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
A CHANCE TO GROW INC
Employer identification number
41-1444113
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.") ....
605,184
545,477
380,527
602,557
3,300,956
5,434,701
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..
605,184
545,477
380,527
602,557
3,300,956
5,434,701
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.
5,434,701
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..
605,184
545,477
380,527
602,557
3,300,956
5,434,701
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
567,724
606,031
757,594
520,280
108,670
2,560,299
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..
62,118
84,792
117,116
111,595
1,376,151
1,751,772
11
Total support (Add lines 7 through 10).
9,746,772
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
85,698
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
55.760 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
43.120 %
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.") .
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) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(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 2011 (line 8 column (f) divided by line 13 column (f))
.........
15
16
Public support percentage from 2010 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f))
......
17
18
Investment income percentage from 2010 Schedule A, Part III, line 17
.............
18
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
A CHANCE TO GROW INC
Employer identification number
41-1444113
Identifier
Return Reference
Explanation
ORGANIZATION'S MISSION
FORM 990 - ORGANIZATION'S MISSION
A CHANCE TO GROW PROMOTES THE MAXIMUM DEVELOPMENT OF THE WHOLE CHILD THROUGH INNOVATIVE, INDIVIDUALIZED AND COMPREHENSIVE BRAIN-CENTERED PROGRAMS AND SERVICES. THESE SERVICES ARE EDUCATIONAL, THERAPEUTIC AND REHABILITATIVE IN NATURE.
FIRST ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4A
THE PCA PROGRAM. IT IS INCORPORATED INTO THE DAILY WORK ROUTINE OF THE PCA. THE SMART PLAY PROGRAM PROMOTES MOTOR AND NEURAL SKILLS AND IS OFFERED AT NO ADDITIONAL COST.
SECOND ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4B
CENTER WORKS WITH INFANTS, TODDLERS, AND PRESCHOOLERS TO HELP PREPARE THEM FOR SUCCESS IN SCHOOL AND LIFE. CHILDREN DEVELOP IMPORTANT SKILLS AT OUR CENTER: HOW TO GET ALONG WITH OTHERS, HOW TO COMMUNICATE, PHYSICAL COORDINATION, HOW TO PROBLEM SOLVE, AND HOW TO LISTEN AND FOLLOW DIRECTIONS. IN INDEPENDENT TESTING OF CHILDREN ENTERING THE MINNEAPOLIS SCHOOL DISTRICT, STRONG BEGINNINGS STUDENTS TESTED SOLIDLY ON TRACK FOR READING SUCCESS, SURPASSING THE SCORES OF ALL ENTERING KINDERGARTENERS.
THIRD ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4C
AGES. OTHER SERVICES INCLUDE DEVELOPMENTAL AND VISUAL PERCEPTION TESTING, PREVENTATIVE EYE CARE AND DISEASE MANAGEMENT, EYE GLASS ADJUSTMENT AND SALES, CONTACT LENS EXAMINATIONS AND FITTINGS, AND DYSLEXIA SCREENINGS. RECENTLY, THE VISION DEPARTMENT ADDED MOBILE VISION SERVICES FOR CHILDCARE CENTERS. WE TRAVEL TO LOCAL CHILDCARE CENTERS AND PROVIDE EYE EXAMS TO CHILDREN SIX MONTHS TO FIVE YEARS OLD.A CHANCE TO GROWS NEUROTECHNOLOGY DEPARTMENT OFFERS TWO TECHNOLOGIES TO THE COMMUNITY. AUDIO VISUAL ENTRAINMENT (AVE) EXPOSES THE VISUAL CHANNEL TO PULSATING LIGHTS AND THE AUDIOTORY CHANNEL TO RHYTHMIC BEATS OR TONES. IT ALLOWS ONE TO REACH A STATE OF DEEP RELAXATION THAT FOSTERS STRESS REDUCTION AND SELF- IMPROVEMENT. THROUGH LIGHTS AND SOUNDS, AVE EXPOSES THE BRAIN TO USEFUL PATTERNS AND HELPS ONE ACCESS THE BRAIN MORE EASILY. THE AVE DEVICE IS NOT ONLY PORTABLE, BUT CAN BE USED IN THE PRIVACY OF THE HOME. EEG BIOFEEDBACK IS OUR OTHER TECHNOLOGY. EEG BIOFEEDBACK IS A PAINLESS, NON-INVASIVE PROCEDURE WHERE THE CLIENT RECEIVES FEEDBACK FROM HIS OR HER BRAIN WITH THE ASSISTANCE OF SENSORS PLACES ON HIS OR HER SCALP AND EARS. OUR SYSTEM USES FAMILY-FRIEDNLY MOVIES AND VIDEO GRAPHICS TO HELP ONES BRAIN RELAX AND REACH OPTIMAL STATE, IDEAL FOR LEARNING AND EFFICIENCY. WHEN A LESS DESIRABLE BRAINWAVE STATE EMERGES, THE GRAPHIC OR MOVIE SLOWS DOWN AND THE BRAIN RESPONDS TO THE SLOWER FEEDBACK. THE ENCOURAGES AN EFFICIENT BRAINWAVE PATTERN.A CHANCE TO GROWS AUDITORY DEPARTMENT OFFERS AUDITORY PROCESSING EVALUATIONS FOR PEOPLE AGES 7 YEARS AND UP. WE CAN PROVIDE APD SCREENINGS FOR 5 AND 6 YEAR OLDS. SYMPTOMS OF AN AUDITORY PROCESSING PROBLEM INCLUDES: A HISTORY OF MULTIPLE EAR INFECTIONS, DIFFICULTY UNDERSTANDING VERBAL INFORMATION, TROUBLE FOLLOWING DIRECTIONS, SPELLING AND READING, SOCIAL INTERACTIONS, SOUND DISCRIMINATION, ETC. EVERY CLIENTS CARE BEGINS WITH A ONE-ON-ONE EVALUATION WITH ACTGS AUDIOLOGIST.A CHANCE TO GROWS OUTPATIENT REHABILITATION CLINIC OFFERS SPEECH, OCCUPATIONAL AND PHYSICAL THERAPY SERVICES. OUR TEAM OFFERS A HOLISTIC APPROACH TO MEETING THE NEEDS OF THE CHILD. WE COLLABORATE WITH OTHER ACTG PROGRAMS AND INTERVENTIONS AS WELL AS PARENTS, TEACHERS, SPECIAL EDUCATORS, PHYSICIANS, ETC. A CHANCE TO GROWS CONTRACT SERVICE TEAM PERFORMS THERAPEUTIC SERVICES TO SCHOOLS ON A CONTRACTUAL BASIS. SERVICES INCLUDE: SPEECH, OCCUPATIONAL AND PHYSICAL THERAPIES; AND VISION AND HEARING SCREENINGS. OUR THERAPISTS ARE INVOLVED IN EVERY ASPECT OF THE IEP PROCESS, INCLUDING PRE-REFERRAL INTERVENTION, ASSESSMENT, TEAM RECOMMENDATIONS AND DIRECT/INDIRECT SERVICE."
ALL OTHER ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4D
TRAINING SERVICES - MINNESOTA LEARNING RESOURCE CENTER (MLRC) WITH A DUAL MISSION OF REPLICATING BRAIN-CENTERED INTERVENTIONS DEVELOPED BY A CHANCE TO GROW AND CREATING A COMMUNITY OF EDUCATORS WHO LOOK AT CHILDREN DEVELOPMENTALLY, THE MINNESOTA LEARNING RESOURCE CENTER (MLRC) IS THE INTERNATIONALLY RECOGNIZED TEACHER TRAINING INSTITUTE OF A CHANCE TO GROW. ESTABLISHED IN 1999 VIA FUNDING BY THE STATE LEGISLATURE, THE MLRC HAS TRAINED OVER 4,500 EDUCATORS TO DATE. ADDITIONAL FINANCIAL SUPPORT FROM THE U.S. DEPARTMENT OF EDUCATION OVER A FOUR YEAR PERIOD ALLOWED THE MLRC TO EXPAND INTO 12 OTHER STATES OUTSIDE OF MINNESOTA, INVOLVING OVER 250 SCHOOLS AND 60,000 STUDENTS NATIONWIDE IN GRADES K 3. RECENTLY, EDUCATORS FROM AS FAR AWAY AS SINGAPORE, JAPAN, BERMUDA, AUSTRALIA AND MEXICO HAVE PARTICIPATED IN MLRC WORKSHOPS. DATA COLLECTED OVER THE YEARS INDICATES THAT THE ACTG INTERVENTIONS INCREASE LEARNING READINESS FOR ALL STUDENTS, BOTH THOSE WHO STRUGGLE AND THOSE ALREADY AT OR BEYOND GRADE LEVEL, IN THOSE EARLY ELEMENTARY YEARS. RANGING FROM A PURPOSEFUL MOVEMENT PROGRAM CALLED S.M.A.R.T. TO THE USE OF CUTTING EDGE TECHNOLOGY, THE INTERVENTIONS ALL WORK TO STIMULATE THE BRAIN AND BRING IT TO ITS FULL CAPACITY FOR LEARNING. IN 2005 THE MLRC LAUNCHED A FIVE YEAR STUDY INVOLVING 22 HEAD START SITES TO DETERMINE THE EFFECTIVENESS OF S.M.A.R.T. WITH CHILDREN AGED THREE TO FIVE, ATTEMPTING TO PREPARE CHILDREN FOR LEARNING PRIOR TO THEIR ENTRY TO SCHOOL RATHER THAN REMEDIATING AFTER THE CHILD HAS STARTED SCHOOL. THE RESULTS OF THE STUDY, USING STANDARDIZED MEASURES, SHOWED THAT THOSE CHILDREN EXPOSED TO S.M.A.R.T. ENTERED KINDERGARTEN READY TO LEARN AND AT A LEVEL EQUAL TO NATIONAL NORMS. AND, WHEN A SUBSET OF THE HEAD START CHILDREN WAS FOLLOWED INTO K 2 GRADES, THEY MAINTAINED THOSE GAINS, THEREBY AVOIDING WHATS REFERRED TO AS THE HEAD START FADE. BOTH THE ELEMENTARY AND PRE-K S.M.A.R.T. PROGRAMS OFFER 3-DAY TRAININGS FOR TEACHERS AND OTHER PROFESSIONALS, FOLLOW-UP, ON-SITE MENTORING AND A VARIETY OF CURRICULUM AND PROGRAM GUIDES THAT DETAIL THE S.M.A.R.T. ACTIVITIES AND THE RELEVANCY TO LEARNING READINESS.
RELATED PARTY INFORMATION AMONG OFFICERS
FORM 990, PAGE 6, PART VI, LINE 2
BOB DEBOER SPOUSE KATHY DEBOER SPOUSE
MANAGEMENT DELEGATED
FORM 990, PAGE 6, PART VI, LINE 3
CLIFTONLARSONALLEN - FINANCES
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
990 IS REVIEWED BY THE CONTRACT CFO PRIOR TO FILING.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
NO DOCUMENTS WERE REQUESTED BY THE PUBLIC.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.