foreign country; I See instructions for filing requrrements for i-InCtN I-orm 114, Report of l-oreign Bank and Hnancial Accounts (I- BAH). .. . 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? 5b If "Yes," to line 5a or 5b, did the organization file Form 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? 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 made partly as a contribution and partly for goods and services provided to the payer? 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 fiie Form 8282? Tc If "Yes," indicate the number of Forms 8282 flied during the year I 7d I Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? 7e Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? 7f 9 If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?? _7g It the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-0? 7h 8 Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? 3 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 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 1 1a Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them) 11h . 12a 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 I 12b I 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? 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 13b 6 Enter the amount of reserves on hand 13c . 14a Did the organization receive any payments for indoor tanning services during the tax year? 14a If "Yes," has it filed a Form 720 to report these payments? if "No, provide an expianatr'on in Scheduie 14b Form 990 (2017) 732005 11-23-11? 5 14471008 796448 08041 2017 . 04030 CROSSROADS GRASSROOTS POLIC 08041*1 Form 990 2017) CROSSROADS GRAS SROOTS POLICY STRATEGIES Page 6 art Governance, Management, and Disclosure For each ?Yes" response to fines 2 through 7b below, and fora "No" response to tine 8a, 8b, or i Ob beiow, 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 1a Enter the number of voting members of the governing body at the end of the tax year 1a 2 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. Euler the number of voting members included in line la, above, who are Independent 1b 2 ., - 2 Did any officer, director, trustee, or key employee have a family reiationship or a business relationship with any other otrioer. 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? 3 4 Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? 4 5 Did the organization become aware during the year of a significant diversion of the organizations assets? 5 6 7a Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members or the govemtng body? 7a Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? to 3 Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following: a The governing body? 8a Each comr?nitlee with aull retily lo act on behalf of ll 1e governing body? 8b 9 is there any officer, director, trustee, or key employee listed in Part Vll, Section A, who cannot be reached at the organization's mailing address? if "Yes, provide the names and addresses in Scheduie 9 Section B. Policies (ibis Section 8 requests information about ,ooiicies not required by the internai Revenue Code.) Yes No 103 Did the organization have local chapters, branches, or affiliates? 103 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 113 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 the process, if any, used by the organization to review this Form 990. I 12a Did the organization have a written conflict of interest policy? if "No, go to fine 13 12a Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? 121: 0 Did the organization regularly and consistently monitor and enforce compliance with the policy? if "Yes, describe in Schedure 0 how this was done 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 15a Other officers or key employees of the organization 15b If "Yes? to line 15a or 15b, describe the process in Schedule 0 (see instructions). 163 Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? 16a If "Yes," did the organization follow a written policy or procedure requiring the organization to evaiuate 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? 16b Section 0. 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(c)(3)s only) availabie for public inspection. indicate how you made these available. Check all that apply. Own website Another?s website 11' Upon request If Other {expiain in Scheduie O) 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 records: CALEB CROSBY - 202?705-7051 45 HILL DRIVE, STE 100, WARRENTON, VA 20186 732005 11?23?17 Form 990 (2017) 6 14471008 796448 03041 2017.04030 CROSSROADS GRASSROOTS POLIC 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 organizations tax year. 201?} CROSSROADS GRASSROOTS POLICY STRATEGIES 2'7 2753378 page? List all of the organization's current officers, directors, trustees {whether individuals or organizations), regardless of amount of compensation. Enter -0- in columns (E), and (F) if no compensation was paid. 0 i let all of the organization?s current key employees, if any. See instructions tor 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 and/or Flex 7 of Form 1000 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. I List all of the organizations 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 irom 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. 1: Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee. (A) (Bi (C) (D) (F) (F) Name and Title Average (do not c?gfi?ggman one Reportable Reportable Estimated hours per box. unless person is both an compensation compensation amount of week officer and a directorftrustee) from from related other [list any the organizations compensation hours for i 3 organization (we/1 USS-MISC) from the related organization organizations g. g? and related below E, a i a? organizations line) a 35? as (1) SALLY VASTOLA 1 . 00 BOARD MEMBER (2) BOBBY BURCHFIELD 1 . 00 CHAIRMAN (3i STEVEN LAW 10.00 10.00 359,708. 130,000. 9,720. (4) CALEB CROSBY 73200? 11-23-17 7 Form 990 (2017) 14471008 796448 08041 2017.04030 CROSSROADS GRASSROOTS POLIC 08041__1 14471008 796448 08041 Forr11990(2017) CROSSROADS GRASSROOTS POLICY STRATEGIES 27?2753378 PageB a i x: Section A. Officers, Directors, Trustees, Key Em aloyees, and Highest Compensated Employees (continued) (A) (B) (C) (E) (F) Name and title Average (do not c?gfir?igg?han one Reportable Reportable Estimated hours per box. unless person is both an compensation compensation amount of week of?cer and a directorftrustee) from from 81 at (1 other ('35t any 2 the organizations compensation hours for 5 organization from the related E: (W-zrlileH-Mlht ,1 organization organizations :5 2 a and related below 3 2 HE E, organiratirui?m ??69 a a :3 ?3 SUb'total 4131708? 169:900' 9:720' Total from continuation sheets to Part VII, Section Totalladdlines1band1c) 413.708- 159.900- 9,720. 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 1 Yes No 3 Did the organization list any former officer, director, or trustee, key employee, or highest compensated employee on line 1a? if ?Yes, complete Schedule for such individuai 3 4 For any individual listed on line ?la, 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 individuai 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 "Yes, complete Scheduie 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. Fieport compensation for the calendar year ending with or within the organization?s tax year. (Al Name and business address Description of services (Cl Compensation WI LEY RE IN LLP 1776 STREET NW, WASHINGTON. DC 20006 LEGAL SERVICES 284 594 . BALCH 8t BINGHAM LLP P.O. BOX 306, BIRMINGHAM, AL 35201 LEGAL SERVICES 150,000. HOLTZMAN VOGEL JOSEFIAK PLLC 4 5 NORTH HILL DRIVE STE 100 WARRENTON, VA 20186 LEGAL SERVICES 130 0'79 . 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 3 Form 990 {2017) 732003 11?28? 1 8 2017.04030 CROSSROADS GRASSROOTS POLIC 2017) CROSSROADS GRASSROOTS POLICY STRATEGIES 27?27533? 8 Page9 Statement of Revenue Check if Schedule 0 contains a or note to line in this Part . CI Total revenue Related or Unrelated exempt function business sections revenue revenue 12 - 514 Federated campaigns 1a Membership dues 1b Fundraisine events 1e Related organizations 1d Government grants (contributions) 19 All other contributions, gifts, grants, and similar amounts not included above Noncaeh contributions included in lines 1: 1f; 5 a-?If and Other Smila- Amounts Contributions, Gifts, Progam Service Revenue All other program service revenue Add 2a?2f Investment income (including dividends, interest, and other similar amounts) Income from investment of tax-exempt bond proceeds Royalties Real Personal Gross rents Less: rental expenses Rental income or (loss) cl Net rental income or (loss) Gross amount from sales of Securities assets other than inventory Less: cost or other basis and sales expenses Gain or (loss) Net gain or (loss) Gross income from fundraising events (not including of contributions reported on line 10). See Part IV. line 18 a Lesa: direct expenses Net income or (loss) from fund raising events Gross income from gaming activities. See Part IV, line 19 Less: direct expenses Net income or (loss) from gaming activities Gross sales of inventory, less retums and allowances Less: cost of goods sold Net from of Miscellaneous Revenue Other Revenue All other revenue Total- Add lines 11a-11d Total revenue. See instructions. . . 732009 11-23-17 9 Form 990 (2017) 14471008 796448 08041 2017.04030 CROSSROADS GRASSROOTS POLIC 08041__1 Form 890 (201 7} [Part Statement of Functional Expenses Section 501(c)(3) and 501(c)(4) organizations must complete ail coiornns. Ail other organizations must compiete column (A). CROSSROADS GRASSROOTS POLICY STRATEGIES 27~2753378 Page10 Check if Schedule 0 contains a response or note to any line in this Part IX Do not include amounts reported on lines 6b? Total expenses Progra?rELervice Managrggent and Fundgising Bb? 91" and 10" ofF?art expenses general expenses expenses 1 Grants and other assistance to domestic organizations and domestic governments. See Part N, line 21 2 Grants and other assistance to domestic individuals. Son Part IV. lino in ?ca "vat-,7 . mi 3 Grants and other assistance to foreign .. .4, organizations, foreign governments and foreign individuale. See Part iV, lines 15 and 16 4 Benefits paid to or for members 5 Compensation of current officers, directors, trusteesandkeyemployees 369,428. 215,825. 45,591. 107,912. 6 Compensation not included above, to disqualified persons (as defined under seclion 4958(i)(i)) and persons described in section 4958(c)(3)(B) 7 Othersalariesandwages 380,503. 172,022. 149,573. 58,913. 8 Pension plan accruals and contributions {include section 401(k) and 403(0) employer contributions) 9 Other employee benefits Payroll-axes 42.453- 21.528- 12.361- 8.564. 11 Fees for services {non-employees): a Management Legal 569:795- 241.023- 323.773. Accounting 80.223- 80.223- 9 Professional iundraising services. See Part IV, line Investment management fees 9 Other. (if line 119 amount exceeds 10% of line 25, columniA) amount, iistiine 11g expenses Advertising and promotion 13 Officeexcenses 20,302- 167- 20:135- 14 Informationtechnology 16:673. 9:275- 5.148- 2.250- 15 Royalties 16 Occupancy 95:035- 95:035- 17 Travel 5:155- 123- 1.144- 3:399- 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 22 Depreciation, depletion, and amortization 23 Insurance 27.491- 27.491. 24 Other expenses. Itemize expenses not covered above. {List miscellaneous expenses in line 24e. If line 248 amount exceeds 10% of line 25, column (A) amount, list line 24a expenses on Schedule 0.) a SUBSCRIPTIONS 27,952. 27,952. GRASSROOTS ISSUE ADVOCA 6 000 . 6 000 . DONOR MAINTENANCE 41 6 . 4 6 . CONTRIBUTION PROCESSING 249 . 249 . All other expenses 2,014,821. 1,006,777. 787,662. 220,382. 26 Joint costs. Complete this line only if the organization reported in column (8) joint costs from a combined educational campaign and fundraising solicitation. Check here i if followmg soc 93-2 (ASC sea-72o) 732010 11?23?11? Form 990 (2017} 14471008 796448 08041 10 2017.04030 CROSSROADS GRASSROOTS POLIC 08041_?l Funn990(2017) CROSSROADS GRASSROOTS POLICY STRATEGIES IBaIance Sheet 27-2753370 Page11 Check if Schedule 0 contains a response or note to any line in this Part (N (Bl Beginning of year End of year 1 Cash - non-interest-bearing Savings and temporary cash investments Pledges and grants receivable, net ?3 4 Accounts receivable. net 4 none and other rocnivnhles from current and former officers, directors, m1. devil-7:21. trustees, key employees, and highest compensated employees. Complete Part ll of Schedule 5 6 Loans and other receivables from other disqualified persons (as defined under I section persons described in section and contributing employers and Sponsoring organizations of section voluntary ,3 employees' beneficiary organizations (see instr). Complete Part ll of 6 9, 7 Note"? and inane renewable. net 7 8 Inventories for sale or use 8 9 Prepaid expenses and deferred charges 9 10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule 10a Less: accumulated depreciation 10b 10c 11 investments - publicly traded securities 11 12 Investments . other securitles. See Part Iv, line 11 12 13 Investments - program?related. See Part IV, line 11 13 14 Intangible assets 14 15 Otherassets. See Part IV, line11 138 ,344. 15 101,270. 16 Total assets. Add lines 1 through 15 (must equal line 34Accounts payable and accrued expenses 17 18 Grants payable 18 19 Deferred revenue 19 20 Tax-exemrlt bend liabilities 20 21 Escrow or custodial account liability. Complete Part IV of Schedule 21 3 22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons. Complete Part ll of Schedule 22 '1 23 Secured mortgages and notes payable to unrelated third parties 23 24 Unsecured notes and loans payable to unrelated third parties 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 Schedule 25 26 Total liabilities. Add lines 17 through 25 0 . 26 0 . Organizations that follow SFAS 117 (A30 958), check here ILI and 3 complete lines 27 through 29, and lines 33 and 34. 27 Unrestrictednetassets 4,692.023- 27 2.752;207- 28 Temporarily restricted net assets 28 29 Permanently restricted net assets 29 3 Organizations that do not follow SFAS 117 (ASC 958), check here '6 and complete lines 30 through 34. 4E 30 Capital stock or trust principal, or current funds 30 31 Paid-in or capital surplus, or land, building, or equipment fund 31 *5 32 Retained earnings, endowment, accumulated income, or other funds 32 33 Totalnetassetsorfundbalances 4,692,028- 33 2.752.207- 34 Total liabilities and net assets/fund balances 732011 11?23-17 14471008 796448 08041 11 Form 990(2017) 2017.04030 CROSSROADS GRASSROOTS POLIC 08041__l Form 990 {2017) CROSSROADS GRASSROOTS POLICY STRATEGIES 27? 2753378 Page 12 Xi Reconciliation of Net Assets Check if Schedule 0 contains a response or note to any line in this Part XI 1 Total revenue (must ccuai Part um, column (A). line 12Total expenses (must equal Part IX, column (A), line 25Revenue less expenses. Subtract line 2 from line Not assets or fund balances at beginning of your (must equal Port X, line 33, column Net unrealized gains {losses} on investments 5 6 "Wit-I and ll? 0* 7 Investment expenses 7 8 Prior period adjustments 8 9 Other char iges in net assets or fund balances (explain in Schedule 0) 9 0 - 10 Net assets or fund balances at end of year, Combine lines 3 through 9 (must equal Part X, line 33, coiumniBi) 10 2:752:20?- Xl 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: Cash L._i Accrual i:i Other I 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? 2a If ?Yes," check a box below to indicate whether the financiai statements for the year were compiled or reviewed on a I separate basis, consolidated basis, or both' i:i Separate basis i:i Consolidated basis i:i 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 i:i Both consolidated and separate basis 0 If "Yes" to line 2a or 2b, does the organization have a committee that assumes responsibility tor oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? 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 taken to undergo such audits 3b Form 990 (2017} 732012 11-23-1? 12 14471008 796448 08041 2017.04030 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 Schedule of Contributors 0MB N, Lingo??% I Attach to Form 990, Form 990-EZ, or Form 990-PF. Department or the Treasury Go to for the latest information. 20 1 7 Internal Revenue Service Name of the organization Employer identification number CROSSROADS GRASSROOTS POL ICY STRATEGIES Organization one): i liters of' Section' Form 990 or 501(c)( 4 (enter number) organization 4947(a)(1) nonexempt charitable trust not treated as a private foundation 52? political organization Form 000 PF 501(c)(3) oxompt private foundation nonexempt charitable trust treated as a private foundation DDEDD 501(c)(3) taxable private foundation Check if your organization is covered by the General Rule or a Special Rule. Note: On Iy a section 501 (8), or (10) 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 Caution: For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33 support test of the regulations under sections 509(a)(1) and that checked Schedule A (Form 990 or QQO-EZ), Part ll, line 13, 163, 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. Compiete Parts and II. For an organization described in section 501(c)(7), (8), or (1 0) 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 (10) filing Form 990 or 990-EZ that received from any one contributor, during the year, contributions exciusiveiy 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, Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusivefy religious, charitable, etc, contributions totaling $5,000 or more during the year An organization that isn?t covered by the General Rule andz'or the Special Rules doesn't file Schedule 8 (Form 990, 990-EZ, or QED-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 QQO-PF, Part i, line 2, to certify th at it doesn't meet the filing requirements of Schedule 8 (Form 990, QQD-EZ, or QQO-PF). LHA For Paperwork Reduction Act Notice. see the instructions for Form 990, 990-EZ. or QQO-PF. Schedule (Form 990, 990-EZ, or 990-PF) (2017) 723451 11?01-1? 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 000, 000 E2, or 000 PF) (2017) Name of organization CROSSROADS GRASSROOTS POLICY STRATEGIES Pam lal Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. Page 2 Employer identification number 27?2753378 lb) No. Name. address. and ZIP 4 (Q Total contributions to Wine of contribution lb) No. 3; 25,000. Person Payroll Noncash I (Complete Part II for noncash contributions.) Name. address, and ZIP 4 Total contributions Type of contribution la) lb) No. 35 50,000. Person Payroll Noncash (Complete Part II for noncash contributions) Name, address, and ZIP 4 (C) Total contributions Type of contribution Person i: Payroll Noncash (Complete Part II for noncash contributions.) lb) No. Name, address, and ZIP 4 Total contributions Type of contribution (8) lb) No. Person Payroll Noncash (Complete Part II for noncash contributions.) Name, address, and ZIP 4 (C) Total contributions id) Type of contribution (bi No. Person Payroll :1 Noncash Ci (Complete Part II for noncash contributions.) Name, address, and ZIP 4 Total contributions 723452 11-01-1? Type of contribution Person 1: Payroll Noncash (Complete Part ll for noncash contributions.) 14 14471008 796448 08041 Schedule (Form 990, 990-52, or QQO-PF) (2017) 2017.04030 CROSSROADS GRASSROOTS POLIC 08041?1 Schedule 8 (Form 990, QQU-EZ, or (2017) Name oforganization Page 3 Employer identification number CROSSROADS GRASSROOTS POLICY STRATEGIES Part If Noncash Property (see instructions). Use duplicate copies of Part if additional space is needed. No. {or estimate) W) . from Description of noncash property given . . Date received Parti (See instructions.) (al (C) . from Description of noncash property given estiniate) Date received Partl (See instructions.) to) NO- (bi . idi from Description of noncash property given estirnate) Date received [See instructions.) art I No. FMV (or estimate) . from Description of noncash property given . . Date received part I [See Instructions.) (60 No. . . . FMV {or estimate) from Description of noncash property given . . Date received Part [See Instructions.) {d . . FMV (or estimate) . from Description of noncash property given . . Date received Part I (See instructions.) 723453 11431?1? 15 Schedule (Form 990, 990-52, or sen-PF) (2017) 14471008 796448 08041 2017.04030 CROSSROADS GRASSROOTS POLIC 08041?1 Schedule (Form 000, 000 E2, or 000 [2017) Name oforganization Page 4 Employer identification number CROSSROADS GRAS SROOTS POLI CY STRATEGIES uswe re Igious, an a e, 0. corn [It Inns 0 organize Ions escri more an or the year from any one contributor. Complete columns through and the following line entry For organizations completing Part enter the total of exclusively religious charitable etc, contributions of $1 000 or less for the year [Enter [mginml once] Use duplicate copies of Part Ill if additional Space is needed No. Purpose of gift Use of gift Description of how gift ls held a (9) Transfer of gift Transferee?s name, address, and ZIP 4 Relationship of transferor to transferee No. Ff?rol'Tl Purpose of gift Use of gift Description of how gift is held a Transfer of gift Transferee?s name, address, and ZIP 4 Relationship of transferor to transferee No. Prat-Tl Purpose of gift Use of gift Id) Description of how gift is held a Transfer of gift Transferee?s name, address, and ZIP 4 Relationship of transferor to transferee No. gorTl Purpose of gift Use of gift Description of how gift is held a Transfer of gift Transferee's name, address, and ZIP 4 Relationship of transferor to transferee 723454 11-014? Schedule {Form 990, QQO-EZ, 16 14471008 796448 08041 2017.04030 CROSSROADS GRASSROOTS POLIC 08041__1 SCHEDULE Supplemental Financial Statements (Ferm 990) Complete if the organization answered "Yes" on Form 990, 20 17 Part IV, line 6, 7, 8,9, 10,11a,11b, 11c, 11d, 11e, 11f, 12a, or 12b. . . ., . Department of the Treasury Attach to Form 990. 9m? "31-3?th Internal Revenue Service to for instructions and the latest information. in?mm? Name of the organization Employer identification number CROSSROADS GRASSROOTS POLICY STRATEGIES 27?2753378 Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts.00mpiete if the organization answered "Yes" on Form 990, Part IV, line 6. Donor advised funds lb) Funds and other accounts letai 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 advisers in writing that the assets held in donor advised funds are the organization's property, subject to the organization's exclusive legal control? Yes No Did the organization inform all grantees, donors, and donor advisers in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor adviser, or for any other purpose conferring impermissible private benefit? Yes :1 No [Tiart II TConservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7. 1 Purpose(s) of conservation easerrients heid by the organization (check all that apply). Preservation of land for public use recreation or education) Preservation of a historically important land area Protection of natural habitat Preservation of a certified historic structure Presenration of open space Complete lines ?a through ?d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year. Held at the End uftlie Tax Year Total number of conservation easements 2a Total acreage restricted by conservation easements 2b Number of conservation easements on a certified historic structure included in Number of conservation easements included in acquired after (/25/06, and not on a historic structure listed in the National Register 2d Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the tax year Number of states where property subject to conservation easement is located Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? Yes i: No Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year 33 Does each conservation easement reported on line 2(d) above satisfy the requirements of section and section Yes No In Part 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. Partill' Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets. Complete if the organization answered "Yes" on Form 990, Part IV, line 8. 1a if the organization elected, as permitted under SFAS 1 16 (ABC 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: Revenue included on Form 990. Part Vi?, line 1 Assets included ir?l Form 990. Part 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 116 958) relating to these items: a Revenue included on Form 990, Part line 1 Assets included in Form 990, Part LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule (Form 990) 2017 732051 17 17 14471008 796448 08041 2017.04030 CROSSROADS GRASSROOTS POLIC 08041?1 Schedule (Form 990] 2017 CROSSROADS GRASSROOTS POLICY STRATEGIES Page 2 [993?! i Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assetsrcontrnued) 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 CI Public exhibition Lean or exchange programs Scholarly research 9 Cl 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 cold to raise funds rather then to be maintained no part of the organization?s eolleotion'?l Yes No Part?! Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form QQO, 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 Yes 1: No If "Yes," explain the arrangement in Part and complete the following table: Amount Beginnino halanoe to durlng the year .. ., 1d 9 Distributions during the year 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 ?Yes," explain the arrangement in Part Check here if the explanation has been provided on Part I: iPart?V i Endowment Funds. Complete if the organization answered "Yes? on Form 990, Part IV, line 10. Current year [bi Prior year Two year 5 back Tlii ea 5 back Four year 5 back 1a Beginning of year balance Contributions Net investment earnings, gains, and losses Grants or scholarships Other expenditures for facilities and programs Administrative expenses 9 End of year balance 2 Provide the estimated percentage of the current year end balance (line 19, column held as: a Board designated or quasi-endOWment Permanent endowment Temporarily restricted endowment The percentages on lines 23, 2b, and 20 should equal 100%. 3a Are there endowment iunds not in the possession of the organization that are held and administered for the organization by: Ill unrelated organizations related organizations If "Yes" on line 33(ii), are the related organizations listed as required on Schedule Fl? 4 Describe in Part the intended uses of the organizations endowment funds, [Patti iLand, Buildings, and Equipment. Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10. Description of property Cost or other Cost or other ic) Accumulated Book value basis (investment) basis (other) depreciation ta Land Buildings Leasehold improvements Equipment Other Total. Add lines ta through 1e, (Column must equal Form 990, Part X, column (8), line 10c.) 0 . Schedule {Form 990] 2017 732052 10?09? 1 i" 18 14471008 796448 08041 2017.04030 CROSSROADS GRASSROOTS POLIC 08041?1 Schedule (Form 990] 2017 CROSSROADS GRASSROOTS POLICY STRATEGIES Page 3 Investments - Other Securities. Complete if the organization answered "Yes" on Form 990, Part IV. line 11b. See Form 990, Part X. line 12. Description of security or category (including name of security) (bl Book value Method of valuation: Cost or end-of-year market value Financial derivatives (2) Closely?held equity interests (3) Other (Total. (Col. must equal Form 990, Part X, col. (B) line 12.) PartW-ll Investments Program Related. if the iration answered "Yes? on Form 990 Part IV line 110. See Form 990 Part line 13. Description of investment Book value {cl Method of valuation: Cost or end-of-year market value Total. Col. [1 must ual Form 990 Part col. line 13. Assets. Com if the organization answered ?Yes" on Form 990, Part IV, line 11d. See Form 990, Part X, line 15. Description (In) Book value 8 . Column must Form 990 Part col. line 15. I lities. Complete if the organization answered ?Yes" on Form 990, Part IV, line He or 11f. See Form 990, Part X, line 25. Description of liability (In) Book value Federal income taxes Total. Column must alForm 990 Part col. line 25. 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 48 740). Check here if the text of the footnote has been provided in Part Schedule (Form 990) 2017 732053 1009- 1? 19 14471008 796448 08041 2017.04030 CROSSROADS GRASSROOTS POLIC 08041_l Schedule DII-orm 990) 2017 CROSSROADS POLICY STRATEGIES 27? 2753378 Paqe4 PartX Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered' 'Yes" on Form 990, Part IV, line 12a. 1 Total revenue, gains, and other support per audited financial statements 1 2 Am0unts included on line 1 but not on Form 990, Part Iine 12: a Net unrealized gains (losses) on investments 2a Donated services and use of facilities 2b 0 RQCOVBFIBS 0f prior yeargrantc 20 Other (Describe in Part 2d 0 Add WI Thrr?lloh 9d . . 20 3 Subtract line 29 from line 1 3 4 Amounts included on Form 990, Part line 12, but not on line 1: I 3 Investment expenses not included on Form 990, Part line It) 4a Other (Describe in Pas 4b 6 Add lines 43 and 4b 4c 5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, IIne 12.) 5 [gen XII Reconciliation of Expenses per Audited Financial Statements With Fxpenses per Return. (Jomplete If the organization answered "Yes? on I-orm 990, Part IV. IIne 12a. 1 Total expenses and losses per audited financial statements 1 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 Add lines 2a through 2d 2e 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 4a Other (Describe in Part 4b Add lines 43 and 4b 4c Total expenses Add lines 3 and 40. (This must eg_aI Form 990, Part I, ?ne 78) 5 FFart 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, IIne 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 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. 732054 Io-cs-Ir Schedule (Form 990} 2017 2 0 14471008 796448 08041 2017.04030 CROSSROADS GRASSROOTS POLIC 08041__l OMB No. 1545-0047 SCHEDULE Supplemental information Regarding Fundraising or Gaming Activities (Form 990 or Complete if the organization answered "Yes" on Form 990. Part IV, line 17organization entered more than $15,000 on Form 990-EZ, line 6a. Depar?mem ?f Iv Attach to Form 990 or Form 990-52. 99?" '"tema? Revenue 33?? Go to for the latest instructions. Name of the organization Employer identification number CROSSROADS GRASSROOTS POLICY STRATEGIES 27-2753378 Fundraising ACtivitiOS. Complete if the organization answered "Yes? on Form 000? Part IV, line 17. Form 000 E2 filers are not required to complete this part. 1 Indicate whether the relood funds through any of the following Cheek oil that apply a Mail solicitations Solicitation of nonvnovernment grants 1: L1 Internet and email solicitations 1' 1:1 Solicitation of government grants Phone solicitations :1 Special fundraising events In-pereon 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 :1 No If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is to be compensated at least $5,000 by the organization. Amount aid . . Name and address of individual . . rim rais'er (iv) Gross receipts to (or retains; by) Amo?int Pa'd or entit (fundraiser) (H) ACtW'ty have Gian?? from activit fundraiser to (or reta'ned by) ?3th in col. organization GROSS CONTRIBUTIONS 45 Yes No DRIVE, STE 100, 75,000. 0. 75,000. SOCKO STRATEGIES I LLC -- 2438 TUNLAW ROAD NW, WASHINGTON, 0, 37,500. 47,500. Total 75.000- 37,500- 37.509- 3 List all states in which the organization is registered or iicensed 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 Schedule (Form 990 or 990-EZ) 2017 SEE PART IV FOR CONT INUATIONS T232081 09?13?17 2 1 14471008 796448 08041 2017.04030 CROSSROADS GRASSROOTS POLIC 0804l__l schedule (Form seu or sew-Ex.) so CROSSROADS GRASSROOTS POLICY STRATEGIES Page 2 Part I Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15?000 of fundraising event contributions and gross income on Form lines 1 and 6b. List events with gross receipts greater than $5,000. Event #1 Event #2 Other events Total events (add col. (3) through col. (event type) (event type} (total number) Revenue 1 Gross 2 Less: Contributions 3 Gross income (line 1 minus lino 2) 4 Cash Prizes 5 Nonra?ih PriYP-?i 6 Rent/facility costs 7 Food and beverages Direct Expenses 3 Entertainment 9 Other dlrect exnenses 10 Direct expense summary Add lines 4 through 9 in column 11 Net income summary. Subtract line 10 from line 3, column I Ea'rt I Gaming. Complete if the organization answered "Yes" on Form 990? Part lV. line 19? or reported more than $15,000 on Form QQD-EZ, line Ga. a; A Pull . Total gaming (add 2 Bingo bingofprogresslve bingo Other gaming col. through col. n: 1 Gross revenue 2 CaSh prizes 0 5 3 Noncash prizes Lu ?6 4 Rentz?facility costs a 5 Other direct expenses Yes Yes uYes 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 If explain: 10a Were any of the organization's gaming licenses revoked, suspended, or terminated during the tax year? l_l Yes No If "Yes,? explain: 732032 09-13-1? Schedule (Form 990 or 990-EZ) 2017 22 14471008 796448 08041 2017.04030 CROSSROADS GRASSROOTS POLIC 08041?1 schedule is (l-orm see or esU-Izzj am I CROSSROADS GRASSROOTS POLICY STRATEGIES Page 3 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 to administer charitable gaming? El Yes No 13 Indicate the percentage of gaming activity conducted in: a The organization?s facility 133 An outside facility 13b 14 Enter the name and address of the person who prepares the organization?s gaming/special events boolts and records: Name Address 15:: Dose the organization have a contract with a third party from whom the organization receives gaming revenue? I: Yes No it "Yes," enter the amount of gaming revenue received by the organization and the amount of gaming revenue retained by the third party 55 If ?Yes," enter name and address of the third party: Name Dr Address 16 Gaming manager Information: Name Gaming manager compensation Description of services provided Director/officer Employee El Independent contractor 17 Mandatory distributions: a Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the state gaming license? Cl Yes No 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 tax year 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 HILL DRIVE, STE 100, WARRENTON, VA 20186 (I) NAME OF FUNDRAISER: SOCKO STRATEGIES, LLC (I) ADDRESS OF FUNDRAISER: 2438 TUNLAW ROAD NW, WASHINGTON, DC 20007 SCHEDULE G, PART I, LINE 2B, COLUMN (IV): razcea 09-13-17 Schedule (Form 990 or 990-EZ) 2017 23 14471008 796448 08041 2017.04030 CROSSROADS GRASSROOTS POLIC 08041?l OLIIBUUIB (Funn 990 LII 990- 4:2) CROSSROADS GRASSROOTS POLICY STRATEGIES 3 7 147') 5 3 3 7 3 Page 4 3 Supplemental Information (continued) GROSS CONTRIBUTIONS RECEIVED FROM SOLICITATIONS ARE NOT DIRECTLY TIED TO A SPECIFIC PROFESSIONAL FUNDRAISER AND HAVE BEEN REPORTED ON SCHEDULE IN THE TOTAL AMOUNTS RECEIVED BY THE ORGANIZATION. Scheduie {Form 990 or 990-EZ) 732034 04-01?11 24 14471008 796448 08041 2017.04030 CROSSROADS GRASSROOTS POLIC 08041?1 SCHEDULE Compensation Information OMB No. 1545?004? (Form 990) For certain Officers, Directors, Trustees, Key Employees, and Highest 2017 Compensated Employees Complete if the organization answered "Yes" on Form 990, Part IV, line 23. Department of the Treasury AttaCh to Form 990- 09911? Public internal Revenue Service Go to for instructions and the latest information. mm? Name of the organization Employer identification number CROSSROADS GRASSROOTS POLICY STRATEGIES 27?2753378 [Part l1 Questions Regarding Compensation Yes No 1a Choolr the appropriate hordes] if the organization provided any of the following to or for a person listed on Form non, Part VII, Section A, line 1a. Complete Part to provide any relevant information regarding these items. . First-class or charter travel Housing allowance or residence for personal use 5 4 MM Travel lor companions Payments for business use of personal residence Tax indemnification and gross-up payments Health or social club dues or initiation fees El Discretionary spending account '3 Personal services (such as, maid, chauffeur, chef) If any of the boxes on line 1a are checked, did the organization follow a written poiicy 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 prior to reimbursing or allowing expenses incurred by all directors, trustees, and officers, including the CEO/Executive Director, regarding the items checked on 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 compensation of tho UbU/szocutrvo LJIroctor, but oxplarn in Part Compensation committee Written employment contract l:l Independent compensation consultant Compensation survey or study Form 990 of other organizations Approval by the board or compensation committee 4 During the year, did any person listed on 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 nonquaiified retirement plan? 4b Participate in, or receive payment from, an equity~based compensation arrangement? 4c If "Yes? to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part I Only section 501(c)(3), 501(c)(4), and 501(c)(29} organizations must complete lines 5-9. 5 For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any compensation contingent on the revenues of: a The organization? 53 Nwmamdmomtmm? 5b If "Yes" on line 5a or so, describe in Part 6 For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any compensation contingent on the net earnings of: a The organization? 68 Any related organization? 6b If "Yes" on line Ga or 6b, describe in Part 7 For persons listed on Form 990, Part Vil, Section A, line 1a, did the organization provide any nonfixed payments not described on lines 5 and 6? If ?Yes," describe in Part 7 8 Were any amounts reported on 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," desoribe in Part 9 If "Yes" on line 8, did the organization also iollow the rebuttabie presumption procedure described in I Regulations section 9 LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990. r32111 roar-1? 14471008 796448 08041 25 Schedule (Form 990) 2017 2017.04030 CROSSROADS GRASSROOTS POLIC 08041u1 SCheduie (Form 990) 2017 CROSSROADS GRASSROOTS POLICY STRATEGIES [Final] I Officers. Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed 27?2753378 Page 2 For each individual whose compensation must be reported on Schedule J. report compensation from the organization on row and from re-ated organizatiors, described in the instructions, on row Do not list any individuals that aren?t 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 13. applicable column (D) and (E) arr-cunts for ?at individual. (A) Name and Title (8) Breakdown of W-2 and/or meg-Misc compensation (C) Retirement and compensation Other reportable compensation compensation other deferred compensation (D) Nontaxable ?otal of columns (F) Compensation in column (8) reported as deferred on prior Form 999 (1) STEVEN LAW PRESIDENT CEO {i 359,708. 9,720. 369,428. 130,000130,00010-17-1? 26 Schedule (Form 990) 2017 Schedule (Form 990} 2017 CROSSROADS POLICY STRATEGIES page 3 Supplemental Information Provide the information. explanation, or descriptions required for Part I. lines 1a, 1b, 3, 4a, 4tand for Part ll. Also complete this part fc- an: adci?onal information Schedule (Form 990) 2017 732113 1G??l??17 27 SCHEDULE 0 Supplemental Information to Form 990 or 990-EZ (Form 990 or Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information. Department of the Treasury Attach to Form 990 or 990-EZ. Pubiic Internal Revenue Service Go to for the latest information. MM i8,? 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 11B: 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 Schedule 0 (Form 990 or QQO-EZ) (2017) 732211 09?074? 28 14471008 796448 08041 2017.04030 CROSSROADS GRASSROOTS POLIC 08041?ml Schedule 0 (Form 990 or QQO-EZ) (2017) 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: THEY ARE NOT MADE AVAILABLE TO THE PUBLIC. FORM 990, PART VII, SECTION A: STEVEN LAW AND CALEB CROSBY WERE COMPENSATED FOR THEIR ROLES IN THE DAY-TOSDAY OPERATIONS OF THE ORGANIZATION AND NOT AS OFFICERS. STEVEN LAW WORKS AN AVERAGE OF 10 HOURS PER WEEK FOR THE RELATED ORGANIZATION, ONE NATION. CALEB CROSBY WAS PAID THROUGH CFC CONSULTING: $54,000 WAS PAID BY THE ORGANIZATION AND $39,900 WAS PAID BY THE RELATED ORGANIZATION, ONE NATION FORM 990, PART IX, LINE 11G, OTHER FEES: RESEARCH CONSULTING: PROGRAM SERVICE EXPENSES 78,900. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 78,900. :32212 09-074? 2 9 Schedule 0 (Form 990 or 990-523 {2017} 14471008 796448 08041 2017.04030 CROSSROADS GRASSROOTS POLIC 08041__1 Scheduie 0 (Form 990 or QQO-EZ) {2017) Page 2 Name of the organization Employer identification number CROSSROADS GRASSROOTS POLICY STRATEGIES 27-2753378 COMMUNICATIONS CONSULTING: PROGRAM SERVICE EXPENSES 13,750. MANAGEMENT AND GENERAL EXPENSES 0. EXPENSES 0. TOTAL EXPENSES 13,750. ISSUE CONSULTING: PROGRAM SERVICE EXPENSES 219,733. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 219,733. TOTAL OTHER FEES ON FORM 990, PART IX, LINE 11G, COL A 312,383. FORM 990, PART XII, LINE 2C: THE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. PART LINE 4A AND 4B TOTAL EXPENSES FOR THESE PROGRAM SERVICES INCLUDE AN ALLOCATION OF OVERHEAD, SALARIES AND CONSULTING EXPENSES. 732212 09-07-1? Schedule 0 {Form 990 or QQO-EZ) (2017} 30 14471008 796448 08041 2017.04030 CROSSROADS GRASSROOTS POLIC 08041*_1 OMB No. 1545-0047 2017 Gpmtopuh?c SCHEDULE Related Organizations and Unrelated Partnerships (Form 990) 5 Complete if the organization answered "Yes" on Form 990. Part IV, line 33, 34, 35b, 36, or 37. Attach to Form 990. Go to for instructions and the .atest information. . .. .. 3- Name of the organization Employer identification number CROSSROADS GRASSROOTS POLICY STRATEGIES 27-2753378 1 Patti Identification of Disregarded Entities. Complete if the organization answered ?Yes" on Form 990, Part IV, lire 33. lb) (Cl id} (El if} Name, address, and EIN {if applicable) Primary activity Legal domicile (State or Total income End-o?-year assets Direct controlling of disregarded entity foreign country} entity Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 99-3, Part line 34 because it had one 0' mo?e rdated tax-exempt organizations during the tax yearSection 2(bii?13) Name. address, and EIN Primary Legai domicne (state or Exempt Code Public cha-ity Direct cmtrolling convened of related organization foreign country) section status (if section entity entity? 501 Yes No . Patti? ONE NATION 27.193796]. 45 HILL STE 100 WARRENTON, VA 20186 SOCIAL WELFARE VIRGINIA (4) For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule [Form 990} 2017 732151 09-11-1? LHA 31 27?2753378 Page2 CROSSROADS GRASSROOTS POLICY STRATEGIES Schedule (Form 990) 2017 Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Pat IV, lire 34, because it ?ad ore or more related (fl is! lil (ii Snare 0f Code General 0" Percentage amount in box partner? organizations treated as a partnership during the tax year. id) Snare of tot a end-of-year allmm? managing ownership 20 of Scriedule (bl (Ci Leg?" Direct controlling Predominantincome (related, Jnrelated, ncome aSSetS Yes No K-tiForm1065) Ye No Name. address, and EIN Primary activity domicile entit (State excluded from tax under sections 512?514) of related organization foreign country} Part IV organizations treated as a corporation or trust during the tax year. (6) id} [El (fl is) Name, address, andElN Primary activity Legal domicile Direct controllhg Type of entity Share of total Share of Percentage 512mm) of related organization (state or entity (C corp, 8 corp, income end-ofvyea' ownership Controlled l:greign or trust) assets entity. "mm Yes No identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization arswered "Yes? on Form 990, Part IV, lhe 3:1. because it had one or more related (M Section Schedule [Form 99012017 32 F32162 09-11?1? Schedule Ft (Form 990} 2017' CROSSROADS GRASSROOTS POLICY STRATEGIES Transactions With Related Organizations. Complete if the organization answered ?Yes" on Form 990, Part line 34, 35b. or 36. 27?2753378 Page 3 Note: Complete line 1 if any entity is listed in Parts II, or IV of this schedule. Yes 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? Receipt or interest. annuities, rovatties. or (iv) rent from a controlled entity Gift. grant. or capital contribution to rotated organizations) Gift. grant? 0' capital contribution from "3'3th organization(s) Loans or loan guarantees to or for related organizations} Loans or loan guarantees by related organizationiS) Dividends from related organizati0n(S) Sale of assets to related organizationiS} Purchase of assets from related organization-(s) Exchange of assets with related organizationm) Lease of facilities. equipment. or other assets to related organization(5) Lease of facilities. equipment, or other assets from related organizationis} Performance of services or membership or fundraising solicitations for related organization{s) Performance of services or membership or fundraising solicitations by related organizationm) Sharing of iacili as equipment. mailing lists. or other assets with related organizationis) Sharing of paid employees with related organization(5) Reimbursement paid to related organizationiS) for expenses Reimbursement paid by related organizatioms) for expenses Other transfer of cash or property to related organizationts} Other transfer of cash or property from related organization{the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered retationships and transaction threshotds. la) . (C) Name of related organization Transaction Amount involved W99 N'ethod of determining amount involved (1) ONE NATION 82,981. ONE NATION 0 524,459. ONE NATION 56,605. l4} til 1"32163 09-11?1?? 33 Schedule {Form 990) 2017 Schedule (Form 990) 2017 CROSSROADS GRASSROOTS POLICY STRATEGIES Page 4 PartVf 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 t'ian five percent 0? its activities (measured by :otal assets or gross revenue) that was not a related organization See instructions regarding exclusion for certain investment partnerships (Ci ldi Ale)? (9) (M ii) Name, address, and EIN Primary activity Legal domicile PretliOthnant pann?gsec Share of Share of mgr-mm- Code J-UBI General or Percentage - re a a 501' 3 lnraE n1 managln ol entity (state or foreign exriluded from tax under orig?? total end-ofvyear mam?5? partner? country) sections 512-514} Yes NO 'ncome assets Yes No (Form 1065} Yes No Schedule [Form 990) 2017 F32164 09-11-17 34 Schedule (Eorm 990} 2017 CROSSROADS GRAS SROOTS POLICY STRATEGIES page 5 Supplemental Information. Provide additional information for responses to questions on Schedule Fi. See instructions. 732165 09?11?1? Schedule {Form 990) 2017 3 5 14471008 796448 08041 2017.04030 CROSSROADS GRASSROOTS POLIC 08041?1 Form 8868 Application for Automatic Extension of Time To File a (Her-January 2017) Exempt Organization Return Department of the Treasury File a separate application for each return. Internal Revenue Service I Information about Form 8868 and its instructions is at . OMB No. 1545-1709 Electronic filing You can electronically file Form 8868 to request a 6-month automatic extension of time to file any of the forms listed below with the exception of Form 8870, Information Return for Transfers Associated With Certain Personal Benefit Contracts, for which an extension request must be sent to the IRS in paper format (see instructions). For more details on the electronic filing of this form, visit click on Charities Non-Profits, and click on e-?le for Charities and Non?Profits. Automatic 6-Month thension of Time. Only submit original (no copies needed). All rnquirnrl tn file an tax return other than 000 (Including 1120-0 filers), partnerships, and trusts must use Form 2004 to request an extension 01 time to file Income tax returns. Enter filer?s identifying number Type or Name of exempt organization or other filer, see instructions. Employer identification number (EIN) or print File by the CROSSROADS GRASSROOTS POLICY STRATEGIES due date for Number, street, and room or suite no. If a PO. box, see instructions. Social security number (SSN) gigging; 4 5 HILL DRIVE STE 1 0 0 instructions City, town or post office, state, and ZIP code. For a foreign address, see instructions. WARRENTON VA 2 0 1 8 6 Enter the Return Code for the return that this application is for (file a separate application for each return) I 1 I Application Return Application Return Is For Code I: For Code Form 990 or Form 990-EZ 01 Form 990-T @onaoration) 07 Form QQO-BL 02 Form 1041-A 08 Form 4720 (individual) 03 Form 4720 (other than individual) 09 Form 990-PF 04 Form 5227 10 Form QQO-T (sec. 401 or 408(a) trust) 05 Form 6069 11 Form 990T (trust other than above) 06 Form 8870 12 CALEB CROSBY I The books are in the care of 45 HILL DRIVE 1. STE 10 0 WARRENTON VA 2 0 1 86 TelephoneNo.D? 202?705?7051 FaxNo. 0 If the organization does not have an office or place of business in the United States, check this box l:i If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN) . it this is for the whole group, check this box . If it is for part of the group, check this box El and attach a list with the names and EINs of all members the extension is for. 1 request an automatic 6-month extension of time until NOVEMBER file the exempt organization return for the organization named above. The extension is for the organization?s return for: I calendar year 2 0 1 7 or I tax year beginning and ending 2 If the tax year entered in line 1 is for less than 12 months, check reason: l_l Initial return i_i Final return Change in accounting period Ga If this application is for Forms QQO-BL, QQO-PF, QQO-T, 4720, or 6069, enter the tentative tax, less any nonrefundable credits. See instructions. 3a 0 - If this application is for Forms QQO-PF, 990T, 4720, or 6069, enter any refundable Credits and estimated tax payments made. Include any prior year overpayment allowed as a credit. 3b 0 - Balance due. Subtract line 3b from line 3a. Include your payment with this form, if required. by using (Electronic Federal Tax Payment System). See instructions. 30 0 - Caution: If you are going to make an electronic funds withdrawal (direct debit) with this Form 8868, see Form 8453-EO and Form 8879-EO for payment instructions. LHA For Privacy Act and Paperwork Reduction Act Notice, see instructions. Form 8868 (Rev. 1-2017) 72384 1 04?01-17 36 14471008 796448 08041 2017.04030 CROSSROADS GRASSROOTS POLIC 08041?1