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
2011
Open to Public Inspection
Name of the organization
CATHOLIC CHARITIES OF THE DIOCESE OF LA CROSSE INC
Employer identification number
39-1896823
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) 2011
Schedule A (Form 990 or 990-EZ) 2011
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) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(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) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(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—2011.
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—2010.
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—2011.
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—2010.
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) 2011
Schedule A (Form 990 or 990-EZ) 2011
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) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
1,108,584
1,595,507
1,385,330
1,303,386
1,492,349
6,885,156
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......
1,614,180
1,508,382
1,438,681
1,917,459
2,490,391
8,969,093
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.
2,722,764
3,103,889
2,824,011
3,220,845
3,982,740
15,854,249
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.
446,815
499,027
664,723
771,596
831,534
3,213,695
c
Add lines 7a and 7b..
446,815
499,027
664,723
771,596
831,534
3,213,695
8
Public Support (Subtract line 7c from line 6.)
12,640,554
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
9
Amounts from line 6...
2,722,764
3,103,889
2,824,011
3,220,845
3,982,740
15,854,249
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
206,492
203,707
194,871
178,637
170,164
953,871
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
206,492
203,707
194,871
178,637
170,164
953,871
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.).
2,929,256
3,307,596
3,018,882
3,399,482
4,152,904
16,808,120
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 2011 (line 8 column (f) divided by line 13 column (f))
.........
15
75.210 %
16
Public support percentage from 2010 Schedule A, Part III, line 15
...............
16
75.230 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f))
......
17
6.000 %
18
Investment income percentage from 2010 Schedule A, Part III, line 17
.............
18
6.000 %
19a
33 1/3% support tests—2011.
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—2010.
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) 2011
Schedule A (Form 990 or 990-EZ) 2011
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) 2011
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
2011
Open to Public Inspection
Name of the organization
CATHOLIC CHARITIES OF THE DIOCESE OF LA CROSSE INC
Employer identification number
39-1896823
Identifier
Return Reference
Explanation
EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS
FORM 990, PAGE 1, PART I, LINE 6
GOOD SAMARITAN AFFILIATES - 144 PERSONS PARTICIPATED IN THE GOOD SAMARITAN PROGRAM IN 2011. MORE THAN 300 VOLUNTEERS ASSISTED IN PROVIDING 2,059 SHELTERED NIGHTS OF SERVICE AT THE SOJOURNER HOUSE & WINTER WARMING CENTER. OVER 10,000 HOURS OF VOLUNTEER SERVICES WERE RECEIVED BY OUR AGENCY IN 2011.
ANY SIGNIFICANT NEW PROGRAM SERVICES NOT LISTED ON A PRIOR RETURN
FORM 990, PAGE 2, PART III, LINE 2
THE ORGANIZATION OPENED A HOMELESS SHELTER IN EAU CLAIRE, WI DURING 2011.
FIRST ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4A
PROFESSIONAL CONSULTATIVE SERVICES FOR ADULTS WITH THESE DISABILITIES. SCHOOL SUPPORT SERVICES - THE PROGRAM PROVIDES EDUCATIONAL PROGRAMS AND PROFESSIONAL CONSULTATION SERVICES FOR CARETAKERS, SCHOOLS AND DAY CARE CENTERS THAT ASSIST CHILDREN WITH THESE DISABILITIES. AN ON-SITE SCHOOL PROGRAM, THAT ENHANCES EXISTING PROGRAM OFFERINGS, DURING THE SCHOOL DAY AND PROVIDE SCHOOL DISTRICTS WITH ALTERNATIVE PROGRAMMING FOR THESE CHILDREN. AFTER SCHOOL SUPPORT SERVICES - THE PROGRAM PROVIDES EDUCATIONAL PROGRAMS AND SERVICES TO CHILDREN AFTER THEIR REGULAR SCHOOL DAY. THIS IS AN EXTENSION OF OUR SCHOOL SUPPORT SERVICES AND FOCUSES ON PARTICIPATION IN ACTIVITIES IN THE COMMUNITY TO STRENGTHEN THEIR COMMUNICATION SKILLS.
SECOND ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4B
POST ADOPTION CENTERS - "FRIENDS OF ADOPTION" POST-ADOPTION SUPPORT CENTERS ARE LOCATED IN WESTERN AND NORTHERN WISCONSIN. THIS PROGRAM CIRCULATES A SUPPORTIVE ADOPTION NEWSLETTER REACHING MANY FAMILIES THROUGHOUT THE DIOCESE. RETREATS, WORKSHOPS, AND SUPPORT GROUPS FOR ADOPTIVE FAMILIES ARE ATTENDED BY A NUMBER OF ADOPTIVE FAMILIES. CLIENTS BENEFIT FROM THESE POST ADOPTION SERVICES THROUGHOUT THE 19 COUNTIES OF THE DIOCESE OF LA CROSSE. THE PROGRAM OFFERS A TOLL-FREE SUPPORT LINE FIELDING CALLS AND PROVIDING REFERRALS. IN 2011, 4,235 INDIVIDUALS BENEFITED FROM THE ENCOURAGEMENT AND INSTRUCTION RECEIVED THROUGH OUR POST ADOPTION RESOURCES PROGRAM.
THIRD ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4C
DISASTER IN THEIR LIVES. IN 2011, 127 FAMILIES RECEIVED ASSISTANCE WITH DISASTER RELIEF AND RECOVERY SERVICE; INCLUDING EMERGENCY FOOD, SHELTER DIRECT FINANCIAL ASSISTANCE AND SUPPORT THROUGHOUT THE DIOCESE. CATHOLIC CHARITIES RESPONDED TO COUNTIES ACROSS THE DIOCESE AFFECTED BY TORNADOES, WINDSTORMS AND FLOODING. REPRESENTATIVE PAYEE SERVICES - THIS PROGRAM OFFERS CASE MANAGEMENT SERVICES TO INDIVIDUALS WHO ARE LIVING ON A FIXED INCOME. ASSISTANCE WITH PAYMENT OF FINANCIAL OBLIGATIONS AND MONTHLY HOUSEHOLD BUDGETING ARE AMONG THE SERVICES OFFERED IN THIS PROGRAM. PAYMENTS FOR MONTHLY NEEDS, SUCH AS RENT, UTILITIES, GROCERIES AND OTHER PERSONAL NECESSITIES WERE PROVIDED FOR 451 PARTICIPANTS THROUGHOUT THE SOUTHWESTERN PART OF THE DIOCESE.
ALL OTHER ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4D
DOMESTIC ABUSE - 103 VICTIMS RECEIVED ASSISTANCE AND DIRECT SERVICES IN CRAWFORD COUNTY COMMUNITY HOMELESS FACILITIES - 2,059 SHELTERED NIGHTS OF SERVICE WERE PROVIDED TO MANY POOR, HURTING HOMELESS AND OFTEN "FACELESS" PEOPLE IN OUR COMMUNITIES. 4,118 MEALS WERE SERVED TO THE EAU CLAIRE SOJOURNER HOUSE AND LA CROSSE WINTER WARMING CENTER SHELTER GUESTS IMMIGRATION - 176 CLIENTS FROM OVER 27 COUNTRIES RECEIVED LEGAL SERVICES IN THEIR QUEST FOR US CITIZENSHIP OR PERMANENT RESIDENCY. CATHOLIC CHARITIES PROVIDED A VOICE FOR THOSE WITHOUT A VOICE. FINANCIAL COUNSELING - 1,133 FAMILIES WERE REACHED THROUGH VARIOUS FINANCIAL LITERACY PROGRAMS 223 DEBT MANAGEMENT PARTICIPANTS REDUCED THEIR TOTAL DEBT OVER 750,000 215 CLIENTS RECEIVED HOUSING COUNSELING SERVICES
RELATED PARTY INFORMATION AMONG OFFICERS
FORM 990, PAGE 6, PART VI, LINE 2
DIOCESE OF LA CROSSE CATHOLIC CHARITIES PROGRAM DIR. SECRETARY COMMON GOVERNANCE DIOCESE OF LA CROSSE CATHOLIC CHARITIES PROGRAM DIR. BOARD MEMBER COMMON GOVERNANCE DIOCESE OF LA CROSSE CATHOLIC CHARITIES CHANCELLOR BOARD MEMBER COMMON GOVERNANCE DIOCESE OF LA CROSSE CATHOLIC CHARITIES BISHOP BOARD MEMBER COMMON GOVERNANCE DIOCESE OF LA CROSSE CATHOLIC CHARITIES CURIA DIR. BOARD MEMBER COMMON GOVERNANCE
CLASSES OF MEMBERS OR STOCKHOLDERS
FORM 990, PAGE 6, PART VI, LINE 6
THE ORGANIZATION HAS 3 CORPORATE MEMBERS- THE BISHOP, CHANCELLOR, AND MODERATOR OF THE CURIA OF THE DIOCESE OF LA CROSSE.
ELECTION OF MEMBERS AND THEIR RIGHTS
FORM 990, PAGE 6, PART VI, LINE 7A
YES - THE BOARD OF DIRECTORS ARE ELECTED BY THE MEMBERS AND THE MEMBERS HAVE THE RESERVE AUTHORITY TO APPROVE OR DISAPPROVE THE DECISIONS OF THE BOARD OF DIRECTORS FOR MATTERS OF FAITH AND MORALS.
DECISIONS SUBJECT TO APPROVAL OF MEMBERS
FORM 990, PAGE 6, PART VI, LINE 7B
YES - THE MEMBERS RESERVE THE RIGHT TO APPROVE OR DISAPPROVE DECISIONS OF THE BOARD OF DIRECTORS FOR MATTERS OF FAITH AND MORALS.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
THE FINANCE DIRECTOR AND THE EXECUTIVE DIRECTOR REVIEW THE IRS FORM 990 PRIOR TO FILING. ONCE THAT REVIEW IS COMPLETED BY MANAGEMENT, THE REPORT IS FORWARDED TO THE GOVERNING BODY FOR REVIEW AND COMMENTS.
ENFORCEMENT OF CONFLICTS POLICY
FORM 990, PAGE 6, PART VI, LINE 12C
THE PROCESS TO MONITOR AND ENFORCE THE POLICY IS A PROCESS OF COMPLETING A SELF-MONITORING FORM & ADDITIONAL MONITORING BY THE EXECUTIVE COMMITTEE OF THE BOARD. PROFILES OF ALL BOARD MEMBERS ARE KNOWN BY EACH BOARD MEMBER AND THE ADMINISTRATION OF CATHOLIC CHARITIES. BY BEING COGNIZANT OF EACH OTHERS PROFILES, AND THE ADDITIONAL MONITORING BY THE EXECUTIVE COMMITTEE,WE HOPE TO ENSURE THAT CONFLICTS DISCLOSED ON THESE FORMS ARE CONSIDERED IN THE DECISION MAKING PROCESS AND COMPETING INTERESTS WOULD NOT PREVAIL.
COMPENSATION PROCESS FOR TOP OFFICIAL
FORM 990, PAGE 6, PART VI, LINE 15A
THE BOARD OF DIRECTORS COMPENSATES THE EXECUTIVE DIRECTOR IN ACCORDANCE WITH THE APPROVED SALARY SCALE OF THE AGENCY. ANNUALLY, THE COMPENSATION FOR THE EXECUTIVE DIRECTOR PROGRESSES ON THE SCALE ACCORDINGLY UNLESS THE PERSONNEL COMMITTEE OR BOARD OF DIRECTORS APPROVES ANOTHER CHANGE TO THE EXECUTIVE DIRECTOR'S COMPENSATION.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
THE ORGANIZATIONS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, FINANCIAL STATEMENTS, ETC ARE AVAILABLE FOR REVIEW AT ITS OFFICES UPON REQUEST.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.