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
2012
Open to Public Inspection
Name of the organization
OUR KIDS
Employer identification number
30-0478917
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 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 monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
71,565
67,591
142,410
127,009
90,364
498,939
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
71,565
67,591
142,410
127,009
90,364
498,939
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.
498,939
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
7
Amounts from line 4..
71,565
67,591
142,410
127,009
90,364
498,939
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
55
55
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
1,550
600
2,150
11
Total support (Add lines 7 through 10).
501,144
12
Gross receipts from related activities, etc. (see instructions)
..................
12
103,008
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 2012 (line 6, column (f) divided by line 11, column (f))
.........
14
99.560 %
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
99.460 %
16a
33 1/3% support test—2012.
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—2011.
If the organization did not check a 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—2012.
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—2011.
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) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(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 2012 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2011 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2011 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2012.
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—2011.
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) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information.
Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2012
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
2012
Open to Public Inspection
Name of the organization
OUR KIDS
Employer identification number
30-0478917
Identifier
Return Reference
Explanation
OTHER EXPENSES
FORM 990-EZ, PART I, LINE 16
EXPENSES OFFICE 332 INFORMATION TECHNOLOGY 14 INSURANCE 3,045 BACKGROUND CHECKS 516 OTHER EXPENSES 376 TRAINING 828 ALLOCATION FOR SALARIES 91,139 AFTER SCHOOL PROGRAM EXP 4,744 MANANTIAL PROG EXP 3,162 OTHER PROGRAM EXP 6,493 TOTAL 110,649
OTHER CHANGES IN NET ASSETS OR FUND BALANCES
FORM 990-EZ, PART I, LINE 20
ROUNDING -1
OTHER ASSETS
FORM 990-EZ, PART II, LINE 24
ACCOUNTS RECEIVABLE 72,440 0 TOTAL 72,440 0
OTHER LIABILITIES
FORM 990-EZ, PART II, LINE 26
ACCOUNTS PAYABLE AND ACCRUED EXPENSES 116,768 0
PRIMARY EXEMPT PURPOSE
FORM 990-EZ, PART III
CHILDRENS CENTER CHARITIES WORKS TO DEVELOP, SUPPORT, EXPAND, AND IMPROVE SERVICES FOR CHILDREN WITH SPECIAL NEEDS AND THEIR FAMILIES IN THE JOHNSON COUNTY COMMUNITY AND SURROUNDING AREAS.
FIRST ACCOMPLISHMENT
FORM 990-EZ, PART III, LINE 28
CHARITABLE THERAPY AND OTHER PROGRAMS: CHARITABLE THERAPY: THERAPEUTIC SERVICES THAT ARE PROVIDED TO CHILDREN FROM LOW INCOME FAMILIES IN JOHNSON COUNTY THROUGH DONATIONS RECEIVED FROM INDIVIDUALS AND ORGANIZATIONS. APPROXIMATELY 40 FAMILIES SERVED DURING FY2013. RESPITE PROGRAM: RESPITE IS A SERVICE PROVIDED TO GIVE THE PRIMARY CAREGIVERS A BREAK. THIS SERVICE CAN ONLY BE USED WHEN ONE OF THE PRIMARY CAREGIVERS IS NOT WORKING. FAMILIES ARE PAIRED WITH THE BEST PROVIDER BASED ON THE CHILD'S NEEDS. GROUP SERVICES ARE ALSO OFFERED. 12 FAMILIES SERVED DURING FY2013, INCLUDING THE ILL AND HANDICAPPED AND INTELLECTUAL DISABILITY WAIVERS. SOCIAL SKILLS PROGRAM: CHILDREN'S CENTERS BELIEVES THAT CHILDREN LEARN BEST WHEN THEY PRACTICE THEIR SKILLS IN AN EXCITING AND MOTIVATING ENVIRONMENT. A SKILLED TEAM OF SPEECH THERAPISTS, ALONG WITH TRAINED STAFF AND VOLUNTEERS, RUN A NUMBER OF GROUPS BASED ON AGE AND ABILITY LEVELS. THERAPISTS AND STAFF UTILIZE THE SOCIAL THINKING CURRICULUM, ALONG WITH A VARIETY OF RESEARCH BASED TECHNIQUES TO TARGET PRAGMATIC AND SOCIAL SKILLS. CHILDREN ARE GIVEN THE OPPORTUNITY TO IMPROVE PLAY SKILLS, TURN TAKING, NON-VERBAL COMMUNICATION, CONVERSATION, AND PERSPECTIVE TAKING. AFTER COMPLETION OF A SPEECH EVALUATION, EACH CHILD IS MATCHED WITH THE PROGRAM THAT WILL BEST FIT THEIR NEEDS. SUMMER CAMP IS ALSO OFFERED, WHICH SERVES A VARIETY OF AGES AND ABILITY LEVELS. OVER 50 FAMILIES SERVED DURING FY2013. BEHAVIORAL HEALTH PROGRAM: THE CHILDREN'S CENTER OFFERS INDIVIDUAL AND GROUP THERAPY FOR CHILDREN WITH MENTAL HEALTH CONCERNS. CHILDREN HAVE THE OPPORTUNITY TO DEVELOP THEIR SOCIAL AND EMOTIONAL GROWTH WITH AN INDEPENDENT SOCIAL WORKER THROUGH PLAY, TALK, AND REFLECTIVE INTERACTIONS. 12 CHILDREN SERVED IN FY2013.
SECOND ACCOMPLISHMENT
FORM 990-EZ, PART III, LINE 29
SUPPORT GROUPS: MANANTIAL SUPPORT GROUP: GRUPO MANATIAL IS A HISPANIC SUPPORT GROUP FOR CHILDREN AGED 0-5 WITH SPECIAL NEEDS. THE GOAL IS TO HAVE A PLACE TO MEET WHERE PARENTS CAN FIND SUPPORT AND UNDERSTANDING, NO MATTER THE CIRCUMSTANCE. IT IS A FAMILY-ORIENTED GROUP WHO WORK TOGETHER ON BUILDING RELATIONSHIPS WITH ONE ANOTHER AND SUPPORT EACH OTHER IN ANY WAY POSSIBLE. RELATIONSHIPS ARE BUILT THROUGHOUT THE COMMUNITY, WITH THE GOAL OF HELPING AND UNDERSTANDING THE CHILDREN, PARENT EDUCATION, AND ADVOCACY. 26 FAMILIES SERVED IN FY2013. PARENT SUPPORT GROUP: PARENT SUPPORT GROUPS ARE HELD AT THE CHILDREN'S CENTER IN SEVEN-WEEK SESSIONS ON SATURDAY MORNINGS FROM 9-10AM. GROUPS ARE FREE AND OPEN TO ALL PARENTS WHO HAVE A CHILD WITH A DISABILITY OR SUSPECT THEIR CHILD HAS A DISABILITY. 6 FAMILIES SERVED DURING FY2013.
THIRD ACCOMPLISHMENT
FORM 990-EZ, PART III, LINE 30
AFTER SCHOOL PROGRAM: THE AFTER SCHOOL PROGRAM GIVES CHILDREN THE CHANCE TO LEARN AND PRACTICE SOCIAL SKILLS WHILE BUILDING CONFIDENCE AND INDEPENDENCE. PARTICIPANTS ARE GIVEN THE OPPORTUNITY TO GET INVOLVED IN THE COMMUNITY BY PLANNING AND CARRYING OUT THEIR OWN SERVICE LEARNING PROJECTS. VOLUNTEERS COME TO THE PROGRAM TO TEACH SKILLS THAT CHILDREN MAY NOT EXPERIENCE OTHERWISE, SUCH AS TAE KWON DO, YOGA, ART, AND MORE. THROUGH THE DIVERSE EXPERIENCES PROVIDED, CHILDREN ARE BETTER EQUIPPED TO APPLY THESE SKILLS IN A VARIETY OF SETTINGS. 12 CHILDREN SERVED DURING FY2013.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.