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
NYSARC Inc Wayne County Chapter
Employer identification number
23-7540582
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.") ....
6,780,704
5,922,430
5,833,665
5,382,309
5,881,920
29,801,028
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..
6,780,704
5,922,430
5,833,665
5,382,309
5,881,920
29,801,028
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)..
6
Public Support. Subtract line 5 from line 4.
29,801,028
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..
6,780,704
5,922,430
5,833,665
5,382,309
5,881,920
29,801,028
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
274,317
309,321
258,083
151,489
143,590
1,136,800
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..
1,361,119
1,030,910
918,151
891,840
981,340
5,183,360
11
Total support (Add lines 7 through 10).
36,121,188
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
66,076,898
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
82.500 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
82.700 %
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
NYSARC Inc Wayne County Chapter
Employer identification number
23-7540582
Identifier
Return Reference
Explanation
Form 990, Part VI, Section A, line 6
The Organization has members in accordance with NYSARC Inc. guidelines. Memberships help children and adults with developmental disabilities realize their full potential. NYSARC, Inc. is a unitary corporation consisting of its 55 Chapters. NYSARC, Inc., Wayne County Chapter is one division of the corporation. The Corporation and Chapter's governing body is the Board of Governors representing the individual membership in each Chapter's jurisdiction. Each Chapter has from 1 to 6 governors based on membership. The Corporation through Article VI Section 3 of its bylaws delegates day-to-day operating authority to the Chapter's Board of Directors. The Executive Committee of the Board of Governors (see Part VI, Line 7a below) comprises the Corporation's elected officers and exercises all powers of the Board of Governors between plenary meetings of the Governors.
Form 990, Part VI, Section A, line 7a
Members vote for officers and Board of Directors at the annual meeting. The Delegate Assembly, which represents NYSARC's 70,000 members, elects the Corporation President, Secretary, Treasurer and Assistant Treasurer to 1-year terms. Delegates elect regional Vice Presidents to 1-year terms from their respective regions. The Board of Governors elects one vice-president, Senior Vice President.
Form 990, Part VI, Section A, line 7b
The By-laws allow for the members to review an action of the Board, and such action may be revised, altered or rescinded by a vote of two-thirds of members present provided that no irrevocable rights of third parties will be affected thereby. Chapter By-law amendments are subject to Board of Governor approval. Any action of the Board of Governors may be reviewed at the succeeding Delegate Assembly. No action of the Governors that affects the irrevocable rights of third parties may be rescinded. Corporate bylaw amendments are subject to approval by a majority of Chapters.
Form 990, Part VI, Section B, line 11
The Board of Governors does not review Chapters' Form 990s before they are filed. Each individual Chapter submits a copy of its Form 990 to the corporation's Board of Governors when the Form 990 is filed by the Chapter. Each Chapter must have a policy and procedure process for its Board of Directors to review the Chapter's Form 990. The Wayne County Chapter's process is as follows: A draft copy was provided to the Audit Committee for further review. They then provided their comments and authorized the Board of Directors to approve after their review and comment to the Organization prior to filing.
Form 990, Part VI, Section B, line 12c
Employees and the Board of Directors complete a conflict of interest form annually. The Organization's Corporate Compliance Officer reviews all forms and reports results to the Board of Directors. All NYSARC Chapters are subject to compliance with the provisions of the Chapter Manual, Rules, Regulations and Polices of the Board of Governors that delineates the policies and procedures of the Board of Governors.
Form 990, Part VI, Section B, line 15
The Executive Director's salary is researched using Economic Research Institute Database, discussions with other outside parties and then approved by the Board of Directors. All other top management salaries are determined by the Executive Director, and then approved by the Board of Directors through the budget process.
Form 990, Part VI, Section C, line 19
All required public disclosure documents are made available to the public in the Director of Financial Service's office during regular business hours.
See attached list of Officers and Governors, may be reached at NYSARC, Inc. 393 Delaware Ave, Delmar, NY 12054: Albany Milton Kaplan Jeffrey Platt Allegany Linda Clayson Thomas Talbett Benevolent Society (Staten Island) Jerome Isaacs Al Turk Bronx DC Ida Rios Broome-Tioga Vincent Fiacco Denis Wickham Cattaraugus Raphael Smith Chautauqua Vacancy Vacancy Vacancy Vacancy Chemung Maryann Bruner Betty Butz Sue Cunningham Chenango Vacancy Clinton Gilbert Duken Jill Abdallah Dr. James Ashe Cynthia Lacki Marrilee Hamlin Mary Skillan Columbia Jennifer Harvey Dorothy Wheeler Community League Wassaic DC Rosemary Cella Donald Geer Delaware Luella Rogers Ruth Vitale Dutchess Dawn Desmond Mark Metzger, Esq. Erie Donna L. Burden, Esq. Scott Gorski Essex Gerald Edwards Marla Rodriguez Franklin-Hamilton Gail Perry Robert Kleppang Fulton Judy Schelle Genesee Thelma Montreal Candie Pocock Herkimer Ronald George Gary Ruff Jefferson Betty Bresler Deborah Vink Livingston-Wyoming Cheryl Englert Marcy VanZandt Madison-Cortland Randy Schaal Eric Stickels Monroe Maythorne Winterkorn Mary Beth Wunsch Montgomery Sally Romano Joel Kaplan Nassau Rady Bruell Howard Jurist Jack Garofalo Dorothy Lenowicz Saundra Gumerove Harriet Traversa New York City Laura Kennedy Charles King Genevieve O'Neil Arlene Pedone Edith Niedert Marilyn Jaffe-Ruiz Niagara Marie-Therese Frieri Donald Smith Oneida-Lewis Dr. John Kowalczyk Ruth Ridgway Onondaga Vacancy Joyce Carmen Gordon Eyer Ontario Vacancy Joseph M. Bognanno Orange Joanne Grant Orleans Rev. Ken Degnan Marlene Hill Oswego Lenoard Kellogg Mary Ann Barbarino Otsego Walter Hogan Putnam Laura Dodge Heather Strickland Susan Lucas Rensselaer Edie Hall Henrietta Messier Rockland Karen Feinstein Dr. Irving Caminsky Susan Conklin Sonia Crannage, Esq Audrey Tarantino Gisela Schmidt Rome D.C. Vacancy St. Lawrence Vacancy Patricia Campanella Caroyln Smith Saratoga Vacancy Patricia Poklemba Robert DeSio Schenectady Patricia Ross Bella Stuart Schoharie Roberta Brooks Denyea Wilms Schuyler Harold Hoffmeier Gary Herzig Seneca-Cayuga John Becker, II Rose Palmieri Steuben Paul Greenfield Arthur Stilwell Mischelle Shattuck Suffolk Joseph Del Broccolo Fred K. Salzberg James McEneaney Kenneth Walker Sullivan Steven Drobysh Irene Kirtack Ulster-Greene Robert Boening Thomas Hitchcock Warren-Washington Anne Marie Lockhart Vacancy Wayne Carol Kenyon Joseph Van Haelst Welfare League(Letchworth Village D.C.) Nelva Turek Dian Cifuni Westchester Mohan Mehra Sheryl Frishman Jerry Shenkman Anthony Assalone West Seneca D.C. Ellen Owens Mary Ellen Murphy Yates Greg Booth
Changes in Net Assets or Fund Balances:
Form 990, Part XI, line 5:
Net unrealized gains on investments: 115,240. Other 15,957. Total to Form 990, Part XI, Line 5: 131,197.
The Organization chartered an Audit Committee to oversee the financial statement audit and review of Federal Form 990. The Audit Committee reviewed the results of the audit and Federal Form 990 prior to the Board of Directors and made a recommendation to the Board to accept.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.