Rich Rapha Consumers Services Inc.

“*PART 1 OF 3*: FORM 990-EZ, PART III- ORGANIZATIONS PRIMARY EXEMPT PURPOSEThe general purpose of the organization will be to operate a charitable organization within the meaning of Section 501 (C) (3) of the Internal Revenue Code of 1986, or the corresponding provision of any future United States Internal Revenue law thereto. The Specific purposes for which this organization is being formed is as follows: The specific purposes (mission) of the organization will be to help give to those whose lives have been disrupted by mental illness the opportunity to recover meaningful work and relationships as they reintegrate into the broader community. Our goal (vision) is to develop a community of such recovery, hope and dignity for them. (CONTINUED ON NEXT SCHEDULE X) *PART 2 OF 3*: FORM 990-EZ, PART III- ORGANIZATIONS PRIMARY EXEMPT PURPOSEWe desire to develop the individuals by focusing on building their strengths rather than just managing their mental illness. We plan to offer a variety of supporting services to that end. We will follow the Clubhouse International Program model, recognized as an evidence based program by the Substance Abuse and Mental Health Services Administration (SAMHSA). This program model has been successful in reducing the rate of hospitalization and incarcerations, and in securing longer-term and better paid employment for its members. More than 330 Clubhouses in 35 countries around the world follow this program model. (CONTINUED ON NEXT SCHEDULE X) *PART 3 OF 3*: FORM 990-EZ, PART III- ORGANIZATIONS PRIMARY EXEMPT PURPOSEOur Clubhouse is a membership community for individuals living with serious mental illnesses, including schizophrenia, bipolar disorder, major depression, schizoaaffective disorder, PTSD, and anxiety disorders. Individuals join our Clubhouse as members to volunteer their time, learn new skills and rebuild old ones, find jobs in the community, socialize and assist each other. Membership is free. A big part of our program is helping members prepare for and obtain competitive employment in the community. The Clubhouses Employment Unit develops partners in the community for Transitional and Supported Employment positions for our members. We also assist members in obtaining Independent Employment positions.(END) *PART 1 OF 3*: FORM 990-EZ, PART III- STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSThe general purpose of the organization will be to operate a charitable organization within the meaning of Section 501 (C) (3) of the Internal Revenue Code of 1986, or the corresponding provision of any future United States Internal Revenue law thereto. The Specific purposes for which this organization is being formed is as follows: The specific purposes (mission) of the organization will be to help give to those whose lives have been disrupted by mental illness the opportunity to recover meaningful work and relationships as they reintegrate into the broader community. Our goal (vision) is to develop a community of such recovery, hope and dignity for them. (CONTINUED ON NEXT SCHEDULE X) *PART 2 OF 3*: FORM 990-EZ, PART III- STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSWe desire to develop the individuals by focusing on building their strengths rather than just managing their mental illness. We plan to offer a variety of supporting services to that end. We will follow the Clubhouse International Program model, recognized as an evidence based program by the Substance Abuse and Mental Health Services Administration (SAMHSA). This program model has been successful in reducing the rate of hospitalization and incarcerations, and in securing longer-term and better paid employment for its members. More than 330 Clubhouses in 35 countries around the world follow this program model. (CONTINUED ON NEXT SCHEDULE X) *PART 3 OF 3*: FORM 990-EZ, PART III- STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSOur Clubhouse is a membership community for individuals living with serious mental illnesses, including schizophrenia, bipolar”

“Description AmountEDUCATION AND TRAINING 7,482TRAVEL 6,249COMPUTER 249MEALS & ENTERTAINMENT 219OFFICE SUPPLIES 95TELEPHONE 395AUTO 9,204SUPPLIES 845SEMINAR 1,750”

“Category Beginning of Year End of YearLOAN FROM BASILE 11,847 39,025”

“FORM 990-EZ, PART V - REGARDING TRANSFERS ASSOCIATED WITH PERSONAL BENEFIT CONTRACTS(a) DID THE ORGANIZATION, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT?................................................................................ NO(b) DID THE ORGANIZATION, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT?................................................................................ NO”