Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
CATHOLIC CHARITIES DIOCESE OF FORT WORTH INC
Employer identification number
75-0808769
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization?
................
11g(i)
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of support?
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
10,111,576
10,801,333
11,309,754
11,739,558
16,228,728
60,190,949
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3..
10,111,576
10,801,333
11,309,754
11,739,558
16,228,728
60,190,949
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
61,607
6
Public Support. Subtract line 5 from line 4.
60,129,342
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
7
Amounts from line 4..
10,111,576
10,801,333
11,309,754
11,739,558
16,228,728
60,190,949
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
3,724
9,365
70,173
20,620
755
104,637
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
9,187
35,680
3,798
2,043
34,316
85,024
11
Total support (Add lines 7 through 10).
60,380,610
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
4,079,312
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
99.580 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
99.610 %
16a
33 1/3% support test—2010.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2009.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2009.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public Support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13
Total support (Add lines 9, 10c, 11 and 12.).
14
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f))
.........
15
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2010.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
..........
b
33 1/3% support tests—2009.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2010
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
CATHOLIC CHARITIES DIOCESE OF FORT WORTH INC
Employer identification number
75-0808769
Identifier
Return Reference
Explanation
FORM 990, PART VI, SECTION A, LINE 6
THERE IS ONLY ONE CLASS OF MEMBERS IN CATHOLIC CHARITIES AND SAID MEMBERS ARE ALL VOTING MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7A
THE MEMBERS HAVE THE POWER TO ELECT THE DIRECTORS OF CATHOLIC CHARITIES AND TO FILL VACANCIES ON THE BOARD OF DIRECTORS
FORM 990, PART VI, SECTION A, LINE 7B
THE MEMBERS HAVE ALL RIGHTS, POWERS AND AUTHORITY ALLOWED OR GIVEN TO THE MEMBERS BY THE TEXAS NON-PROFIT CORPORATION ACT. IN ADDITION TO THE RIGHTS, THE FOLLOWING POWERS ARE RESERVED EXCLUSIVELY FOR THE MEMBERS AND NO ATTEMPTED EXERCISE OF ANY SUCH POWERS BY ANYONE OTHER THAN THE MEMBERS SHALL BE VALID OR OF ANY FORCE OR EFFECT WHATSOEVER: 1. TO DETERMINE THE MISSION AND IDENTITY OF CATHOLIC CHARITIES AND APPROVE LONG RANGE PLANS AS THEY RELATE TO THE MISSION AND IDENTITY; 2. TO ELECT THE DIRECTORS OF CATHOLIC CHARITIES AND TO FILL VACANCIES ON THE BOARD OF DIRECTORS; 3. TO ADOPT, AMEND, ALTER, MODIFY, SUSPEND AND REPEAL THE ARTICLES OF INCORPORATION AND THE BYLAWS; 4. TO APPROVE THE PURCHASE, SALE, LEASE, TRANSFER, ENCUMBRANCE, CONSTRUCTION, OR DESTRUCTION OF LAND AND BUILDINGS OWNED BY CATHOLIC CHARITIES OR IN WHICH CATHOLIC CHARITIES HAS LEGAL OR EQUITABLE TITLE; 5. TO APPROVE MERGERS, CONSOLIDATIONS, OR AFFILIATIONS OR CATHOLIC CHARITIES WITH ANY OTHER ORGANIZATION; 6. TO ADOPT THE PLAN OF DISTRIBUTION OF ASSETS UPON DISSOLUTION IN ACCORD WITH APPLICABLE FEDERAL AND STATE LAW; 7. TO APPROVE PUBLIC FUND-RAISING CAMPAIGNS IN THE NAME OF CATHOLIC CHARITIES; 8. TO PARTICIPATE IN THE SEARCH AND EVALUATION COMMITTEE OF THE EXECUTIVE DIRECTOR; AND 9. TO APPROVE THE SELECTION AND HIRING OF THE EXECUTIVE DIRECTOR.
FORM 990, PART VI, SECTION B, LINE 11
REVIEW OF THE FORM 990 BEGINS AT THE CEO/PRESIDENT AND CFO/VP OF ADMINISTRATION LEVEL FOR ACCURACY OF INFORMATION. THE 990 IS THEN PRESENTED TO THE FINANCE COMMITTEE OF THE BOARD FOR REVIEW AND RECOMMENDATION TO THE FULL BOARD OF DIRECTORS BASED ON THEIR REVIEW OF THE DOCUMENTS.
FORM 990, PART VI, SECTION B, LINE 12C
MONITORING OF CONFLICTS OF INTEREST THE CONFLICT OF INTEREST POLICY REQUIRES THAT EACH NEW BOARD MEMBER AND EMPLOYEE REVIEW THE POLICY AND ANNUALLY DISCLOSE ANY POTENTIAL CONFLICTS. ADDITIONALLY, THE POLICY STATES THAT INFORMATION REGARDING BUSINESS INTERESTS OF A BOARD DIRECTOR, EMPLOYEE, OR FAMILY MEMBER WILL BE TREATED AS CONFIDENTIAL AND SHALL GENERALLY BE MADE AVAILABLE ONLY TO THE CHAIR OF THE BOARD, THE PRESIDENT, AND ANY COMMITTEE APPOINTED TO ADDRESS CONFLICTS OF INTEREST, EXCEPT TO THE EXTENT ADDITIONAL DISCLOSURE IS NECESSARY IN CONNECTION WITH THE IMPLEMENTATION OF THIS POLICY. OUR PQI PLAN STATES THE ADMINISTRATION COMMITTEE HAS RESPONSIBILITY FOR REVIEWING CONFLICTS OF INTEREST. THE COMMITTEE HANDLES THE REVIEW OF CONFLICTS OF INTEREST AS PART OF THEIR QUARTERLY MEETINGS AND INDIVIDUAL COMMITTEE MEMBER HAS BEEN ASSIGNED RESPONSIBILITY FOR REVIEWING AND REPORTING OF THESE ITEMS.
FORM 990, PART VI, SECTION B, LINE 15A
THE CEO/PRESIDENT'S SALARY AND BENEFITS ARE APPROVED AT THE BOARD OF DIRECTOR'S LEVEL WHICH IS SPELLED OUT IN ARTICLE X - 10.9 UNDER THE EXECUTIVE COMMITTEE RESPONSIBILITIES IN THE AGENCY BY-LAWS. THE EXECUTIVE COMMITTEE IS RESPONSIBLE FOR COMPLETING A YEARLY PERFORMANCE EVALUATION BASED ON THE CEO/PRESIDENT'S JOB DESCRIPTION AND OTHER EXCELLENCE PLAN ITEMS ESTABLISHED AT THE BEGINNING OF EACH PERFORMANCE EVALUATION PERIOD. THE EXECUTIVE COMMITTEE IS THEN RESPONSIBLE FOR MAKING A RECOMMENDATION TO THE FULL BOARD OF DIRECTORS FOR SALARY AND FRINGE INCREASES FOR THE CEO/PRESIDENT. THE SALARY AND FRINGE RECOMMENDATIONS ARE BASED ON PERFORMANCE AND INDUSTRY SURVEY GUIDELINES FOR SIMILAR EXECUTIVE DIRECTOR POSITIONS IN THE SOCIAL SERVICE NON-PROFIT SECTOR. VARIOUS NON-PROFIT SURVEYS ARE USED TO EVALUATE THIS. OTHER MANAGEMENT EXECUTIVES ARE EVALUATED ON A SIMILAR PROCESS BUT AT THE CEO/PRESIDENT LEVEL. THE CEO/PRESIDENT IS RESPONSIBLE FOR COMPLETING A YEARLY PERFORMANCE EVALUATION OF THE VPS ON THE MANAGEMENT TEAM BASED ON THEIR JOB DESCRIPTION AND OTHER EXCELLENCE PLAN ITEMS ESTABLISHED AT THE BEGINNING OF EACH PERFORMANCE EVALUATION PERIOD. THE CEO/PRESIDENT IS THEN RESPONSIBLE FOR MAKING SURE THE AGENCY BUDGET WILL COVER THE RECOMMENDED RAISES. SALARY RANGE LEVELS ARE ESTABLISHED FOR EACH LEVEL OF THE ORGANIZATION THROUGH AN AGENCY PAY GRADE SYSTEM. THE BOARD OF DIRECTORS ARE RESPONSIBLE FOR THE APPROVAL OF THE BUDGET FOR THE AGENCY WHICH WOULD INCLUDE THESE RAISES.
FORM 990, PART VI, SECTION C, LINE 19
CATHOLIC CHARITIES, DIOCESE OF FORT WORTH, INC. MAKES THE AGENCY FINANCIAL STATEMENTS AND FORM 990 AVAILABLE THROUGH GUIDESTAR.ORG EACH YEAR AFTER COMPLETION OF THE AUDIT. THESE ITEMS PLUS THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE MADE AVAILABLE FOR REVIEW AT THE 249 W. THORNHILL DRIVE, FORT WORTH, TX 76115 LOCATION DURING NORMAL BUSINESS HOURS OF THE AGENCY.
CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 5:
PRIOR PERIOD ADJUSTMENTS: -18,888.
AUDIT OVERSIGHT
FORM 990, PART XII, LINE 2C
THE ORGANIZATION HAS AN AUDIT COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDANT AUDITOR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.