Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 01-01-2010 and ending 12-31-2010
BCheck if applicable:
CName of organization
WASHBURN CENTER FOR CHILDREN
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
2430 NICOLLET AVE SOUTH
 
Room/suite
City or town, state or country, and ZIP + 4
MINNEAPOLIS, MN55404
D Employer identification number

41-0711618
E Telephone number

G Gross receipts $ 10,011,968
F Name and address of principal officer:
STEVE LEPINSKI
2430 NICOLLET AVE SOUTH
MINNEAPOLIS,MN55404
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.WASHBURN.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1883
M State of legal domicile: MN
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: TO HELP CHILDREN WITH SOCIAL, EMOTIONAL AND BEHAVIORAL PROBLEMS, LEAD SUCCESSFUL LIVES.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 20
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 20
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 131
6 Total number of volunteers (estimate if necessary) .... 6 108
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 0
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 1,776,052 2,755,448
9 Program service revenue (Part VIII, line 2g) ......... 4,553,249 5,683,851
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 869,014 189,160
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 24,911 97,984
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 7,223,226 8,726,443
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 0
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 5,274,176 6,182,258
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 83,075
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet640,616    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 1,289,727 1,597,089
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 6,563,903 7,862,422
19 Revenue less expenses. Subtract line 18 from line 12...... 659,323 864,021
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 8,723,810 10,336,591
21 Total liabilities (Part X, line 26)............ 589,740 672,188
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 8,134,070 9,664,403
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: THE WASHBURN CENTER FOR CHILDREN HELPS CHILDREN WITH SOCIAL, EMOTIONAL OR BEHAVIORAL PROBLEMS LEAD SUCCESSFUL LIVES BY PROVIDING DIAGNOSTIC, THERAPEUTIC AND EDUCATIONAL SERVICES TO CHILDREN AND THEIR FAMILIES WHO ARE EXPERIENCING, OR MAY EXPERIENCE, SUCH PROBLEMS.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 1,754,863 including grants of $   ) (Revenue $ 2,119,163 )
THE HOME FRONT PROGRAM PROVIDES INTENSIVE IN-HOME COUNSELING, CRISIS STABILIZATION, AND CASE MANAGEMENT SERVICES FOR FAMILIES WHO HAVE SCHOOL-AGE CHILDREN AT RISK OF HOSPITALIZATION OR OUT-OF-HOME PLACEMENT DUE TO SEVERE EMOTIONAL AND BEHAVIORAL DIFFICULTIES. COMPREHENSIVE SERVICES ARE PROVIDED IN THE HOME, SCHOOL AND/OR COMMUNITY SETTINGS AND MAY INCLUDE DIAGNOSTIC ASSESSMENT, INDIVIDUAL AND FAMILY THERAPY/SKILLS TRAINING, CARE COORDINATION, CASE MANAGEMENT, CRISIS STABILIZATION, PSYCHOLOGICAL EVALUATION AND PSYCHIATRIC SERVICES. THESE SERVICES ARE PROVIDED TO IMPROVE FAMILY FUNCTIONING AND HELP CHILDREN DEVELOP LIFE SKILLS THAT WILL ENABLE THEM TO LIVE SUCCESSFULLY AT HOME AND IN THE COMMUNITY. HOME FRONT SERVED APPROXIMATELY 540 CHILDREN AND FAMILIES IN 2010.
4b (Code:   ) (Expenses $ 1,629,934 including grants of $   ) (Revenue $ 1,026,684 )
THE SCHOOL-BASED PROGRAM PROVIDES COUNSELING AND SUPPPORT FOR CHILDREN AND FAMILIES THROUGH MENTAL HEALTH ASSESSMENT AND TREATMENT. SERVICES ARE INDIVIDUALIZED SO TREATMENT CAN FOCUS ON RESPECTING DIFFERENCES AND BUILDING ON INDIVIDUAL STRENGTHS. THE SERVICES AVAILABLE TO HELP CHILDREN AND FAMILIES MAKE PROGRESS ON TREATMENT GOALS MAY INCLUDE INDIVIDUAL AND FAMILY THERAPY, GROUP THERAPY, PSYCHOLOGICAL EVALUATIONS, PSYCHIATRIC SERVICES AND CARE COORDINATION WITH SCHOOL STAFF AND OTHER PROFESSIONALS THE FAMILY IDENTIFIES. THE SCHOOL-BASED PROGRAM SERVED APPROXIMATELY 500 CHILDREN IN 2010 IN MINNEAPOLIS AND EDEN PRAIRIE PUBLIC SCHOOLS.
4c (Code:   ) (Expenses $ 1,592,754 including grants of $   ) (Revenue $ 1,321,856 )
THE OUTPATIENT PROGRAM, A CLINIC-BASED PROGRAM, PROVIDES COUNSELING AND SUPPORT FOR CHILDREN AND FAMILIES THROUGH MENTAL HEALTH ASSESSMENT AND TREATMENT. SERVICES ARE INDIVIDUALIZED SO TREATMENT CAN FOCUS ON RESPECTING DIFFERENCES AND BUILDING ON INDIVIDUAL STRENGTHS. THE SERVICES AVAILABLE TO HELP CHILDREN AND FAMILIES MAKE PROGRESS ON TREATMENT GOALS MAY INCLUDE INDIVIDUAL AND FAMILY THERAPY, GROUP THERAPY, PSYCHOLOGICAL EVALUATIONS, PSYCHIATRIC SERVICES AND CARE COORDINATION WITH OTHER PROFESSIONALS THE FAMILY IDENTIFIES. THE OUTPATIENT PROGRAM SERVED APPROXIMATELY 1145 CHILDREN AND THEIR FAMILIES IN 2010.
(Code:   ) (Expenses $ 785,675 including grants of $   ) (Revenue $ 669,390 )
DAY TREATMENT IS AN INTENSIVE HALF-DAY, CLASSROOM-BASED TREATMENT PROGRAM DESIGNED TO HELP CHILDREN AGES 3 TO 10 DEVELOP THE SOCIAL, EMOTIONAL AND BEHAVIORAL SKILLS NECESSARY TO BE MORE SUCCESSFUL IN SCHOOL AND AT HOME. COMPREHENSIVE SERVICES ARE PROVIDED, INCLUDING GROUP AND FAMILY THERAPY/SKILLS TRAINING, CARE COORDINATION WITH COMMUNITY PROVIDERS INVOLVED WITH THE CHILD, ESPECIALLY THE SCHOOL, AS WELL AS INDIVIDUAL THERAPY/SKILLS TRAINING, CASE MANAGEMENT AND PSYCHIATRIC SERVICES AS NEEDED. CHILDREN CONTINUE TO ATTEND THEIR COMMUNITY SCHOOL OR PRESCHOOL FOR HALF OF EACH DAY. THE DAY TREATMENT PROGRAM SERVED APPROXIMATELY 80 CHILDREN AND THEIR FAMILIES IN 2010.
(Code:   ) (Expenses $ 580,764 including grants of $   ) (Revenue $ 407,418 )
THE FAMILY FOCUSED PRESCHOOL AND INFANT/TODDLER PROGRAM SERVES FAMILIES WITH CHILDREN FROM BIRTH TO AGE FIVE, LIVING IN HENNEPIN COUNTY, WHO ARE AT RISK FOR ABUSE OR NEGLECT DUE TO HIGH LEVELS OF FAMILY STRESS. IN-HOME THERAPEUTIC SERVICES, GROUPS FOR PARENTS AND CHILDREN, AND CASE COORDINATION ARE PROVIDED. A THERAPEUTIC PRESCHOOL CLASSROOM IS AVAILABLE FOR CHIILDREN AGES 3 TO 5 WHO LIVE IN THE MINNEAPOLIS AREA. THE GOALS OF THE PROGRAM ARE TO STRENGTHEN FAMILIES, REDUCE STRESS AND RISK FACTORS FOR ABUSE OR NEGLECT, SUPPORT YOUNG CHILDREN'S DEVELOPMENT AND HELP PARENTS FORM HEALTHY RELATIONSHIPS WITH THEIR YOUNG CHILDREN THAT WILL FACILITATE GROWTH AND DEVELOPMENT THROUGHOUT CHILDHOOD. THE FAMILY FOCUSED PROGRAM SERVED APPROXIMATELY 85 CHILDREN IN 2010.
(Code:   ) (Expenses $ 146,323 including grants of $   ) (Revenue $ 139,340 )
OTHER SERVICES INCLUDE: THE OUTREACH PROGRAM PROVIDES FREE TRAINING AND CONSULTATION TO CHILDCARE PROVIDERS AND SCHOOLS THROUGHOUT HENNEPIN COUNTY AS WELL AS SUPPORT TO THE PARENTS OF THESE CHILDREN. THE GOAL OF THE PROGRAM IS TO MAINTAIN THE CHILD IN THIER CURRENT CHILDCARE OR SCHOOL SETTING WHEN POSSIBLE AND TO INCREASE THE SKILLS OF THE PROVIDERS SO THEY CAN BETTER RESPOND TO EACH CHILD'S INDIVIDUAL NEEDS OR IDENTIFY A MORE APPROPRIATE SETTING WHEN NECESSARY. THE OUTREACH PROGRAM SERVED APPROXIMATELY 115 CHILDREN IN 2010. WASHBURN ALSO PROVIDES DIAGNOSTIC ASSESSMENT, TESTING AND EVALUATION SERVICES TO HELP CORRECTLY IDENTIFY SOCIAL, EMOTIONAL AND BEHAVIORAL PROBLEMS.
4d Other program services. (Describe in Schedule O.)
(Expenses $ 1,512,762 including grants of $   ) (Revenue $ 1,216,148 )
4e Total program service expensesMediumBullet$ 6,490,313
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part II.........................
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
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 in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
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? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
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? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
 
No
f
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 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
 
No
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part IClick to see attachment
17
Yes
 
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II.......... Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III................... Click to see attachment
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H.....
20a
 
No
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. .....
20b
 
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II..
21
 
No
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III.....
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt 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? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I......
25a
 
No
b
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 990-EZ? If “Yes,” complete Schedule L, Part I................
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II...........................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III...............
27
 
No
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? If “Yes,” complete Schedule L, Part IV .........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV...................
28b
 
No
c
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 owner? If “Yes,” complete Schedule L, Part IV..
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1.....................
34
 
No
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
 
No
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2...
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2...........
36
 
No
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? If “Yes,” complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
21
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
131
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
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 country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
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?..........
6a
 
No
b
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 $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the 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 VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
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?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question 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
20
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
20
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
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
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
 
No
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
 
No
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
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
Yes
 
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
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
 
No
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
MN
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
ATHENA MIHAS
2430 NICOLLET AVE SOUTH
MINNEAPOLIS,MN55404
(612) 872-3354
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question 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 organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s 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 from 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.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) AMY LANGER
PRESIDENT
 3.00 X   X       0 0 0
(2) JOHN PICEK
VICE PRESIDENT
 3.00 X   X       0 0 0
(3) SHERRY SMITH
TREASURER
 3.00 X   X       0 0 0
(4) PAULA NELSON
DIRECTOR
 2.00 X           0 0 0
(5) JOHN BREITINGER
DIRECTOR
 3.00 X           0 0 0
(6) PAT BOUGHEY
DIRECTOR
 2.00 X           0 0 0
(7) EDWIN CHANIN
DIRECTOR
 2.00 X           0 0 0
(8) MIKE BRENNAN
DIRECTOR
 2.00 X           0 0 0
(9) MARGO CLARKE
DIRECTOR
 2.00 X           0 0 0
(10) MIKE ISRAEL
DIRECTOR
 2.00 X           0 0 0
(11) ANN RENCKENS
DIRECTOR
 2.00 X           0 0 0
(12) BILL MILLER
DIRECTOR
 2.00 X           0 0 0
(13) LESLEY CROSBY
DIRECTOR
 2.00 X           0 0 0
(14) WENDY FRAME
DIRECTOR
 2.00 X           0 0 0
(15) LAUREL FEDDEMA
DIRECTOR
 2.00 X           0 0 0
(16) LEE KNUDSON
DIRECTOR
 2.00 X           0 0 0
(17) NANCY HAGERTY
DIRECTOR
 3.00 X           0 0 0
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) STEVE PINNEY
DIRECTOR
 2.00 X           0 0 0
(19) AMY FITEMAN
DIRECTOR
 3.00 X           0 0 0
(20) MARCUS WINBUSH
DIRECTOR
 2.00 X           0 0 0
(21) STEVE LEPINSKI
EXECUTIVE DIRECTOR
 40.00     X       191,603 0 26,590
(22) ATHENA MIHAS
DIR OF FINANCE & ADMIN
 40.00     X       95,426 0 9,205
(23) ARLENE SCHATZ
CLINICAL DIRECTOR
 40.00         X   128,727 0 10,187
(24) LINDA SMITH
DIR OF DEVELOPMENT
 40.00         X   120,776 0 10,371
(25) TOM STEINMETZ
DIR OF PROGRAMS
 40.00         X   102,562 0 9,462
(26) KATHLEEN MATTHEWS
HOME FRONT PROGRAM MANAGER
 40.00         X   95,854 0 8,889








1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 639,094 0 65,815
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet4
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 J for such individual .............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
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 Schedule J for such person .....
5
 
No
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.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet0
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a 186,906
b Membership dues....1b  
c Fundraising events....1c 49,362
d Related organizations...1d  
e Government grants (contributions)1e 947,454
f All other contributions, gifts, grants, and
similar amounts not included above1f 		1,571,726
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 2,755,448
Program Service Revenue Business Code
2a FEES FOR SERVICE 624,100 5,683,851 5,683,851    
b
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 5,683,851
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 147,827     147,827
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 1,210,395  
b Less: cost or other basis and sales expenses 1,169,062  
c Gain or (loss) 41,333  
d Net gain or (loss)..........MediumBullet 41,333     41,333
8a Gross income from fundraising events (not including
$ 49,362
of contributions reported on line 1c). See Part IV, line 18 ...
a 180,135
b Less: direct expenses ...b 116,463
c Net income or (loss) from fundraising events..MediumBullet 63,672   63,672
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a OTHER REVENUES 900,099 34,312     34,312
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet 34,312
12 Total revenue. See Instructions....MediumBullet 8,726,443 5,683,851 0 287,144
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21    
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 326,906   134,410 192,496
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 4,902,963 4,578,937 297,237 26,789
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 91,756 82,297 6,813 2,646
9 Other employee benefits ....... 493,598 474,821 18,777  
10 Payroll taxes ........... 367,035 329,200 27,250 10,585
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 1,707 933 773 1
c Accounting ........... 29,339 16,036 13,283 20
d Lobbying ...........        
e Professional fundraising. See Part IV, line 17.. 83,075 83,075
f Investment management fees ...... 17,259 17,259    
g Other .......... 544,363 257,885 12,019 274,459
12 Advertising and promotion ....        
13 Office expenses ....... 121,964 77,760 13,160 31,044
14 Information technology ...... 35,566 19,439 16,102 25
15 Royalties ..        
16 Occupancy ........... 263,711 220,100 39,588 4,023
17 Travel ............ 150,263 131,291 15,750 3,222
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings ....        
20 Interest ........... 1,618 1,349 244 25
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 106,003 89,853 14,660 1,490
23 Insurance .............. 37,692 20,407 17,285  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a REPAIRS & EQUIPMENT 133,929 87,681 39,540 6,708
b PROGRAM SUPPLIES 55,424 44,534 9,714 1,176
c STAFF DEVELOPMENT 53,921 37,523 13,570 2,828
d BAD DEBT EXPENSE 39,553 0 39,553 0
e MISCELLANEOUS 4,777 3,008 1,765 4
f All other expenses        
25 Total functional expenses. Add lines 1 through 24f 7,862,422 6,490,313 731,493 640,616
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 22,620 1 94,568
2 Savings and temporary cash investments ....... 193,149 2 268,004
3 Pledges and grants receivable, net ......... 298,220 3 836,234
4 Accounts receivable, net ......... 927,827 4 1,046,404
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net ............. 15,198 7  
8 Inventories for sale or use ..............   8  
9 Prepaid expenses and deferred charges ............ 94,123 9 27,955
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 3,175,874
b Less: accumulated depreciation. ..... 10b 1,404,408 1,706,897 10c 1,771,466
11 Investments—publicly traded securities .......... 4,800,409 11 5,550,991
12 Investments—other securities. See Part IV, line 11 ......   12  
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ........... 665,367 15 740,969
16 Total assets. Add lines 1 through 15 (must equal line 34)... 8,723,810 16 10,336,591
Liabilities 17 Accounts payable and accrued expenses . 376,526 17 534,060
18 Grants payable ..........   18  
19 Deferred revenue .......... 25,000 19 32,500
20 Tax-exempt bond liabilities ..........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 110,414 23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 77,800 25 105,628
26 Total liabilities. Add lines 17 through 25..... 589,740 26 672,188
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 905,652 27 1,268,461
28 Temporarily restricted net assets ..... 1,493,167 28 2,547,971
29 Permanently restricted net assets ..... 5,735,251 29 5,847,971
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 8,134,070 33 9,664,403
34 Total liabilities and net assets/fund balances ..... 8,723,810 34 10,336,591
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
8,726,443
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
7,862,422
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
864,021
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
8,134,070
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
666,312
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
9,664,403
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
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 A-133? ................
3a
 
No
b
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 O and describe any steps taken to undergo such audits. ..
3b
 
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

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.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
WASHBURN CENTER FOR CHILDREN
 
Employer identification number

41-0711618
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
f
g
(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
(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.") .... 1,796,751 1,438,131 1,371,061 1,776,052 2,755,448 9,137,443
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.. 1,796,751 1,438,131 1,371,061 1,776,052 2,755,448 9,137,443
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)..           617,739
6 Public Support. Subtract line 5 from line 4.           8,519,704
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.. 1,796,751 1,438,131 1,371,061 1,776,052 2,755,448 9,137,443
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. 270,750 267,247 253,209 152,505 147,827 1,091,538
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.. 15,662 22,659 11,755 29,337 34,312 113,725
11 Total support (Add lines 7 through 10).           10,342,706
12
12
20,061,095
13
Section C. Computation of Public Support Percentage
14
14
82.370 %
15
15
75.870 %
16a
b
17a
b
18
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
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
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, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER REVENUE FROM CLIENTS
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
WASHBURN CENTER FOR CHILDREN
 
Employer identification number

41-0711618
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
WASHBURN CENTER FOR CHILDREN
  		Employer identification number

41-0711618
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
WASHBURN CENTER FOR CHILDREN
  		Employer identification number

41-0711618
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
WASHBURN CENTER FOR CHILDREN
  		Employer identification number

41-0711618
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
WASHBURN CENTER FOR CHILDREN
 
Employer identification number

41-0711618
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d 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 of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, 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.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, 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 XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, 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:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
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 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
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 X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance .... 5,913,463 4,634,259 7,967,874
b Contributions ........ 35,425 56,529  
c Investment earnings or losses ... 874,640 1,381,883 -2,172,077
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........ 		0 145,000 1,120,004
f Administrative expenses .... 17,259 14,208 41,534
g End of year balance ...... 6,806,269 5,913,463 4,634,259
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet  
c
Term endowment: SchDMd Bullet  
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
Yes
 
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   892,423 892,423
b Buildings ................   1,753,577 1,095,300 658,277
c Leasehold improvements ............        
d Equipment ................   489,167 309,108 180,059
e Other .................   40,707   40,707
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 1,771,466
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) BENEFICIAL INTEREST IN PERPETUAL TRUST 666,003
(2) CASH VALUE OF LIFE INSURANCE 74,966







Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 740,969
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  
LIFE INSURANCE OBLIGATION 105,628








Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 105,628
2. Fin 48 (ASC 740) Footnote. In Part XIV, 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 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1 8,726,443
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2 7,862,422
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3 864,021
4 Net unrealized gains (losses) on investments .......................... 4 602,876
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8 63,436
9 Total adjustments (net). Add lines 4 - 8 ............................. 9 666,312
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10 1,530,333
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 8,619,463
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a 602,876
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d 63,436
e Add lines 2a through 2d ..................... 2e 666,312
3 Subtract line 2e from line 1..................... 3 7,953,151
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b 773,292
c Add lines 4a and 4b....................... 4c 773,292
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5 8,726,443
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1 7,504,907
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d...................... 2e 0
3 Subtract line 2e from line 1..................... 3 7,504,907
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b 357,515
c Add lines 4a and 4b....................... 4c 357,515
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5 7,862,422
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: TO SUPPORT THE ORGANIZATION'S MISSION AND OPERATIONS.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE ORGANIZATION HAS ADOPTED THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. NO LIABILITY WAS RECOGNIZED BY THE ORGANIZATION AS A RESULT OF THE IMPLEMENTATION OF THIS STANDARD. THE ORGANIZATION FILES AS A TAX-EXEMPT ORGANIZATION. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE IRS. THE 2007, 2008, AND 2009 TAX YEARS OF THE ORGANIZATION ARE OPEN FOR EXAMINATION BY THE IRS.
PART XI, LINE 8 - OTHER ADJUSTMENTS:   CHANGE IN VALUE OF PERPETUAL TRUST 63,436.
PART XII, LINE 2D - OTHER ADJUSTMENTS:   CHANGE IN VALUE OF PERPETUAL TRUST 63,436.
PART XII, LINE 4B - OTHER ADJUSTMENTS:   INVESTMENT INCOME GREATER THAN SPENDING RATE 773,292.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:   CAPITAL CAMPAIGN EXPENSES 357,515.
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE G
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,
or if the organization entered more than $15,000 on Form 990-EZ, line 6a.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
WASHBURN CENTER FOR CHILDREN
 
Employer identification number

41-0711618
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
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?
b
If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
KATHY SCHAAF
1752 MAGNOLIA LANE NORTH
 
PLYMOUTH, MN55441 		CAPITAL CAMPAIGN FUNDRAISING   No 1,025,000 83,075 941,925
Total .................right arrow 1,025,000 83,075 941,925
3
List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.
MN
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.
(a) Event #1

GOLF TOURNAMENT
(event type) 		(b) Event #2

WASHBURN GAMES
(event type) 		(c) Other Events

  
(total number) 		(d) Total Events
(Add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 112,709 53,116   165,825
2 Less: Charitable
contributions . . . 		35,370 13,992   49,362
3 Gross income (line 1
minus line 2) . . . 		77,339 39,124   116,463
VerticalDirectExpenses 4 Cash prizes . . .        
5 Non-cash prizes . .        
6 Rent/facility costs . .        
7 Food and beverages . .        
8 Entertainment . . .        
9 Other direct expenses . 77,339 39,124   116,463
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 116,463
11 Net income summary. Combine lines 3 and 10 in column (d)............ right arrow 0
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (Add col. (a) through col. (c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
 
 
 
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," Explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," Explain:
 
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ...........................
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 3
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
 
b
An outside facility ........................
13b
 
14
Provide the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
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? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)
Identifier ReturnReference Explanation
Schedule G (Form 990 or 990-EZ) 2010
Additional Data


Software ID:  
Software Version:  
Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
WASHBURN CENTER FOR CHILDREN
 
Employer identification number

41-0711618
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
 
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in 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
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in 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? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) STEVE LEPINSKI (i)
(ii)		 151,552
0 		40,051
0 		0
0 		21,082
0 		5,508
0 		218,193
0 		0
0















Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
  PART I, LINE 4A THE EXECUTIVE DIRECTOR HAS A RETIREMENT AGREEMENT THAT STATES HE WILL RECEIVE A LUMP SUM UPON RETIREMENT. WASHBURN HAS PURCHASED A LIFE INSURANCE POLICY WITH STEVE LEPINSKI AS THE INSURED PARTY. THE POLICY SERVES AS A VEHICLE FOR THE AGENCY TO FUND THIS LIABILITY WHEN THE TIME COMES. THE AGENCY PAYS ANNUAL PREMIUMS ON THIS POLICY. THE AMOUNT PAID IN 2010 WAS $4,209.
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
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.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
WASHBURN CENTER FOR CHILDREN
 
Employer identification number

41-0711618
Identifier Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 1   THE EXECUTIVE COMMITTEE IS COMPRISED OF THE CURRENT OFFICERS, THE CHAIRS OF THE STANDING COMMITTEES, AND ALL IMMIDIATE PAST PRESIDENTS WHO ARE STILL TRUSTEES. THE EXECUTIVE COMMITTEE IS AUTHORIZED TO ACT WITH THE FULL AUTHORITY OF THE BOARD DURING INTERVALS BETWEEN MEETINGS OF THE BOARD.
FORM 990, PART VI, SECTION B, LINE 11   THE FORM 990 WILL BE REVIEWED BY THE EXECUTIVE DIRECTOR AND THE FINANCE COMMITTEE OF THE BOARD AS SOON AS IT IS COMPLETED BY LARSONALLEN (IN APRIL OR MAY OF 2011). THE CONTENT WILL ALSO BE DISCUSSED AT A FINANCE COMMITTEE PRIOR TO FILING AND PRIOR TO PRESENTATION TO THE BOARD. THE BOARD OF DIRECTORS WILL RECEIVE A COPY FOR REVIEW AND WILL REVIEW AND DISCUSS AT A BOARD MEETING IN APRIL OR MAY 2011 PRIOR TO FILING THE FORM 990. AT THAT BOARD MEETING, THE BOARD WILL APPROVE THE CONTENT AND FILING OF THE FORM 990.
  FORM 990, PART VI, SECTION B, LINE 12C IT IS THE RESPONSIBILITY OF EVERY EMPLOYEE, SUPERVISOR, EXECUTIVE AND OTHERS RESPONSIBLE FOR CARRYING OUT THE ORGANIZATION'S ACTIVITIES TO IMMEDIATELY REPORT SUSPECTED MISCONDUCT, DISHONESTY OR CONFLICT OF INTEREST VERBALLY OR IN WRITING TO THE EXECUTIVE DIRECTOR, DIRECTOR OF FINANCE AND ADMINISTRATION, OR THE BOARD OF TRUSTEES PRESIDENT. IF THE INCIDENT INVOLVES THE EXECUTIVE DIRECTOR, IT SHOULD BE REPORTED TO THE DIRECTOR OF FINANCE AND ADMINISTRATION OR THE BOARD OF TRUSTEES PRESIDENT. IF THE INCIDENT INVOLVES THE DIRECTOR OF FINANCE AND ADMINISTRATION, IT SHOULD BE REPORTED TO THE EXECUTIVE DIRECTOR OR THE BOARD OF TRUSTEES PRESIDENT. TO FACILITATE REPORTING OF SUSPECTED VIOLATIONS, ESPECIALLY IN THOSE SITUATIONS WHERE THE REPORTING INDIVIDUAL WISHES TO REMAIN ANONYMOUS, THE ORGANIZATION HAS ESTABLISHED AN ANONYMOUS VOICEMAIL BOX, WHICH WILL BE MONITORED BY THE DIRECTOR OF FINANCE AND ADMINISTRATION AND THE BOARD OF TRUSTEES PRESIDENT. EMPLOYEES MAY ALSO REPORT SUSPECTED VIOLATIONS ANONYMOUSLY IN WRITING TO THE EXECUTIVE DIRECTOR, DIRECTOR OF FINANCE AND ADMINISTRATION, OR THE BOARD OF TRUSTEES PRESIDENT. IN APPROPRIATE CIRCUMSTANCES, THE EXECUTIVE DIRECTOR (OR DIRECTOR OF FINANCE AND ADMINISTRATION, IF THE INCIDENT INVOLVES THE EXECUTIVE DIRECTOR) WILL NOTIFY AN OFFICER OF THE WASHBURN BOARD OF SIGNIFICANT REPORTED INCIDENTS ON A TIMELY BASIS. WITH SUPPORT FROM THE EXECUTIVE DIRECTOR, THE DIRECTOR OF FINANCE AND ADMINISTRATION HAS PRIMARY RESPONSIBILITY FOR ALL FOLLOW-UP AND INVESTIGATIONS OF EACH REPORTED INCIDENT, EXCEPT IF THE INCIDENT INVOLVES THE DIRECTOR OF FINANCE AND ADMINISTRATION. THE BOARD OF TRUSTEES WILL REVIEW ANY ISSUES REPORTED TO THEM. A JOURNAL OF REPORTED INCIDENTS, FOLLOW-UP ACTIONS TAKEN AND RESOLUTIONS WILL BE KEPT AND REVIEWED ANNUALLY BY THE EXECUTIVE DIRECTOR, DIRECTOR OF FINANCE AND ADMINISTRATION, AND THE FINANCE COMMITTEE CHAIR AS PART OF THE ANNUAL AUDIT PROCESS. DURING THEIR EMPLOYEE ORIENTATION PROCESS, ALL EMPLOYEES WILL REVIEW AND SIGN AN ACKNOWLEDGMENT THAT THEY HAVE READ AND UNDERSTAND THE CODE OF ETHICS POLICY. AN ORIGINAL SIGNED COPY WILL BE KEPT IN EACH PERSONNEL FILE. ALL SUPERVISORS AND EXECUTIVES ARE REQUIRED TO SIGN THE POLICY AND REPORTING PROCEDURES ANNUALLY. THE CODE OF ETHICS POLICY WILL BE REVIEWED BY THE FINANCE COMMITTEE ANNUALLY. ANY CHANGES WILL BE APPROVED BY THE BOARD OF TRUSTEES.
  FORM 990, PART VI, SECTION B, LINE 15A EXECUTIVE DIRECTOR - 2010. THERE ARE TWO COMPONENTS TO THE EXECUTIVE DIRECTOR'S COMPENSATION, HIS ANNUAL SALARY AND INCENTIVE PAY. THE ANNUAL SALARY IS SET AS A PART OF HIS REVIEW BY THE EXECUTIVE COMMITTEE. IN THIS REVIEW, THE HR DIRECTOR PROVIDES THE EXECUTIVE DIRECTOR AND THE EXECUTIVE COMMITTEE WITH A HISTORY OF HIS COMPENSATION AND THE ANNUAL SALARIES OF ABOUT 10 OTHER NONPROFIT EXECUTIVES AS EXAMPLES (SOME ARE HIGHER AND SOME ARE LOWER THAN HIS SALARY). THE ANNUAL SALARY IS BASED ON YEARS OF EXPERIENCE AS AN EXECUTIVE DIRECTOR, THE SIZE AND KIND OF AGENCY THAT WASHBURN IS, THE COMPENSATION THAT WE NEED TO PROVIDE TO KEY STAFF THAT ARE GENERALLY LICENSED AND OFTEN PHDS, AND THE PERFORMANCE OF THE INDIVIDUAL IN THE POSITION. MORE GENERAL NONPROFIT SALARY SURVEYS ARE SO BROAD THAT THEY DO NOT ADEQUATELY REFLECT THE INFLUENCE OF SOME OF THESE ISSUES. MORE SPECIFIC SALARY SURVEYS SUCH AS THE ONE DONE BY THE MINNESOTA ASSOCIATION OF COMMUNITY MENTAL HEALTH PROVIDERS ARE MOSTLY OUT STATE COMMUNITY MENTAL HEALTH CENTERS WHICH REFLECT MUCH LOWER SALARIES THAN EXECUTIVE DIRECTORS IN METROPOLITAN ORGANIZATIONS. MANY OF THESE HAVE LITTLE OR NO FUND RAISING COMPONENT TO THEM, AND MANY OF THEM ARE LARGELY PUBLIC SECTOR FUNDING. OVER THE PAST 23 YEARS, THE WASHBURN EXECUTIVE DIRECTOR HAS BEEN STEVE LEPINSKI AND ON AVERAGE, HIS ANNUAL SALARY HAS INCREASED JUST OVER 4% PER YEAR. THE EXECUTIVE DIRECTOR'S INCENTIVE PAY IS FRAMED BY A BOARD POLICY ON EXECUTIVE COMPENSATION THAT INDICATES THE BOARD PREFERENCE TO HAVE SOME OF THE EXECUTIVE DIRECTOR'S COMPENSATION TIED TO ANNUAL INCENTIVES. THE ANNUAL OBJECTIVES TO BE INCENTIVIZED AND THE AMOUNT OF INCENTIVE TIED TO EACH OBJECTIVE ARE DETERMINED THROUGH CONVERSATION BETWEEN THE EXECUTIVE COMMITTEE AND EXECUTIVE DIRECTOR AS A PART OF THE ANNUAL PERFORMANCE REVIEW. THE EXECUTIVE DIRECTOR REPORTS ON HIS ACHIEVEMENTS OR FAILURES TO ACHIEVE THE PREVIOUS YEAR'S OBJECTIVES AND INDICATE THE LEVEL OF INCENTIVE PAY THAT HE THINKS HE HAS ACHIEVED FOR EACH OBJECTIVE. THE EXECUTIVE COMMITTEE EITHER AGREES WITH HIS ASSESSMENT OR PROVIDES AN ALTERNATIVE ASSESSMENT AND LEVEL OF INCENTIVE PAY. THE OBJECTIVES AND THE LEVEL OF INCENTIVE FOR THE COMING YEAR ARE PROPOSED BY THE EXECUTIVE DIRECTOR AS PART OF HIS REVIEW AND THEN CONSIDERED AND MODIFIED IF NECESSARY BY THE EXECUTIVE COMMITTEE. THE COMMITTEE AND EXECUTIVE DIRECTOR THEN DRAFT AND SIGN A WRITTEN STATEMENT OF WHAT THEY HAVE AGREED UPON FOR THE COMING YEAR. THE OVERALL ANNUAL REVIEW IS DRIVEN BY A SELF ASSESSMENT OF ACCOMPLISHMENTS FOR THE PREVIOUS YEAR. IT IS THEN SENT TO ALL BOARD MEMBERS WITH A FORM ON WHICH THEY CAN RATE THE EXECUTIVE DIRECTOR'S PERFORMANCE ON THE AREAS IN HIS JOB DESCRIPTION. THEY CAN ALSO PROVIDE COMMENTS ON EACH AREA THAT THEY RATE. IN ADDITION, THE LEADERSHIP TEAM IS ASKED TO COMPLETE A FORM ON HIS PERFORMANCE AS EXECUTIVE DIRECTOR. THESE FORMS ARE SENT DIRECTLY TO THE PRESIDENT OF THE BOARD. THE EXECUTIVE COMMITTEE THEN MEETS TO DISCUSS THE SELF EVALUATION, THE ASSESSMENT FROM THE BOARD MEMBERS, THE INPUT FROM THE LEADERSHIP TEAM AND THE EXECUTIVE DIRECTOR'S ASSESSMENT RELATED TO INCENTIVE PAY AND PROPOSED INCENTIVES FOR THE COMING YEAR. THE PRESIDENT AND ONE OTHER BOARD MEMBER (GENERALLY THE VICE PRESIDENT, BUT IT COULD BE THE PAST PRESIDENT) THEN MEET WITH THE EXECUTIVE DIRECTOR, SUMMARIZE THE DISCUSSION FROM THE EXECUTIVE COMMITTEE, PROPOSE A SALARY FOR THE COMING YEAR, AND ACCEPT OR SUGGEST INCENTIVES FOR THE COMING YEAR. DIRECTOR OF FINANCE - 2010. THE EXECUTIVE DIRECTOR REVIEWS THE SALARY FOR THE DIRECTOR OF FINANCE ANNUALLY USING COMPARABILITY DATA FROM NONPROFIT SALARY SURVEYS. THE DIRECTOR OF FINANCE RECEIVES BENEFITS AT THE SAME LEVEL AS OTHER EMPLOYEES OF THE ORGANIZATION.
  FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THE FINANCIAL STATEMENTS ARE ALSO AVAILABLE AT WWW.GUIDESTAR.ORG.
CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 602,876. CHANGE IN VALUE OF PERPETUAL TRUST 63,436. TOTAL TO FORM 990, PART XI, LINE 5: 666,312.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


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