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
St Vincent Family Centers
Employer identification number
31-4379572
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.") ....
907,682
665,692
704,544
1,250,201
1,682,673
5,210,792
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..
907,682
665,692
704,544
1,250,201
1,682,673
5,210,792
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.
5,210,792
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..
907,682
665,692
704,544
1,250,201
1,682,673
5,210,792
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
45,862
47,616
27,148
43,735
17,283
181,644
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..
34,845
135,100
51,303
69,846
13,084
304,178
11
Total support (Add lines 7 through 10).
5,696,614
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
91.470 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
86.090 %
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
0 %
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
0 %
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:
11000218
Software Version:
2011.0.0
-
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
St Vincent Family Centers
Employer identification number
31-4379572
Identifier
Return Reference
Explanation
Form 990 Part IV
2
Lori Ann Feibel is Ronni Feibels daughter in law.
Form 990 Part IV
7b
Decisions of the board can be over-ridden by the bishop of the Catholoc Diocese of Columbus, Ohio.
Form 990 Part IV
11b
Reviewed by the CFO and Controller of the Organization.
Form 990 Part IV
12c
Policy is enforced by annually having the board members and officers sign a form listing conflicts of interest.
Form 990 Part IV
15a
Executive committe review and other 990 comparisons.
Form 990 Part IV
19
All documents are available upon request.
Form 990 Part III Program Service Accomplishments
Line 4d Other Activities
Program Service Expenses 541,739, Grants and allocations 0, Revenue 430,179 Deaf Services-inpatient and outpatient therapeutic services for children 5 to 18 years of age who are deaf, hard of hearing or the hearing children of deaf adults. Services, which are available to children throughout the state of Ohio, focus on developing the skills necessary for children to interact positively at home, school and in community settings.
Form 990 Part III Program Service Accomplishments
Line 4d Other Activities
Program Service Expenses 760,303, Grants and allocations 0, Revenue 1,061,825 Community Support-community based treatment services offered in school, the childs home or at the agency. Team members help families identify and access community resources for their children. The program also helps teachers and other school personnel meet the social and emotional needs of children and families. Services are available in English and Spanish.
Form 990 Part III Program Service Accomplishments
Line 4d Other Activities
Program Service Expenses 884,092, Grants and allocations 0, Revenue 246,801 Block Grants Ancillary Services-St Vincent Family Centers engages in some smaller block grant programs, for example, Early Childhood Mental Health ECMH that is designed to promote healthy social and emotional development of preschool children. Ancillary services include the diagnosis assessments of clients, medication treatment where necessary and a program to offer mental health services to the Hispanic community.
Form 990 Part III Program Service Accomplishments
Line 4d Other Activities
Program Service Expenses 481,129, Grants and allocations 0, Revenue 530,881 Educational Support and Camps-serves at-risk and severly emotionally disturbed children from K-5th grade. During the school year staff works in classrooms at Beatty Park Elementary School providing mental health groups and support to children who struggle with emotional control, anger issues, depression, trauma, and other mental health concerns. During winter, spring and summer breaks, staff runs prevention camps for at-risk children, focusing on decreasing violence and drug and alcohol abuse.
Form 990 Part III Program Service Accomplishments
Line 4d Other Activities
Program Service Expenses 698,211, Grants and allocations 0, Revenue 544,715 Prevention Outpatient-Prevention services are designed to prevent the development of delinquent behaviors, school dropout, and drug and alcohol abuse. Services geared toward adults include parenting education and support. Prevention, consultation, and education services are designed to reduce barriers to services for children and adults with issues and needs. Outpatient services are designed to give therapeutic assistance to children with some emotional or behavioral disorders that do not need more extensive programs or who are stepping down from other programs.
Form 990 Part III Program Service Accomplishments
Line 4d Other Activities
Program Service Expenses 547,823, Grants and allocations 0, Revenue 787,898 Extended Day Afterschool Program-intensive, group-based after school program designed to help children identify, learn and practice ways to effectively manage individual target behaviors and symptoms. Therapeutic groups and activities for children 5 1/2 to 13 years of age help prevent out-of-home placement or aid in the transition from a more restrictive setting to a more community based setting.
Form 990, Part III, Line 4d Program Service Expenses 541,739, Grants and allocations 0, Revenue 430,179 Deaf Services-inpatient and outpatient therapeutic services for children 5 to 18 years of age who are deaf, hard of hearing or the hearing children of deaf adults. Services, which are available to children throughout the state of Ohio, focus on developing the skills necessary for children to interact positively at home, school and in community settings. Form 990, Part III, Line 4d Program Service Expenses 760,303, Grants and allocations 0, Revenue 1,061,825 Community Support-community based treatment services offered in school, the childs home or at the agency. Team members help families identify and access community resources for their children. The program also helps teachers and other school personnel meet the social and emotional needs of children and families. Services are available in English and Spanish. Form 990, Part III, Line 4d Program Service Expenses 884,092, Grants and allocations 0, Revenue 246,801 Block Grants Ancillary Services-St Vincent Family Centers engages in some smaller block grant programs, for example, Early Childhood Mental Health ECMH that is designed to promote healthy social and emotional development of preschool children. Ancillary services include the diagnosis assessments of clients, medication treatment where necessary and a program to offer mental health services to the Hispanic community. Form 990, Part III, Line 4d Program Service Expenses 481,129, Grants and allocations 0, Revenue 530,881 Educational Support and Camps-serves at-risk and severly emotionally disturbed children from K-5th grade. During the school year staff works in classrooms at Beatty Park Elementary School providing mental health groups and support to children who struggle with emotional control, anger issues, depression, trauma, and other mental health concerns. During winter, spring and summer breaks, staff runs prevention camps for at-risk children, focusing on decreasing violence and drug and alcohol abuse. Form 990, Part III, Line 4d Program Service Expenses 698,211, Grants and allocations 0, Revenue 544,715 Prevention Outpatient-Prevention services are designed to prevent the development of delinquent behaviors, school dropout, and drug and alcohol abuse. Services geared toward adults include parenting education and support. Prevention, consultation, and education services are designed to reduce barriers to services for children and adults with issues and needs. Outpatient services are designed to give therapeutic assistance to children with some emotional or behavioral disorders that do not need more extensive programs or who are stepping down from other programs. Form 990, Part III, Line 4d Program Service Expenses 547,823, Grants and allocations 0, Revenue 787,898 Extended Day Afterschool Program-intensive, group-based after school program designed to help children identify, learn and practice ways to effectively manage individual target behaviors and symptoms. Therapeutic groups and activities for children 5 1/2 to 13 years of age help prevent out-of-home placement or aid in the transition from a more restrictive setting to a more community based setting. Form 990 Part IV Section A Line 2 Lori Ann Feibel is Ronni Feibels daughter in law. Form 990 Part IV Section A Line 7b Decisions of the board can be over-ridden by the bishop of the Catholoc Diocese of Columbus, Ohio. Form 990 Part IV Section B Line 11b Reviewed by the CFO and Controller of the Organization. Form 990 Part IV Section B Line 12c Policy is enforced by annually having the board members and officers sign a form listing conflicts of interest. Form 990 Part IV Section B Line 15a Executive committe review and other 990 comparisons. Form 990 Part IV Section C Line 19 All documents are available upon request.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.