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
GOOD SHEPHERD SERVICES
Employer identification number
13-5598710
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.") ....
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.") .
15,397,773
10,811,518
10,972,941
9,783,671
11,044,515
58,010,418
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......
41,643,669
49,769,554
52,508,553
55,195,792
55,127,486
254,245,054
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.
57,041,442
60,581,072
63,481,494
64,979,463
66,172,001
312,255,472
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
0
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.
0
c
Add lines 7a and 7b..
0
8
Public Support (Subtract line 7c from line 6.)
312,255,472
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...
57,041,442
60,581,072
63,481,494
64,979,463
66,172,001
312,255,472
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
359,476
565,971
628,348
457,889
552,908
2,564,592
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
359,476
565,971
628,348
457,889
552,908
2,564,592
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.)
912,631
1,129,343
976,152
72,757
135,472
3,226,355
13
Total support (Add lines 9, 10c, 11 and 12.).
58,313,549
62,276,386
65,085,994
65,510,109
66,860,381
318,046,419
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
98.180 %
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
0.810 %
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 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME
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
GOOD SHEPHERD SERVICES
Employer identification number
13-5598710
Identifier
Return Reference
Explanation
FORM 990, PART VI, SECTION A, LINE 6
THIS IS AN ORGANIZATION WITH MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7A
THE MEMBERS MAY ELECT ONE OR MORE MEMBERS OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7B
THE FOLLOWING DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO APPROVAL BY MEMBERS: 1) CHANGE IN THE PHILOSOPHY, OBJECTIVES AND PURPOSES OF THE CORPORATION FOR WHICH IT WAS AND IS FORMED AND EXISTS; 2) AMENDMENTS AFFECTING THE RIGHTS OF THE MEMBERS AS PROVIDED BY LAW OR AS SET FORTH IN THE CERTIFICATE OF INCORPORATION OR BY-LAWS; 3) ADVICE AND CONSENT ON THE APPOINTMENT OF THE CORPORATIONS EXECUTIVE DIRECTOR; 4) ELECTION OF THE MEMBERS TO THE BOARD OF DIRECTORS AND TO REMOVE THE SAME WITH OR WITHOUT CAUSE; AND 5) MERGER, CONSOLIDATION, OR AFFILIATE TO THE AGENCY WITH ANOTHER CORPORATION, ORGANIZATION OR PROGRAM.
FORM 990, PART VI, SECTION B, LINE 11
THE FORM IS REVIEWED BY THE EXECUTIVE DIRECTOR, CHIEF FINANCIAL OFFICER, AND CONTROLLER. THE FORM IS THEN FORWARDED TO THE BOARD FOR REVIEW AND COMMENTS.
FORM 990, PART VI, SECTION B, LINE 12C
ANNUAL CONFLICT OF INTEREST RESOLUTION IS REAFFIRMED BY THE BOARD AND SENIOR MANAGEMENT EACH YEAR AT THE ANNUAL MEETING OF THE BOARD. ANY MEMBER OF THE BOARD OF DIRECTORS OR SENIRO MANAGEMENT HAVING A POSSIBLE CONFLICT OF INTEREST WITH RESPECT TO A MATTER SUBMITTED AT A BOARD MEETING FOR ACTION THEREON, AFTER DISCLSING SAME, IS NOT COUNTED IN DETERMINING THE EXISTENCE OF A LEGAL QUORUM FOR SUCH MEETING, SHALL NOT VOTE ON SAID MATTER AND SHALL NOT USE ANY INFLUENCE TO OBTAIN FAVORABLE BOARD ACTION THEREON, EVEN IF OTHERWISE PERMITTED BY LAW, THE MINUTES OF THE MEETING TO REFLECT THE DISCLOSURE MADE BY SUCH BOARD MEMBER, THE QUORUM SITUATION AND SUCH MEMBER'S NON-VOTING. NO MEMBER OF THE BOARD OF DIRECTORS, SENIOR MANAGMENT, ADVISORY BAORDS, PERSONNEL OR CONSULTANTS WORKING AT GOOD SHEPHERD SERVICES BE GIVEN PREFERENTIAL TREATMENT IN APPLYING FOR OR RECEIVING THE ORGANIZATION'S SERVICES.
FORM 990, PART VI, SECTION B, LINE 15
THE BOARD OF DIRECTORS AND EXECUTIVE MANAGEMENT SET SALARY AND BENEFITS SCALES ACCORDING TO PREVAILING LABOR MARKET TRENDS FOR ALL EMPLOYEES. TO ASSIST WITH THIS TASK, RELEVANT DATA SUCH AS CHILD WELFARE LEAGUE OF AMERICA BIANNUAL SALARY SURVEY, ERNST & YOUNG METRO NEW YORK NOT-FOR PROFIT COMPENSATION AND BENEFITS SURVEY, THE ROBIN HOOD FOUNDATION SALARIES AND BENEFITS SURVEY OF NONPROFIT SOCIAL SERVICE AGENCIES, THE PERSONNEL ASSOCIATION OF NON-PROFIT ORGANIZATION'S BIANNUAL SURVEY AND THE NEW YORK CHILD WELFARE AGENCY SALARY SURVEY ARE CONSULTED.
FORM 990, PART VI, SECTION C, LINE 19
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. AFTER REQUESTED, THEY ARE COPIED AND SENT VIA E-MAIL OR THEY ARE MAILED.
CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 5:
NET UNREALIZED GAINS ON INVESTMENTS: 3,418,252.
THE PROCESS OF OVERSEEING THE AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANT
FORM 990, PART XII, LINE 2C:
HAS NOT BEEN CHANGED FROM THE PRIOR YEAR.
CHANGE FROM 509(A)(1) TO 509(A)(2)
SCHEDULE A PART I LINE 9
THE ORGANIZATION DETERMINED THAT GOOD SHEPHERD SERVICES IS MORE APPROPRIATELY CLASSIFIED AS A 509(A)(2) ORGANIZATION DUE TO THE NATURE OF ITS PUBLIC SUPPORT TRANSACTIONS.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.