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
LUTHERAN FAMILY SERVICES IN THE CAROLINAS
Employer identification number
56-1286323
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)
No
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
No
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
No
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
(1)
EVANGELICAL LUTHERAN CHURCH OF AMERICA
561286323
1
Yes
Yes
Yes
0
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.") ....
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..
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public Support. Subtract line 5 from line 4.
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..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
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..
11
Total support (Add lines 7 through 10).
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
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2010.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2009.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2009.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public Support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13
Total support (Add lines 9, 10c, 11 and 12.).
14
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f))
.........
15
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2010.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
..........
b
33 1/3% support tests—2009.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2010
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
LUTHERAN FAMILY SERVICES IN THE CAROLINAS
Employer identification number
56-1286323
Identifier
Return Reference
Explanation
ORGANIZATION'S MISSION
FORM 990 - ORGANIZATION'S MISSION
DEDICATED TO ONE SIMPLE GOAL, HELPING THE MOST VULNERABLE IN NORTH AND SOUTH CAROLINA. LFS CAROLINAS WALKS ALONGSIDE THOUSANDS OF PEOPLE IN OUR COMMUNITIES AS THEY JOURNEY THROUGH HEALING AND WHOLENESS. WE HELP PLACE CHILDREN IN LOVING FOSTER AND ADOPTIVE HOMES, PROVIDE COMPREHENSIVE SERVICES TO ADULTS WITH SPECIAL NEEDS, AID VETERANS IN REGAINING INDEPENDENCE, HELP REFUGEES ACCLIMATE TO LIFE IN A NEW COUNTRY AND COUNSEL FAMILIES IN THEIR TIME OF NEED.
ADDITIONAL INFORMATION
FORM 990
NOTE ON PART VIII, LINE 7D, A LOSS (REALIZED) IS INDICATED FOR STOCK DISPOSITIONS. AS THE FINANCIAL STATEMENTS FOR THE CURRENT PERIOD WERE INCLUDED IN A 15-MONTH FINANCIAL REPORT, THE LOSS AMOUNT AS OF 6/30/11 IS REPORTED NET DUE TO THE LACK OF AVAILABLE GROSS PROCEEDS AND BASIS DETAIL ON THE STOCK TRANSACTIONS AT THE INTERIM DATE.
ALL OTHER ACHIEVEMENTS DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4D
OTHER PROGRAM SERVICES INCLUDE ADOPTION, COUNSELING, REFUGEE, COMMUNITY-BASED PARTNERSHIP INITIATIVES AND DISASTER RESPONSE.
MANAGEMENT DELEGATED
FORM 990, PAGE 6, PART VI, LINE 3
IN JULY 2010, LFS ENTERED INTO A MANAGEMENT AGREEMENT WITH LUTHERAN SERVICES FOR THE AGING (LSA). IN ACCORDANCE WITH THE AGREEMENT, THE MANAGER AGREES TO PROVIDE SERVICES INCLUDING, BUT NOT LIMITED TO, THE HIRING AND FIRING OF PERSONNEL, RESTRUCTURING JOB ASSIGNMENTS AND PAY SCALES, BILLING AND COLLECTING FOR SERVICES RENDERED BY LFS, EVALUATING, DEVELOPING AND IMPLEMENTING A DEBT REPAYMENT PLAN AND SUPERVISING THE DAY TO DAY ADMINISTRATION AND OPERATION OF THE BUSINESS. THE MANAGEMENT FEE WAS .5% OF TOTAL MONTHLY GROSS REVENUE OF OPERATIONS THROUGH JANUARY 1, 2011 AND WAS RENEWED FOR AN ADDITIONAL TERM OF ONE YEAR ENDING JULY 31, 2012. MANAGEMENT FEES AMOUNTED TO 111,757 FOR THE PERIOD JULY 1, 2010 THROUGH JUNE 30, 2011 INCLUDED IN ACCOUNTS PAYABLE. NOTES PAYABLE IN THE STATEMENT OF FINANCIAL POSITION REPRESENTS A NOTE PAYABLE ON DEMAND TO LSA. INTEREST ACCRUES AT 7%.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
A COPY OF THE FORM 990 WILL BE ELECTRONICALLY MAILED TO ALL BOARD MEMBERS FOR REVIEW AND COMMENT BEFORE FILING THE RETURN.
ENFORCEMENT OF CONFLICTS POLICY
FORM 990, PAGE 6, PART VI, LINE 12C
THE BOARD OF TRUSTEES COMMITS ITSELF AND ITS MEMBERS TO ETHICAL, BUSINESS LIKE, AND LAWFUL CONDUCT, INCLUDING PROPER USE OF AUTHORITY AND APPROPRIATE DECORUM WHEN ACTING AS BOARD MEMBERS. BOARD MEMBERS MUST REPRESENT LOYALTY WITHOUT CONFLICT TO THE INTERESTS OF THE ORGANIZATION. THIS ACCOUNTABILITY SUPERSEDES ANY CONFLICTING LOYALTY SUCH AS THAT TO ADVOCACY OR INTEREST GROUPS OF ANY BOARD MEMBER ACTING AS A CONSUMER OF THE ORGANIZATION'S SERVICES. BOARD MEMBERS MUST AVOID CONFLICT OF INTEREST WITH RESPECT TO THEIR FIDUCIARY RESPONSIBILITY TO THE ORGANIZATION. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, BOARD MEMBERS MUST DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST AND MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO OTHER BOARD MEMBERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE BOARD MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. BOARD MEMBERS MAY MAKE A PRESENTATION AT A BOARD MEETING DISCLOSING ANY PERCEIVED CONFLICT. INDEPENDENT BOARD MEMBERS THEN DISCUSS AND REVIEW THE INFORMATION SO PROVIDED. IF NECESSARY A DISINTERESTED PERSON OR COMMITTEE OF DISINTERESTED PERSONS MAY BE APPOINTED BY THE BOARD CHAIR TO INVESTIGATE. UPON THE EXERCISE OF BOARD DUE DILIGENCE, THE BOARD WILL MAKE A DETERMINATION AS TO POTENTIAL ALTERNATIVES FREE OF CONFLICTS OF INTEREST. VIOLATIONS: UPON A FINDING OF REASONABLE CAUSE THAT ANY BOARD MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, THAT BOARD MEMBER IS CONFRONTED AND AFFORDED AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. BOARD REVIEW IS THEN UNDERTAKEN AND ANY DETERMINATION THAT A FAILURE TO DISCLOSE HAS OCCURRED, DISCIPLINARY AND CORRECTIVE ACTION IS TAKEN. A RECORD OF ALL PRESENTATIONS AND DISCUSSIONS OF CONFLICTS IS RECORDED IN THE BOARD MINUTES. TRUSTEES ARE REQUIRED ANNUALLY TO EXECUTE A STATEMENT AFFIRMING THE RECEIPT AND REVIEW OF THE CONFLICT OF INTEREST POLICY, AFFIRMING COMPLIANCE WITH THE POLICY, AND AFFIRMING THAT THE ORGANIZATION IS A CHARITABLE ORGANIZATION REQUIRED TO MAINTAIN ITS FEDERAL TAX EXEMPTION AND MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. PERIODIC REVIEW IS MADE TO ENSURE THAT THE ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES AND THAT IT DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX, PERIODIC REVIEWS SHALL BE CONDUCTED TO DETERMINE WHETHER COMPENSATION ARRANGEMENTS, BENEFITS AND OTHER TRANSACTIONS ARE REASONABLE. BOARD MEMBERS MUST NOT USE THEIR POSITIONS TO OBTAIN EMPLOYMENT FOR THEMSELVES FAMILY MEMBERS OR CLOSE ASSOCIATES. SHOULD A BOARD MEMBER DESIRE EMPLOYMENT WITHIN THE ORGANIZATION, HE OR SHE MUST FIRST RESIGN. BOARD MEMBERS MAY NOT ATTEMPT TO EXERCISE INDIVIDUAL AUTHORITY OVER THE ORGANIZATION EXCEPT AS EXPLICITLY SET FORTH IN THE BOARD POLICIES. BOARD MEMBERS' INTERACTION WITH THE PRESIDENT OR WITH STAFF MUST RECOGNIZE THE LACK OF AUTHORITY VESTED IN INDIVIDUALS EXCEPT WHEN EXPLICITLY BOARD AUTHORIZED. BOARD MEMBERS' INTERACTION WITH THE PUBLIC, PRESS OR OTHER ENTITIES MUST RECOGNIZE THE SAME LIMITATION AND THE INABILITY OF ANY BOARD MEMBER TO SPEAK FOR THE BOARD EXCEPT TO REPEAT EXPLICITLY STATED BOARD DECISIONS. BOARD MEMBERS WILL GIVE NO CONSEQUENCES OR VOICE TO INDIVIDUAL JUDGMENTS OF PRESIDENT OR STAFF PERFORMANCE.
COMPENSATION PROCESS FOR TOP OFFICIAL
FORM 990, PAGE 6, PART VI, LINE 15A
THE BOARD OF TRUSTEES REVIEWS THE CEO'S SALARY ON AN ANNUAL BASIS. MARKET COMPARISONS ARE MADE BY REVIEWING RELEVANT SALARY SURVEYS, AND ADJUSTMENTS ARE CONSIDERED. HOWEVER, SINCE THE ORGANIZATION HAS BEEN EFFECTED BY THE DOWNTURN IN THE ECONOMY, REDUCTIONS IN COMPENSATION AND BENEFITS HAVE BEEN MADE. HUMAN RESOURCES CONTINUES TO PROVIDE THE BOARD OF TRUSTEES COMPARISON SALARY SURVEYS FOR THEIR REVIEW.
COMPENSATION PROCESS FOR OFFICERS
FORM 990, PAGE 6, PART VI, LINE 15B
THE CEO REVIEWS OFFICER AND KEY EMPLOYEE SALARIES ON AN ANNUAL BASIS. MARKET COMPARISONS ARE MADE BY REVIEWING RELEVANT SALARY SURVEYS, AND ADJUSTMENTS ARE CONSIDERED. HOWEVER, SINCE THE ORGANIZATION HAS BEEN EFFECTED BY THE DOWNTURN IN THE ECONOMY, REDUCTIONS IN COMPENSATION AND BENEFITS HAVE BEEN MADE. HUMAN RESOURCES CONTINUES TO PROVIDE THE BOARD OF TRUSTEES & CEO COMPARISON SALARY SURVEYS FOR THEIR REVIEW.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
THE ORGANIZATION HAS AN EXTERNAL WEBSITE THAT HAS AS PART OF IT'S CONTENT THE FOLLOWING ITEMS: - CONFLICT OF INTEREST POLICY - ETHICS POINT WHICH PROVIDES THE USER THE ABILITY TO MAKE COMMENTS AND COMPLAINTS - ANNUAL REPORT WHICH CONTAINS FINANCIAL INFORMATION. ANY INQUIRIES ABOUT THE ORGANIZATION PERTAINING TO PROGRAMS AND FINANCES ARE REFERRED TO THE CEO FOR COMPLIANCE WITH THAT REQUEST.
ADDITIONAL INFORMATION
FORM 990, PART VII
MYRA GRIFFIE'S COMPENSATION IS NOT REPORTED ON PART VII AS SHE DID NOT HOLD AN OFFICER TITLE FOR CALENDAR YEAR 2010, AS SHE WAS PROMOTED TO THE POSITION BEGINNING IN 2011. IN ADDITION, HER COMPENSATION DID NOT OTHERWISE MEET THE THRESHOLDS FOR PART VII REPORTING. SUZANNE WISE AND ROBERT CHALNICK WERE DISMISSED FROM THEIR OFFICER POSITIONS PRIOR TO 12/31/10.
ADDITIONAL INFORMATION
FORM 990, PART XII
NOTE THAT DURING 2011, THE ENTITY CHANGED IT'S FISCAL YEAR-END FROM JUNE 30TH TO SEPTEMBER 30TH. WITH RESPECT TO PART XII, THE AUDITED FINANCIAL STATEMENTS COVERING THIS RETURN IS A 15-MONTH PERIOD, ENDING SEPTEMBER 30, 2011. A SHORT YEAR 9/30/11 FORM 990 WILL BE FILED EVIDENCING THE TRANSITION OF THE ORGANIZATION'S CHANGE IN FISCAL YEAR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.