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
UNITED CEREBRAL PALSY OF NYC INC
Employer identification number
13-5654532
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.") ....
4,086,626
3,479,352
3,533,312
4,211,028
3,695,706
19,006,024
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..
4,086,626
3,479,352
3,533,312
4,211,028
3,695,706
19,006,024
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.
19,006,024
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..
4,086,626
3,479,352
3,533,312
4,211,028
3,695,706
19,006,024
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
721,874
692,368
370,902
286,783
287,420
2,359,347
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..
165,656
67,857
120,413
219,095
143,220
716,241
11
Total support (Add lines 7 through 10).
22,081,612
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
469,418,179
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
86.070 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
85.560 %
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, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS
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
UNITED CEREBRAL PALSY OF NYC INC
Employer identification number
13-5654532
Identifier
Return Reference
Explanation
FORM 990, PART VI, SECTION A, LINE 2
FAMILY RELATIONSHIPS BETWEEN BOARD MEMEBERS CONSISTED OF THE FOLLOWING: SCOTT RUTSKY - BOARD MEMBER IS THE SON OF ALBERT RUTSKY - BOARD MEMBER. JAY SILVER - BOARD MEMBER IS THE SON-IN-LAW OF ALBERT RUTSKY - BOARD MEMBER.
FORM 990, PART VI, SECTION B, LINE 11
PRIOR TO THE FILING OF THE FORM 990, IT IS REVIEWED AND APPROVED BY THE CHAIR OF THE AUDIT COMMITTEE. THE FORM 990 IS THEN DISTRIBUTED TO EACH OF THE BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 12C
THE AGENCY'S CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY WITH THE EXECUTIVE STAFF AND THE BOARD OF DIRECTORS WHO ARE REQUIRED TO ACKNOWLEDGE RECEIPT OF THE POLICY AND TO COMPLETE A QUESTIONNAIRE ANNUALLY DISCLOSING ANY POTENTIAL CONFLICTS OF INTEREST. MANAGEMENT STAFF WHO HAVE DECISION-MAKING AUTHORITY WITH RESPECT TO THE USE OF AGENCY FUNDS OR OTHER RESOURCES RECEIVE TRAINING ANNUALLY ON THE AGENCY'S CONFLICT OF INTEREST POLICY AND ARE ALSO REQUIRED TO COMPLETE A DISCLOSURE QUESTIONNAIRE ANNUALLY. AT THE TIME OF HIRE, ALL STAFF ARE REQUIRED TO ACKNOWLEDGE RECEIPT OF THE AGENCY'S CODE OF ETHICS WHICH INCLUDES REFERENCE TO POTENTIAL CONFLICTS OF INTEREST. ALL NEW STAFF IS REQUIRED TO PARTICIPATE IN TRAINING THAT INCLUDES AN EXPLANATION OF SPECIFIC EXAMPLES OF POTENTIAL CONFLICTS OF INTEREST THAT MAY OCCUR IN THE COURSE OF THEIR WORK WITH OTHER STAFF, CONSUMERS, FAMILY MEMBERS OR VENDORS OR OTHER SERVICE PROVIDERS.
FORM 990, PART VI, SECTION B, LINE 15
THE ORGANIZATION USES AN OUTSIDE INDEPENDENT ACCOUNTING CONSULTING FIRM WITH EXPERTISE IN THE NOT-FOR-PROFIT INDUSTRY TO PERFORM A COMPENSATION ANALYSIS OF THE FOLLOWING POSITIONS: CEO, ASSOCIATE EXECUTIVE DIRECTOR, ASSISTANT EXECUTIVE DIRECTOR AND CFO. THE COMPENSATION ANALYSIS INCLUDES COMPENSATION SURVEYS FOR EACH POSITION BASED UPON THE COMPENSATION AND FRINGE BENEFITS REPORTED ON 990 TAX RETURNS FOR COMPARABLE AGENCIES IN THE INDUSTRY. THE RESULTS OF THIS COMPENSATION ANALYSIS ARE PRESENTED TO THE COMPENSATION COMMITTEE AND THE BOARD OF DIRECTORS, WHO REVIEW THE ANALYSIS TO DETERMINE APPROPRIATE COMPENSATION LEVELS AND ENSURE COMPLIANCE WITH THE DUE DILIGENCE GUIDELINES OUTLINED IN IRC 4958.
FORM 990, PART VI, SECTION C, LINE 19
THE DOCUMENTS ARE AVAILABLE UPON WRITTEN REQUEST.
CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 5:
NET UNREALIZED GAINS ON INVESTMENTS: 1,485,563. FASB 158 EFFECT 3,759,714. TOTAL TO FORM 990, PART XI, LINE 5: 5,245,277.
FORM 990, PART III, LINE 4A:
ADULT DAY PROGRAMS, INCLUDING DAY TREATMENT, DAY HABILITATION, SUPPORTED EMPLOYMENT AND WORK READINESS ARE PROVIDED TO INDIVIDUALS OVER THE AGE OF 21. THESE PROGRAMS ARE LICENSED AND REGULATED BY THE NYS OPWDD. FAMILY SUPPORT SERVICES, INCLUDING HOUSING ASSISTANCE, OVERNIGHT RESPITE AND SERVICE COORDINATION ARE PROVIDED TO DEVELOPMENTALLY DISABLED INDIVIDUALS AND THEIR FAMILIES. THESE PROGRAMS ARE REGULATED BY NYS OPWDD. CLINICAL SERVICES INCLUDING DENTAL, MEDICAL, PSYCHIATRY, PHYSIATRY, OPTOMETRY, PODIATRY, GYNECOLOGY, NEUROLOGY, SPEECH, OCCUPATIONAL AND PHYSICAL THERAPY, AUGMENTATIVE COMMUNICATION AND EQUIPMENT CLINICS ARE PROVIDED IN 4 FREESTANDING CLINICS AND INCORPORATED IN DAY HABILITATION PROGRAMS. ALL SITES ARE LICENSED UNDER ARTICLE 28 WITH THE NYS DOH AND UNDER ARTICLE 16 WITH THE NYS OPWDD.
FORM 990, PART III, LINE 4C:
EDUCATION PROGRAMS INCLUDE PRE-SCHOOLS THAT PROVIDE COMPREHENSIVE EARLY CHILDHOOD SPECIAL EDUCATION FOR CHILDREN 2 YEARS 9 MONTHS TO 5 YEARS OF AGE. THIS PROGRAM IS REGULATED BY THE NYS EDUCATION DEPARTMENT (SED) UNDER CONTRACT WITH THE NYC DEPARTMENT OF EDUCATION (DOE). THE SCHOOL-AGE PROGRAM PROVIDES SPECIAL EDUCATION SERVICES TO MULTIPLY DISABLED CHILDREN AGES 5-21 YEARS REGULATED BY SED AND UNDER CONTRACT WITH DOE. WITHIN THE PRE-SCHOOL PROGRAM, THERE IS AN INTEGRATED PROGRAM WHICH COMBINES DISABLED CHILDREN WITH TYPICALLY DEVELOPING CHILDREN. THE PROGRAM IS REGULATED BY SED UNDER CONTRACT WITH DOE. THE TUITION FOR THE DISABLED CHILDREN IS DETERMINED BY SED AND PAID BY DOE. THE REIMBURSEMENT FOR THE TYPICALLY DEVELOPING CHILDREN IS PAID BY UNIVERSAL PRE-K CONTRACT WITH DOE WHICH PROVIDES FUNDS TO NURSERY SCHOOLS FOR ELIGIBLE 4 YEAR OLDS.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.