Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
COMMUNITY LEGAL SERVICES AND COUNSELING CENTER INC
Employer identification number
04-2470335
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization?
................
11g(i)
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of support?
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
696,375
789,208
939,090
874,438
877,702
4,176,813
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
0
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
27,000
27,000
27,000
27,000
34,800
142,800
4
Total. Add lines 1 through 3..
723,375
816,208
966,090
901,438
912,502
4,319,613
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)..
0
6
Public Support. Subtract line 5 from line 4.
4,319,613
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..
723,375
816,208
966,090
901,438
912,502
4,319,613
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
28,381
33,708
3,668
12,147
12,837
90,741
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
0
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
1,133
760
2,121
200
4,214
11
Total support (Add lines 7 through 10).
4,414,568
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
97.850 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
97.330 %
16a
33 1/3% support test—2010.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2009.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2009.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public Support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13
Total support (Add lines 9, 10c, 11 and 12.).
14
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f))
.........
15
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2010.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
..........
b
33 1/3% support tests—2009.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2010
Additional Data
Software ID:
10000105
Software Version:
2010v3.2
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
COMMUNITY LEGAL SERVICES AND COUNSELING CENTER INC
Employer identification number
04-2470335
Identifier
Return Reference
Explanation
Form 990, Part VI, Line 19
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
ALL SUCH DOCUMENTS ARE AVAILABLE UPON REQUEST MADE TO THE EXECUTIVE DIRECTOR. FORMS 990 ARE AVAILABLE ON THE WEBSITE OF GUIDESTAR.
Form 990, Part VI, Line 15b
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees
THERE ARE NO OTHER KEY EMPLOYEES OR OFFICERS THAT RECEIVE COMPENSATION
Form 990, Part VI, Line 12c
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts
THE CONFLICT OF INTEREST POLICY ADOPTED BY THE BOARD OF DIRECTORS APPLIES TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES. EACH SUCH INDIVIDUAL IS REQUIRED TO COMPLETE AND SIGN A CONFLICT OF INTEREST POLICY ACKNOWLEDGEMENT FORM, AND TO COMPLETE AND SIGN A POTENTIAL CONFLICT OF INTEREST DISCLOSURE FORM WHEN APPROPRIATE. THESE COMPLETED FORMS ARE PROVIDED TO THE BOARD OR ITS DESIGNEE (GENERALLY THE EXECUTIVE DIRECTOR). ANY SUCH INDIVIDUAL WHO IS AN 'INTERESTED PERSON' MUST PROMPTLY DISCLOSE, IN WRITING, TO THE BOARD OR ITS DESIGNEE, ALL RELATED-PARTY TRANSACTIONS WHICH ARE REVIEWED BY NON-INTERESTED MEMBERS OF THE BOARD. THE BOARD IS CHARGED WITH REVIEWING ANY DISCLOSED OR ALLEGED VIOLATIONS OF THE CONFLICT OF INTEREST POLICY AND WITH TAKING CORRECTIVE ACTION AS NEEDED. PERSONS WITH A CONFLICT ARE NOT PERMITTED TO PARTICIPATE IN THE BOARD'S REVIEW, DELIBERATION OR VOTE CONCERNING THE ALLEGED VIOLATION.
Form 990, Part VI, Line 11
Form 990, Part VI, Line 11: Form 990 Review Process
FORM 990 IS COMPLETED BY A PROFESSIONAL TAX PREPARER BASED ON THE INDEPENDENT AUDIT AND THE FINANCIAL REPORT DEVELOPED BY THE ORGANIZATION. THE DRAFT FORM 990 IS REVIEWED AND REVISED, IF APPLICABLE, BY THE EXECUTIVE DIRECTOR, THE INDEPENDENT ACCOUNTANT, AND THE BOARD TREASURER. THE BOARD OF DIRECTORS DELEGATES AUTHORITY TO REVIEW AND APPROVE FORM 990 TO ITS EXECUTIVE COMMITTEE PRIOR TO FILING. A COPY OF THE FINAL FORM 990 IS PROVIDED ELECTRONICALLY TO ALL BOARD MEMBERS PRIOR TO FILING, ALLOWING TIME FOR REVIEW AND COMMENT.
Client Note 2 - FORM PCLINE 17 PLEASE SEE ATTACHED FORM 990 FOR OFFICERS AND DIRECTORSLINE 18 Custody of funds Distribution of funds Custody of financial records FORM PCLINE 17 PLEASE SEE ATTACHED FORM 990 FOR OFFICERS AND DIRECTORSLINE 18 Custody of funds Distribution of funds Custody of financial records Barbara Mitchell 52 WHITNEY TAVERN RD WESTON, MA 02493 Responsible for fund raising Barbara Mitchell 52 Whitney Tavern Rd Weston, Ma 02493 Shelly McPhail 13 Aerial St Arlington, Ma 02474 Authorized to sign checks Barbara Mitchell 52 Whitney Tavern Rd Weston, Ma 02493 Ellen Wilbur 14 Crest Rd Sharon, Ma 02067 Paul Goldmuntz 72 Highland Ave Arlington, Ma 02476 April English 285 Brookline St Cambridge, Ma 02139 Barbara Mitchell 52 WHITNEY TAVERN RD WESTON, MA 02493 Responsible for fund raising Barbara Mitchell 52 Whitney Tavern Rd Weston, Ma 02493 Shelly McPhail 13 Aerial St Arlington, Ma 02474 Authorized to sign checks Barbara Mitchell 52 Whitney Tavern Rd Weston, Ma 02493 Ellen Wilbur 14 Crest Rd Sharon, Ma 02067 Paul Goldmuntz 72 Highland Ave Arlington, Ma 02476 April English 285 Brookline St Cambridge, Ma 02139
Client Note 1 - FORM PCLINE 17 PLEASE SEE ATTACHED FORM 990 FOR OFFICERS AND DIRECTORSLINE 18 Custody of funds Distribution of funds Custody of financial records Barbara Mitchell 52 WHITNEY TAVERN RD WESTON, MA 02493 Responsible for fund raising Barbara Mitchell 52 Whitney Tavern Rd Weston, Ma 02493 Shelly McPhail 13 Aerial St Arlington, Ma 02474 Authorized to sign checks Barbara Mitchell 52 Whitney Tavern Rd Weston, Ma 02493 Ellen Wilbur 14 Crest Rd Sharon, Ma 02067 Paul Goldmuntz 72 Highland Ave Arlington, Ma 02476 April English 285 Brookline St Cambridge, Ma 02139
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.