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
ADA S MCKINLEY COMMUNITY SERVICES INC
Employer identification number
36-2144820
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.") ....
32,093,758
30,880,511
29,980,299
28,090,423
28,187,215
149,232,206
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..
32,093,758
30,880,511
29,980,299
28,090,423
28,187,215
149,232,206
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.
149,232,206
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..
32,093,758
30,880,511
29,980,299
28,090,423
28,187,215
149,232,206
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
145,170
151,679
59,320
10,999
19,170
386,338
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..
399,648
339,877
236,020
223,852
217,255
1,416,652
11
Total support (Add lines 7 through 10).
151,035,196
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
50,818,205
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
98.810 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
98.750 %
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
ADA S MCKINLEY COMMUNITY SERVICES INC
Employer identification number
36-2144820
Identifier
Return Reference
Explanation
PROGRAM SERVICE STATEMENT
FORM 990, PART III, LINE 4A
RESIDENTIAL SERVICES HOUSING & INDEPENDENT LIVING; REHABILITATION 4237 S. INDIANA AVE., 9135 S. BRANDON AVE.,6600 S. STEWART AVE., 6701 S. MORGAN, 4540 S. MICHIGAN AVE.,7640 S. VINCENNES AVE., DAVIS HOUSE (773) 373-1044, MOORE HOUSE(773) 741-4033, KNIGHT HOUSE(773) 994-0775,HAMMOND HOUSE (773) 994-0833,DANFORTH HOUSE (773) 373-1073, ADMINISTRATIVE OFFICES, (773) 602-2660 WE PROVIDE HOUSING AND REHABILITATION SERVICES FOR ADULTS 16 AND OLDER WHO HAVE DISABILITIES OR ARE ECONOMICALLY DISADVANTAGED. INTAKE IS ACHIEVED BY CALLING OR WRITING. SERVICES ARE PROVIDED FOR THOSE ADULTS WITH DEVELOPMENTAL DISABILITIES. EMPLOYMENT TRAINING AND MONITORING IS ALSO PROVIDED. 75 CLIENTS SERVED. CILAS THE AGENCY OPERATES 8 COMMUNITY INTEGRATED LIVING ARRANGEMENT SITES FOR ADULTS. THESE ARE CONSIDERED PRIVATE RESIDENCES AND ADDRESSES AND TELEPHONE NUMBERS ARE NOT PUBLISHED. 58 CLIENTS SERVED.
PROGRAM SERVICE STATEMENT
FORM 990, PART III, LINE 4B
EMPLOYMENT & COMMUNITY SUPPORT SERVICES REHABILITATION, VOCATIONAL TRAINING, EMPLOYMENT, JOB SEARCH AND PLACEMENT 219 S. DEARBORN ST., 230 S. DEARBORN STREET, 2834 GREEN BAY ROAD (N. CHICAGO),517 E. WISCONSIN AVE MILWAUKEE, WISCONSIN, P.O. BOX 174 BUNKERHILL, IN 46914 475 BLACKHAWK DRIVE (FT. SHERIDAN), 6033 S. WENTWORTH AVENUE, 1112 EAST 87TH STREET, 1863 SOUTH WABASH AVENUE, DIRKSEN FEDERAL BLDG.(312) 554-2522,KLUCZYNSKI FEDERAL BLDG.(312) 886-2222, GREAT LAKES NAVAL (847) 473-0662, MILWAUKEE FEDERAL U.S. COURT BUILDING (414) 270-0358, GRISSOM AIR FORCE RESERVE BASE (765) 689-9248, FORT SHERIDAN (708) 266-1060 VOCATIONAL SERVICES (773) 955-2000, AZTLAN (773) 734-7500,MCCRONE INDUSTRIES (312) 326-1229 WE SERVE ADULTS WITH DISABILITIES OR THOSE WHO ARE ECONOMICALLY DISADVANTAGED, AGED 16 AND UP. WE PROVIDE VOCATIONAL TRAINING AND HABILITATION SERVICES: JOB PLACEMENT, JANITORIAL SERVICES, INTAKE/OUTREACH, VOCATIONAL EVALUATION, DEVELOPMENTAL TRAINING, WORK SERVICES, WORK ADJUSTMENT, AND SUPPORTIVE EMPLOYMENT.
PROGRAM SERVICE STATEMENT
FORM 990, PART III, LINE 4C
CHILD WELFARE SERVICES-FOSTER CARE AND ADOPTION PROGRAM EMERGENCY SHELTER 7640 S. VINCENNES AVENUE 7718 SOUTH PHILLIPS AVE.,FOSTER CARE SERVICES (312) 602-2660, FOSTER CARE SERVICES (773) 356-6972 WE SERVE WARDS OF THE STATE, THEIR SIBLINGS, BIOLOGICAL AND FOSTER PARENTS THROUGH LICENSING OF HOMES, PLACEMENT AND PERMANENCY SUPPORT, CASE MANAGEMENT, POST PERMANENCY SUPPORT AND CHILD PROTECTION. 162 CLIENTS SERVED.
LINE 4D
EDUCATIONAL SERVICES TALENT SEARCH/EARLY INTERVENTION COLLEGE PREPARATION AND PLACEMENT PROGRAM, 100 EAST 34TH STREET EDUCATIONAL SERVICES (312) 328-3543 WE SERVE LOW INCOME, FIRST GENERATION 6TH, THOUGH 12TH GRADERS WITH COLLEGE PREPARATION AND HIGH SCHOOL STUDENTS THROUGH TUTORING, SUMMER SCHOOL CLASSES, CULTURAL ENRICHMENT, ACT PREPARATION, AND ASSISTANCE WITH COLLEGE ADMISSION AND FINANCIAL AID. 2400 STUDENTS SERVED. BEHAVIORAL HEALTH & CLINCIAL SERVICES COUNSELING PROGRAMS SPECIALIZING IN MEDICAID, MENTAL HEALTH, CASE MANAGEMENT, OUTPATIENT FACILITIES, AND STRESS-RELATED DISORDERS,2454 W. 71ST STREET,2715 WEST 63RD STREET BEHAVIORAL HEALTH (773) 918-6100 WE PROVIDE CLIENTS WITH MENTAL HEALTH CRISIS INTERVENTION, PRE-PSYCHIATRIC HOSPITAL SCREENING ASSESSMENT, IN-HOME AND OFFICE BASED THERAPEUTIC COUNSELING FOR CHILDREN WITH MENTAL HEALTH OR DEVELOPMENTAL DISORDERS; PSYCHIATRIC/PSYCHOLOGICAL ASSESSMENTS AND MEDICATION MONITORING. ALL CLIENTS RECEIVE COMPREHENSIVE ASSESSMENT, CULTURALLY SENSITIVE SERVICES. INTAKE IS MADE IN PERSON, BY TELEPHONE, OR IN WRITING BY FAMILIES, SCHOOLS, SOCIAL SERVICE AGENCIES, OR MENTAL HEALTH ORGANIZATIONS 2983 CLIENTS SERVED. SPECIAL SCHOOLS 2647 E. 88TH STREET HIGHLAND CAMPUS SPECIAL (773) 375-1999 THROUGH THIS PROGRAM WE PROVIDE QUALITY EDUCATIONAL SERVICES EMPHASIZING INDIVIDUALIZED EDUCATIONAL, THERAPEUTIC, SOCIAL AND RECREATIONAL SERVICES TO INDIVIDUAL IN ORDER TO ASSIST THEM IN ACHIEVING THEIR MAXIMUM POTENTIAL AND TO PROMOTE A GREATER DEGREE OF INDEPENDENCE. 18 STUDENTS SERVED. ALTERNATIVE SCHOOLS 2920 SOUTH WABASH LAKESIDE ACADEMY (312) 949- 5010 IN THIS PROGRAM WE SERVE HIGH SCHOOL DROP OUTS WHO ARE IN GRADES 9-12 AND ASSIST THEM IN COMPLETING THE HIGH SCHOOL; DIPLOMA. 155 STUDENTS SERVED. AFTER SCHOOL 2647 E.88TH STREET. NEIGHBORHOOD HOUSE (773-375-1999 THIS PROGRAM SERVES LOW INCOME YOUTH AND THEIR FAMILIES WITH AFTER SCHOOL TUTORING, RECREATION, CULTURAL ACTIVITIES, LIFE SKILLS, AND PARENT INVOLVEMENT. 45 CLIENTS SERVED. SENIORS 2647 E.88TH STREET . NEIGHBORHOOD HOUSE (773) 375-1999 THIS PROGRAM PROVIDES SENIORS WITH HOT MEALS, TRANSPORTATION TO THE DOCTOR, THE PHARMACY, THE GROCERY STORE, ASSISTS THEM WITH FILLING OUT FORMS, PROVIDES COMPUTER INSTRUCTION, PROVIDES EXERCISE AND RECREATION OPPORTUNITIES, PROVIDES COMMUNITY SERVICES OPPORTUNITY LIKE WORKING IN THE VEGETABLE GARDEN, AND MAKES SURE THEY ARE INVITED TO ALL ACTIVITIES AND PROGRAM AT NEIGHBORHOOD HOUSE.
FORM 990, PART VI, SECTION A, LINE 2
TWO BOARD MEMBERS SHARE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION B, LINE 11
THE ORGANIZATION'S GOVERNING BODY WAS PROVIDED A COPY OF THE FORM 990 ALL POINTS WERE DISCUSSED AND REVIEWED BY THEM. THE FORM 990 IS DISCUSSED AMONG THE MEMBERS FOR COMPLIANCE AND ORGANIZATION OVERALL OBJECTIVES FOR THE YEAR UNDER REVIEW BY THE MEMBERS. IT IS FINALIZED BY THE CONSENSUS OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 12C
THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY WHICH IS TO BE SIGNED BY ALL OFFICERS AND EMPLOYEES EACH YEAR. THE POLICY IS REVIEWED AND IF ANY CORRECTIONS ARE NEEDED ACTION IS TAKEN TO COMPLY WITH THE POLICY.
FORM 990, PART VI, SECTION B, LINE 15A
COMPENSATION IS DISCUSSED BY THE COMPENSATION COMMITTEE BASED UPON THE PERFORMANCE REVIEW OF THE OFFICER. RECORDS ARE KEPT FOR THE COMPARABILITY AND SUBSTANTIATION AND THE DECISION MADE THERE UPON. STUDIES ARE CONDUCTED FOR THE EXECUTIVES AND OFFICERS COMPENSATIONS.
FORM 990, PART VI, SECTION C, LINE 18
THE AGENCY MAKES IT EXEMPT APPLICATION AND 990 AVAILABLE UPON REQUEST. THE 990 IS ALSO AVAILABLE ON GUIDESTAR.ORG.
FORM 990, PART VI, SECTION C, LINE 19
THE ORGANIZATION HAS A WEBSITE WWW.ADASMCKINLEY.ORG WHERE DETAIL INFORMATION IS PROVIDED ABOUT THE AGENCY AND ITS SERVICES. INDIVIDUALS MAY ALSO CONTACT THE ORGANIZATION BY DIRECTLY FOR INFORMATION.
CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 5:
NET UNREALIZED GAINS ON INVESTMENTS: 58,809. CHANGE IN PENSION PLAN OBLIGATION
ORGANIZATION'S AUDIT COMMITTEE
990-PART XI- LINE 2C
THE ORGANIZATION HAS AN AUDIT COMMITTEE THAT OVERSEES AUDIT REVIEWS, THE FINANCIAL STATEMENTS AND INTERACTS WITH THE INDEPENDENT AUDITORS IN ALL MATTERS RELATING TO THE FINANCIAL STATEMENTS, INTERNAL CONTROL AND EXTERNAL REPORTING.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.