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 SCHOOL FOR CHILDREN
Employer identification number
43-0955225
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.") .
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 E(Form 990 or 990-EZ) Department of the TreasuryInternal Revenue Service
SchoolsComplete if the organization answered "Yes" to Form 990, Part IV, line 13, or Form 990-EZ, Part VI, line 48. Attach to Form 990 or Form 990-EZ.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
GOOD SHEPHERD SCHOOL FOR CHILDREN
Employer identification number
43-0955225
Part I
YES
NO
1
Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws,
other governing instrument, or in a resolution of its governing body?
......................
1
Yes
2
Does the organization include a statement of its racially nondiscriminatory policy toward students in all its
brochures, catalogues, and other written communications with the public dealing with student admissions,
programs, and scholarships?
......................................
2
Yes
3
Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during
the period of solicitation for students, or during the registration period if it has no solicitation program, in a way
that makes the policy known to all parts of the general community it serves? If "Yes," please describe. If "No,"
please explain. If you need more space use Part II.
.............................
3
Yes
4
Does the organization maintain the following?
a
Records indicating the racial composition of the student body, faculty, and administrative staff?
..........
4a
Yes
b
Records documenting that scholarships and other financial assistance are awarded on a racially nondiscriminatory
Other extracurricular activities?
.....................................
5h
No
If you answered "Yes" to any of the above, please explain. If you need more space, use Part II.
6a
Does the organization receive any financial aid or assistance from a governmental agency?
............
6a
Yes
b
Has the organization's right to such aid ever been revoked or suspended?
...................
6b
No
If you answered "Yes" to either line 6a or line 6b, explain on Part II.
7
Does the organization certify that it has complied with the applicable requirements of sections 4.01 through 4.05
of Rev. Proc. 75-50, 1975-2 C.B. 587, covering racial nondiscrimination? If "No," explain on Part II.
7
Yes
Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50085D
Schedule E (Form 990 or 990-EZ) 2010
Schedule E (Form 990 or 990EZ) 2010
Page 2
Part II
Supplemental Information
Complete this part to provide the explanations required by Part I, lines 3, 4d, 5h, 6b, and 7, as applicable. Also complete this part to provide any other additional information (see instructions).
Identifier
Return Reference
Explanation
EXPLANATION OF NONDISCRIMINATORY POLICY PUBLICATION
SCHEDULE E, PART I, LINE 3
POLICY IS INCLUDED IN ENROLLMENT PACKAGE MATERIALS.
EXPLANATION OF GOVERNMENT FINANCIAL ASSISTANCE
SCHEDULE E, PART I, LINE 6
THE SCHOOL RECEIVES GOVERNMENT ASSISTANCE FOR THERAPY SERVICES FROM MISSOURI FIRST STEPS.
Schedule E (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 SCHOOL FOR CHILDREN
Employer identification number
43-0955225
Identifier
Return Reference
Explanation
FORM 990, PART VI, SECTION B, LINE 11
THE REVIEW OF THE 990 IS INITIALLY REVIEWED BY THE FINANCE DIRECTOR IN CONJUNCTION WITH THE MANAGEMENT TEAM. THE DRAFT IS PRESENTED TO THE FULL BOARD OF DIRECTORS FOR REVIEW AND COMMENT. AS DELEGATED BY THE BOARD OF DIRECTORS, THE FINAL DRAFTS ARE THEN PRESENTED TO THE FINANCE COMMITTEE FOR REVIEW AND APPROVAL. THE FORM 990 IS SIGNED BY THE TREASURER.
FORM 990, PART VI, SECTION B, LINE 12C
YES, DIRECTORS,OFFICERS AND KEY EMPLOYEES REVIEW AND RE-SIGN THE CONFLICT OF INTERST POLICY ANNUALLY AND MUST DISCLOSE ANY CONFLICTS OF INTEREST. IF A CONFLICT IS NOTED, THAT BOARD MEMBER WILL BE EXCUSED FROM DISCUSSION AND NOT ALLOWED TO VOTE REGARDING THAT ISSUE. THE PRESIDENT MONITORS ANY SUCH ACTIVITY IN THE MEETING; IN THE ABSENCE OR CASE OF A CONFLICT WITH THE PRESIDENT, THE VICE-PRESIDENT WILL ASSUME RESPONSIBILITIES.
FORM 990, PART VI, SECTION B, LINE 15
THE BOARD OF DIRECTORS HAS A HUMAN RESOURCES COMMITTEE THAT WILL REVIEW THE FINAL CANDIDATE FOR QUALIFICATION OF ANY "OFFICER" OR KEY EMPLOYEE POSITION AND FIT WITH THE SCHOOL. THE COMMITTEE WILL REVIEW COMPENSATION STUDIES FOR FUNCTIONALLY COMPARABLE POSITIONS AT SIMILAR ORGANIZATIONS. THE COMMITTEE WILL APPROVE THE SALARY OFFER IN ACCORDANCE WITH THE ESTABLISHED BUDGET AND SCHOOL'S POLICIES AND PROCEDURES. THE COMMITTEE WILL REVIEW UPDATED COMPENSATION STUDIES UPON INCREASE IN WAGES AS WELL.
FORM 990, PART VI, SECTION C, LINE 19
YES, THE SCHOOL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. THEY ARE AVAILABLE UPON REQUEST.
CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 5:
NET UNREALIZED GAINS ON INVESTMENTS: 50,457. DONATED SERVICES AND USE OF FACILITIES: 4,358. TOTAL TO FORM 990, PART XI, LINE 5: 54,815.
FORM 990, PART XII, LINE 2C AUDIT OVERSIGHT:
YES, THE ORGANIZATION DOES HAVE A COMMITTE THAT ASSUMES OVERSIGHT OF THE AUDIT AND REVIEW OF THE DRAFT FINANCIALS. THE PROCEDURE FROM THE PRIOR YEAR HAS NOT CHANGED.
FORM 990, PART III, LINE 1 PROGRAM ACCOMPLISHMENTS:
GOOD SHEPHERD SCHOOL FOR CHILDREN HAS BEEN SERVING THE CHILDREN OF ST. LOUIS, MO FOR OVER 40 YEARS, PROVIDING QUALITY EARLY CHILDHOOD EDUCATIONAL SERVICES AS WELL AS PHYSICAL, OCCUPATIONAL, DEVELOPMENTAL, SPEECH AND LANGUAGE, AND PLAY THERAPIES. WE ACCEPT CHILDREN OF ALL ABILITIES, AGES 6 WEEKS TO 6 YEARS OF AGE. OUR SCHOOL PROVIDES A FULLY INTEGRATED EDUCATIONAL SETTING WHERE CHILDREN, BOTH WITH AND WITHOUT DEVELOPMENTAL CONCERNS, LAUGH AND LEARN TOGETHER. WE ARE PROUD TO PROVIDE A UNIQUE PROGRAM WHERE KIDS CAN JUST BE KIDS, BECOMING FRIENDS REGARDLESS OF THEIR ABILITIES. IT IS OUR BELIEF THAT ALL CHILDREN HAVE THESE NEEDS, AND THAT CHILDREN HAVE THE RIGHT TO GO TO SCHOOL WITH FRIENDS AND SIBLINGS, IN THEIR NEIGHBORHOOD, AND IN AN INCLUSIVE ENVIRONMENT.
EARLY CHILDHOOD EDUCATION:
FORM 990, PART III, LINE 4A PROGRAM ACCOMPLISHMENTS
GOOD SHEPHERD'S EARLY CHILDHOOD EDUCATION PROGRAM IS BASED ON "CREATIVE CURRICULUM". CREATIVE CURRICULUM ALSO WORKS IN COLLABORATION WITH DEVELOPMENTALLY APPROPRIATE PRACTICE IN EARLY CHILDHOOD PROGRAMS: AS PUBLISHED BY THE NATIONAL ASSOCIATION FOR THE EDUCATION OF YOUNG CHILDREN ("NAEYC"). WE BELIEVE CHILDREN LEARN FROM EVERYONE AROUND THEM AND THAT THEY GROW AND LEARN DIFFERENTLY. CHILDREN CONSTRUCT THEIR OWN KNOWLEDGE AS A RESULT OF THEIR INTERACTION WITH THEIR WORLD. WE PROVIDE OPPORTUNITIES FOR THEM TO EXPLORE AND GROW. THE CLASSROOM ENVIRONMENT ENABLES CHILDREN TO BE ENGAGED IN POSITIVE INTERACTIONS WITH THEIR PEERS AND TEACHERS. THE ENVIRONMENT TYPICALLY INCLUDES THE FOLLOWING LEARNING CENTERS, AS SPACE AND INTEREST OF THE CHILDREN ALLOWS: BLOCK, HOUSE CORNER, TABLE TOYS, ART, SAND AND WATER, LIBRARY, MUSIC AND MOVEMENT, AND OUTDOORS. WITH THE ENVIRONMENT IN PLACE, THE TEACHER WILL THEN DEVELOP LESSON PLANS WITH A FOCUS ON FOUR PRIMARY AREAS: LITERACY, MATHEMATICS, SCIENCE, AND SOCIAL STUDIES. CREATIVE CURRICULUM EMPHASIZES A PARTNERSHIP WITH PARENTS AND IT IS A CURRICULUM THAT WAS SPECIFICALLY DEVELOPED FOR EARLY CHILDHOOD EDUCATION, BEGINNING AT THE INFANT STAGE. IT ALSO HAS ESTABLISHED GUIDELINES ON INCLUDING CHILDREN WITH DISABILITIES. OUR PROGRAM IS INDIVIDUALLY GUIDED WITH A SPECIFIC LEARNING PLAN DEFINED FOR EACH CHILD. FORMAL ASSESSMENT OF EACH CHILD'S DEVELOPMENT IS ASSESSED SEMI-ANNUALLY. COLLABORATION WITH PARENTS IS CRUCIAL TO THE ASSESSMENT AND GOAL SETTING PROCESS TO ENSURE THAT GOALS ARE APPROPRIATE AND CONSISTENT BETWEEN THE SCHOOL AND HOME ENVIRONMENTS. OUR PROFESSIONAL STAFF HAVE DEGREES IN EARLY CHILDHOOD EDUCATION AND WORK WITH EACH CHILD TO REACH HIS OR HER EDUCATIONAL POTENTIAL. WE MAINTAIN A LOW CHILD TO TEACHER RATIO SO THAT EACH CHILD CAN RECEIVE INDIVIDUAL ATTENTION. TOTAL NUMBER OF CHILDREN SERVED FOR THE YEAR WAS 78.
PEDIATRIC THERAPY SERVICES:
FORM 990, PART III, LINE 4B PROGRAM ACCOMPLISHMENTS
OUR PEDIATRIC THERAPY SERVICES PROVIDES YEAR-ROUND PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY AND DEVELOPMENTAL THERAPY. THE SERVICES ARE PROVIDED FOR CHILDREN WHO HAVE DISABILITIES OR DELAYS, AGES SIX WEEKS TO 18 YEARS, WHO ARE STUDENTS IN OUR EARLY CHILDHOOD CLASSROOMS, ARE OUTPATIENTS, AND/OR ARE HOME VISIT CLIENTS. STUDENTS SERVED HAVE A VARIETY OF DISABILITIES INCLUDING AUTISM, DOWN SYNDROME, SPINA BIFIDA, MENTAL RETARDATION, LEARNING DISABILITIES, SEIZURE DISORDERS, SPEECH/LANGUAGE DISORDERS AND VARIOUS DEVELOPMENTAL DELAYS. MOST OF THE CHILDREN HAVE MULTIPLE DISABILITIES. OUR PEDIATRIC THERAPY PROGRAM EXPANDS INTO THE COMMUNITY TO FOCUS ON FAMILY SUPPORT AND EARLY CHILDHOOD INTERVENTION AND TO SERVE ADDITIONAL CHILDREN. SERVICES WERE PROVIDED TO APPROXIMATELY 144 CHILDREN WITH DISABILITIES. WHILE OUR FACILITY IS LOCATED IN WEST COUNTY, OUR PEDIATRIC THERAPY PROGRAM HAS TOUCHED LIVES THROUGHOUT THE METROPOLITAN AREA INCLUDING FAMILIES WHO LIVE IN ST. LOUIS CITY, ST. LOUIS COUNTY, ST. CHARLES AND JEFFERSON COUNTY. CHILDREN WHO RECEIVE SERVICES THROUGH OUR PEDIATRIC THERAPY PROGRAM RECEIVE THERAPY ONE TO FIVE TIMES PER WEEK THROUGH OUR MULTIDISCIPLINARY APPROACH TO TREATMENT. THE FREQUENCY AND GOALS FOR THERAPY ARE DETERMINED BASED UPON THE NEEDS OF THE CHILD. A TREATMENT TEAM WHICH INCLUDES THE PARENT, FUNDING SOURCE, EDUCATORS AND THERAPISTS DEVELOP AN INDIVIDUAL PLAN FOR EACH CHILD TO MAXIMIZE PROGRESS. MOST SERVICES ARE PROVIDED WITHIN A CHILD'S NATURAL ENVIRONMENT WHICH IS EITHER THE CHILD'S EARLY CHILDHOOD EDUCATION CENTER OR THEIR HOME. PROGRAM ACTIVITIES INCLUDE: *MAXIMIZING THE CHILD'S ABILITY TO BE INDEPENDENT AT SCHOOL, HOME AND IN THE COMMUNITY. *EDUCATING PARENTS ON HOW TO ADVOCATE FOR THEIR CHILD AND TO ACCESS COMMUNITY RESOURCES. *DECREASING THE CHILD'S NEED FOR FURTHER THERAPY SERVICES. *PROVIDING A FOUNDATION FOR LIFELONG LEARNING AND INDEPENDENT LIVING.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.