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
CPC HOME ATTENDANT PROGRAM INC
Employer identification number
13-3203211
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.") ....
89,026,984
96,451,141
101,453,760
97,587,002
92,412,103
476,930,990
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..
0
4
Total. Add lines 1 through 3..
89,026,984
96,451,141
101,453,760
97,587,002
92,412,103
476,930,990
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.
476,930,990
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..
89,026,984
96,451,141
101,453,760
97,587,002
92,412,103
476,930,990
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
212,463
330,826
207,806
51,288
39,179
841,562
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..
10,209
4,906
15,115
11
Total support (Add lines 7 through 10).
477,787,667
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
5,833,521
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
99.820 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
99.800 %
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
CPC HOME ATTENDANT PROGRAM INC
Employer identification number
13-3203211
Identifier
Return Reference
Explanation
Form 990, Part I, line 1 & Part III, line 1 - Organization's Mission.
Established in 1983, the Chinese-American Planning Council Home Attendant Program, Inc. is a home attendant provider under contract to the NYC Human Resources Administration, and licensed in 1998 as a not-for-profit home care service agency. The Agency is a subsidiary of Chinese-American Planning Council, a non-profit multi-social organization that was established in 1965. The mission of the Agency is to provide home health care services in the home to clients / patients who aremedically disabled, aged and / or physically handicapped who might otherwise require institutionalization.
Form 990, Part VI, Line 19
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST AT THE ORGANIZATION'S OFFICE.
Form 990, Part VI, Line 15b
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees
THE PRIMARY PURPOSE OF THE SALARY AND COMPENSATION POLICY AT THE AGENCY IS TO COMPLY WITH THE NEW YORK CITY HUMAN RESOURCES ADMINISTRATION'S GENERAL GUIDELINES IN THE AREA OF GAIL BUDGET PROCEDURES.THE BOARD OF DIRECTORS OF THE HOME ATTENDANT PROGRAM ESTABLISHES AND MAINTAINS THE MINIMAL STAFFING REQUIREMENTS AND SALARY STRUCTURES IN ACCORDANCE WITH CONTRACTUAL AGREEMENTS AND FUNDING AVAILABILITY.THE EXECUTIVE DIRECTOR REVIEWS AND APPROVES SALARY ADJUSTMENTS AND COMPENSATION AND OBTAINS BOARD FINAL APPROVAL AND OR RESOLUTION FOR THE IMPLEMENTATION OF PROPOSED SALARY ADJUSTMENTS AND COMPENSATION.THE PROGRAM DIRECTOR MEETS WITH INDIVIDUAL DEPARTMENT HEADS FOR REVIEWING AND DEVELOPING A STRATEGY FOR PAY ADJUSTMENT AND COMPENSATION UPON RECEIPT OF A BUDGET MEMO FROM THE HUMAN RESOURCES ADMINISTRATION WHICH INCLUDES, AMONG OTHER THINGS, MAXIMUM SALARIES FOR SPECIFIC POSITIONS. THE DECISION TO PROPOSE PAY ADJUSTMENTS AND COMPENSATION IS DEPENDENT UPON FACTORS WHICH INCLUDE AVAILABLE FUNDING, CASELOAD CAPACITY, COST OF LIVING INCREASES AND THE INFORMATION DOCUMENTED BY AN INDIVIDUAL DEPARTMENT HEAD'S ANNUAL JOB PERFORMANCE EVALUATION.THE ASSISTANT DIRECTOR FOR ADMINISTRATIVE SERVICES COMPLETES AND MONITORS THE GAIL BUDGET MODIFICATION BASED ON THE HRA GAIL BUDGET PROCEDURES AND HRA'S HCSP MAXIMUM SALARY REIMBURSEMENT SCHEDULE AND FUNDING AVAILABILITY.THE FISCAL MANAGER VERIFIES AND IMPLEMENTS ALL PAY ADJUSTMENTS AND COMPENSATION UPON OBTAINING SIGNED APPROVAL FROM BOTH THE BOARD CHAIRPERSON AND HRA.
Form 990, Part VI, Line 12c
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts
The policy covers any director, principal officer, or member of a committee designated by the board, who has a direct or indirect financial interest, as defined in the policy, in any transaction or arrangement of the organization. We distribute annual disclosure forms to board members and such forms are reviewed by the Executive Director. Interested persons may also disclose potential conflicts during a board or committee meeting. The uninterested board members identify, consider, address actual conflicts and may ultimately vote to determine whether the transaction or arrangement is in the organization's best interest.
Form 990, Part VI, Line 11
Form 990, Part VI, Line 11: Form 990 Review Process
A copy of the 990 was provided to the board of directors before it was filed. Prior to submission of the Form 990 the Chief Financial Officer also reviewed the return.
Form 990, Part III, Line 4d
Form 990, Part III, Line 4d : Other Program Services Description
OTHER PROGRAM SERVICES 4: Home Attendant Program - Bronx and the Housekeeper Program - Bronx. The number of clients served was about 300 for the Home Attendant program - Bronx and about 100 for the Housekeeper Program - Bronx. The clients of both programs were living in the New York City borough of the Bronx.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.