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
Family and Children Services
Employer identification number
94-1167408
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.") ....
911,011
840,159
724,893
871,104
740,358
4,087,525
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
0
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
0
4
Total. Add lines 1 through 3..
911,011
840,159
724,893
871,104
740,358
4,087,525
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)..
813,364
6
Public Support. Subtract line 5 from line 4.
3,274,161
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..
911,011
840,159
724,893
871,104
740,358
4,087,525
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
56,364
8,838
20,154
11,969
5,234
102,559
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
0
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
3,136
47,076
19,919
14,692
12,412
97,235
11
Total support (Add lines 7 through 10).
4,287,319
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
18,902,569
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
76.370 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
81.410 %
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:
11000144
Software Version:
2011v1.5
-
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
Family and Children Services
Employer identification number
94-1167408
Identifier
Return Reference
Explanation
Form 990, Part VI, Line 19
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.
Form 990, Part VI, Line 12c
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts
Annually, each member of the board of directors receives the conflict of interest policy and affirms agreement to comply with the policy. Senior management and finance monitor all agency transactions daily and take immediate action whenever needed.
Form 990, Part VI, Line 11
Form 990, Part VI, Line 11: Form 990 Review Process
The taxpayer's accounting firm forwarded the Form 990 to the CFO and controller. The CFO and controller reviewed the Form 990 prior to filing. The Form 990 will be distributed to the governing body after the approval of the CFO.
Form 990, Part III, Line 4d
Form 990, Part III, Line 4d : Other Program Services Description
OTHER PROGRAM SERVICES 4: Deaf and hard-of-hearing: FCS is the primary provider of mental health and family support services for children and adults who are Deaf or Hard-of-Hearing (Deaf/HOH) and their families in Santa Clara County. In addition to mental health care (please see "Mental Health"), we provide intensive services for parents of young children, teaching them how to promote their child's healthy development, connecting them with local resources, and providing counseling as needed. Families participate in monthly field trips which show parents who local family-friendly activities can be made inclusive for Deaf/HOH children.During the 2011-2012 fiscal year, 20 families received intensive support services OTHER PROGRAM SERVICES 5: School services: FCS's School-Based Services foster the healthy social and emotional development of children, youth, and transition age youth. Services particularly address emotional, social, mental health, and behavioral issues which affect students' ability to access learning. Programs are delivered in academic settings throughout Silicon Valley at no cost to students and their families. FCS has partnered with schools for more than 20 years.Students served through our on-campus counseling services are typically referred to or seek counseling due to self-harming behavior, depression, stress, anxiety, gang or other peer issues, suicidal feelings, or family and peer relationship concerns. Our specialized services include on-site mental health care and case management for students in special day programs. Students typically have attention deficit disorder (ADD), attention deficit hyper-activity disorder (ADHD), an assessment on the autistic spectrum, or other emotional health conditions that affect learning and classroom behavior. Our family support program, Families and Schools Together (FAST), targets at-risk elementary school children and their family members. FAST utilizes a nationally-recognized, evidence-based model which requires certification and evaluation by FAST National. Families participate in a 9-week program that is designed to strengthen family relationships, improve communication, and reduce isolation, while safeguarding against risk factors, including adult or child substance abuse, family violence, child neglect, gang involvement, and truancy. Following completion of the 9-week program, families are invited to participate in up to two years after-care services. Our program has been given an Exemplary rating by FAST National.During the 2011-2012 fiscal year, more than 800 individuals participated in school-based program services. One hundred percent of parents completing the FAST Program reported that "my relationship with my children and my family communication and support has improved as a result of participating in FAST program." OTHER PROGRAM SERVICES 6: Counseling: FCS has provided Counseling Services for children, youth, and adults in Silicon Valley for more than 60 years. Our therapists, psychologists, and psychiatrists assist individuals and families with short- and long-term emotional health needs, such as depression, anxiety, stress, parenting, loss, mental illness, divorce, separation, and suicidal feelings. Donations make possible our low- or no-cost services for individuals who are uninsured or underinsured.Through our Employee Assistance Program (EAP), we provide counseling services, work/life educational presentations at workplaces, crisis and trauma services, and consultations. Through our Military Services Initiative, we provide one-to-one, couples, family, and group counseling at our offices and in the community for veterans, service members, and their family members. Our Student Wellness Program empowers children and teaches them tools and techniques to increase their resiliency and emotional intelligence.FCS's highly-regarded Clinical Intern Training Program trains interns seeking licensure in the fields of Marriage and Family Therapy, Psychology, and Social Work.During fiscal year 2012, more than 350 children, teens, and adults received counseling services. Ninety-six percent of clients reported that the quality of their services was good or excellent. OTHER PROGRAM SERVICES 7: Positive solutions: Through the Positive Solutions Program's psycho-educational groups, parenting education workshops, and outreach and education activities, we strive to end the cycle of domestic violence and child abuse and neglect, and to help families build healthy relationships. Prevention activities focus on teaching nurturing parenting skills. FCS has more than 15 years of experience supporting parents and partners in learning positive relationship strategies.During fiscal year 2012, more than 550 adults and 50 children participated in group services. One hundred percent of parents reported that they were better able to communicate with their child, and 100 percent of domestic violence offenders reported improved conflict resolution and communication skills and increased understanding of the effects of violence.Our Positive Solutions Program services include:"Conflict Accountability groups which guide adults in learning to express their anger appropriately, understand their emotions and the effects of their anger on others, and take responsibility for their actions;"Domestic Violence Offender Treatment designed to help adults improve their communication and conflict resolution skills, understand the effects of violence and the role of power and control, and develop healthy relationship skills and practices;"Parenting education and child abuse treatment groups designed to prevent child abuse and neglect by empowering parents to nurture their children, improve their communication, and manage stress and anger, while also increasing their knowledge of child development and the effects of violence;"Cognitive Behavior Treatment (launched in fall of 2011) supports probation-referred adults in creating a positive and healthy lifestyle that benefits the individual and his or her family; and"Community outreach and education.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.