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
VASHON YOUTH AND FAMILY SERVICES
Employer identification number
91-1025994
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.") ....
534,649
540,741
651,139
646,104
850,627
3,223,260
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..
534,649
540,741
651,139
646,104
850,627
3,223,260
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.
3,223,260
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..
534,649
540,741
651,139
646,104
850,627
3,223,260
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
4,997
4,946
4,029
3,228
859
18,059
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..
1,150
6,079
1,768
8,491
5,354
22,842
11
Total support (Add lines 7 through 10).
3,264,161
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
144,946
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
98.750 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
98.400 %
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
VASHON YOUTH AND FAMILY SERVICES
Employer identification number
91-1025994
Identifier
Return Reference
Explanation
ORGANIZATION'S MISSION
FORM 990 - ORGANIZATION'S MISSION
THE ORGANIZATION STRIVES TO EMPOWER ISLAND FAMILIES TO RAISE THRIVING, RESILIENT CHILDREN AND YOUTH, BY FOSTERING A COMMUNITY OF EMOTIONALLY HEALTHY, RESOURCEFUL FAMILIES AND INDIVIDUALS. IT FULFILLS THIS MISSION THROUGH A VARIETY OF SOCIAL SERVICES FOR CHILDREN AND FAMILIES THAT ULTIMATELY CENTER ON THE WELLNESS OF A FAMILY'S CHILD. SERVICES INCLUDE: SCHOOL-BASED EMOTIONAL INTELLIGENCE AND SUPPORT FOR AT RISK STUDENT PROGRAMS; INDIVIDUAL AND FAMILY COUNSELING; HOMELESS ASSISTANCE; PARENTING SUPPORT; BEFORE AND AFTER SCHOOL CHILD CARE, AND; SUBSTANCE ABUSE TREATMENT AND AWARENESS.
EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS
FORM 990, PAGE 1, PART I, LINE 6
VOLUNTEERS FOR VASHON YOUTH AND FAMILY SERVICES PRIMARILY DIRECTLY SUPPORT PROGRAMS AND EVENTS DELIVERED BY THE ORGANIZATION. THE VOLUNTEER COUNT IS A COMPILATION OF DATA FROM PROGRAMS CONDUCTED BY VASHON YOUTH AND FAMILY SERVICES.
ANY SIGNIFICANT NEW PROGRAM SERVICES NOT LISTED ON A PRIOR RETURN
FORM 990, PAGE 2, PART III, LINE 2
IN 2010 VASHON YOUTH AND FAMILY SERVICES IMPLEMENTED A NEW PROGRAM, BEFORE AND AFTER SCHOOL CARE, SERVING THE FAMILIES OF VASHON ISLAND. IT IS THE ONLY PROGRAM OF ITS KIND ON THE ISLAND. SEE PROGRAM SERVICES LINE 4B.
FIRST ACHIEVEMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4A
SPECIALIZING IN YOUTH SUBSTANCE ABUSE PREVENTION, INTERVENTION, ASSESSMENTS, OUTPATIENT TREATMENT AND AFTERCARE SUPPORT. SERVICES WERE PROVIDED TO 30 INDIVIDUALS AND FAMILIES.
ALL OTHER ACHIEVEMENTS DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4D
OTHER GRANTS: THE VIVA PROGRAM, LIFE MEETING ISLANDERS BASIC NEEDS, HAS SERVED RESIDENTS OF VASHON AND MAURY ISLAND SINCE 1996. THE PROGRAM PROVIDES FAMILIES AND INDIVIDUALS IN FINANCIAL CRISIS WITH HELP WITH BASIC NEEDS. ASSISTANCE INCLUDES VOUCHERS OR SMALL GRANTS FOR SHELTER, UTILITIES, FOOD, TRANSPORTATION, AND OTHER NEEDS. VIVA STAFF WORK CLOSELY WITH OTHER CHARITABLE ORGANIZATIONS AND PROVIDES REFERRALS TO OTHER COMMUNITY RESOURCES. 109 HEAD OF HOUSEHOLDS AND 236 INDIVIDUALS WERE PROVIDED ASSISTANCE WITH EMERGENY SUPPORT, AND 59 HEAD OF HOUSEHOLDS AND 131 INDIVIDUALS WERE ASSISTED WITH HOUSING SUPPORT. THE DRUG FEE COMMUNITIES GRANT (DFC) IS A COLLABORATIVE EFFORT WITH VASHON HEALTHY COMMUNITY NETWORK. THE PRIMARY FOCUS OF THE DFC IS; REDUCE SUBSTANCE ABUSE AMOUNG YOUTH THROUGH THE USE OF ENVIRONMENTAL STRATEGIES; AND ESTABLISH AND STRENGTHEN COLLABORATION AMOUNG COMMUNITIES, PRIVATE NONPROFIT AGENCIES AND FEDERAL, STATE, LOCAL AND TRIBAL GOVERNMENTS TO SUPPORT THE EFFORTS OF COMMUNITY COALITIONS TO PREVENT AND REDUCE SUBSTANCE ABUSE AMONG YOUTH. DFC STAFF HAVE GIVEN PRESENTATIONS ON THEIR WORK AND THE GRANT TO COMMUNITY ORGANIZATIONS; PARTICIPATED IN 5 COALITIONS MEETINGS, WHICH IS A GATHERING OF ALL WASHINGTON STATE DRUG FREE COMMUNITIES GRANTEES; AND HAVE COORDINATED WITH OTHER VASHON YOUTH AND FAMILY SERVICES PROGRAMS. 6 COMMUNITY WIDE EVENTS WERE PARTNERED AND HOSTED BY DFC, WHICH ACCOMPLISHED THE PRIMARY FOCUS OBJECTIVES IDENTIFIED ABOVE.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
PRIOR TO FILING, THE FORM 990 IS PRESENTED TO THE BOARD TREASURER AND FINANCE COMMITTTEE FOR REVIEW BEFORE PRESENTATION TO THE FULL BOARD. AT THE NEXT BOARD MEETING, AFTER DISCUSSION AND REVIEW, THE RETURN IS ACCEPTED PRIOR TO FILING. SUCH ACCEPTANCE IS TO BE REFLECTED IN THE BOARD MINUTES.
ENFORCEMENT OF CONFLICTS POLICY
FORM 990, PAGE 6, PART VI, LINE 12C
IDENTIFIED PARTIES ARE REQUIRED TO ANNUALLY COMPLETE AND SIGN A CONFLICT OF INTEREST STATEMENT. THIS STATEMENT AND POLICY IS INCLUDED IN EACH BOARD MEMBERS "BOARD PACKET", AND THE POLICY IS REVIEWED BY THE FULL BOARD.
COMPENSATION PROCESS FOR TOP OFFICIAL
FORM 990, PAGE 6, PART VI, LINE 15A
BOARD MEMBERS PERFORM A REVIEW OF THE EXCECUTIVE DIRECTOR AND ESTABLISH COMPENSATION. COMPENSATION IS BASED UPON AN ANALYSIS OF VARIOUS PUBLISHED SALARY REPORTS WHEREBY PUBLISHED DATA IS RESEARCHED AND REVIEWED. AS PART OF THE ANNUAL APPROVAL OF THE OPERATING BUDGE, THE BOARD OF DIRECTORS APPROVE SALARY INCREASES AT THE AGENCY LEVEL.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
THE ORGANIZATION HAS NOT ESTABLISHED A POLICY REGARDING THE RELEASE OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS TO THE GENERAL PUBLIC.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.