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
EASTER SEALS METROPOLITAN CHICAGO INC
Employer identification number
36-2169153
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.") ....
25,135,796
26,890,098
30,806,146
32,578,451
30,370,237
145,780,728
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..
25,135,796
26,890,098
30,806,146
32,578,451
30,370,237
145,780,728
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.
145,780,728
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..
25,135,796
26,890,098
30,806,146
32,578,451
30,370,237
145,780,728
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9,391
25,081
57,007
117,722
291,130
500,331
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..
0
177,633
313,430
342,986
191,251
1,025,300
11
Total support (Add lines 7 through 10).
147,306,359
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
98.964 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
99.854 %
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 Part II Section B Line 10. Other income is comprised of gross income from fundraising events
Schedule A (Form 990 or 990-EZ) 2011
Additional Data
Software ID:
11000129
Software Version:
v1.00
-
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
EASTER SEALS METROPOLITAN CHICAGO INC
Employer identification number
36-2169153
Identifier
Return Reference
Explanation
F990_P06_S0A_L01a
Form 990, Part VI, Section A, Line 1a
The Chairman of ESMC shall annually appoint from members of the Board, voting members, and from the community at large the following standing committees which shall be chaired by a Director and whose members shall serve until their successors have been duly appointed: A. Executive B. Marketing and Public Relations C. Personnel D. Building E. Nominating F. Program G. Development H. Finance I. Compensation The Chairman of ESMC may appoint, from time to time, other committees to meet the civic and other needs of ESMC as they may develop. Committees are expected to meet as frequently as needs may require and must report progress and problems to the Board of Directors at its scheduled meetings. Principal staff members of ESMC will provide needed administrative support.
F990_P06_S0A_L02
Form 990, Part VI, Section A, Line 2
Board members David A Pearre II and David A Pearre III are father and son
F990_P06_S0A_L06
Form 990, Part VI, Section A, Line 6
An individual or a representative of any organization who in the immediately preceding fiscal year contributed $1000 or more to ESMC, and a duly elected member of the Board of Directors, and any individual who in the immediately preceding fiscal year contributed at least 1,000 volunteer hours of service to ESMC shall be entitled to vote at the annual meeting for members of the Board of Directors and such other business as may come before whatever special meetings may be called. The voting rights of members other than duly elected members of the Board of Directors shall be limited to the election of directors to serve on the Board of Directors of ESMC and delegates and alternate delegates to serve in the House of Delegates of National Easter Seals.
F990_P06_S0A_L07a
Form 990, Part VI, Section A, Line 7a
An individual or a representative of any organization who in the immediately preceding fiscal year contributed $1,000 or more to ESMC, and a duly elected member of the Board of Directors, and any individual who in the immediately preceding fiscal year contributed at least 1,000 volunteer hours of services to ESMC shall be entitled to vote at the annual meeting for members of the Board of Directors and for delegates and alternate delegates to serve in the House of Delegates of National Easter Seals.
F990_P06_S0B_L11b
Form 990, Part VI, Section B, Line 11b
The IRS Form 990 is provided to members of the Board of Directors for review and comment 5 days prior to filing. The President and CEO also reviews the Form 990 for overall accuracy and completeness.
F990_P06_S0B_L12c
Form 990, Part VI, Section B, Line 12c
Members of the Board of Directors sign a conflict of interest statement annually. The Board of Directors reviews potential conflicts involving one of its members and makes a determination as to whether a conflict exists and if so, what restrictions will be imposed on the Board member - including participation in deliberations and voting regarding the matter that presents a conflict. Employees sign a conflict of interest statement when they are hired. Any potential conflict is reported to the Vice President of Human Resources who reviews with the COO or CFO as appropriate to make a determination as to whether an actual conflict exists.
F990_P06_S0B_L15
Form 990, Part VI, Section B, Line 15
Compensation for the President and CEO is determined annually by a committee of the Board of Directors. The Committee also reviews the compensation of the Chief Operating Officer and the Chief Financial Officer. The Hay Group performs research for these and other key management positions as requested.
F990_P06_S0C_L19
Form 990, Part VI, Section C, Line 19
Governing documents and conflict of interest policy are available upon request. Tax returns are made available through www.guidestar.org and through the website of Easter Seals Metropolitan Chicago Inc. Other documents available upon request.
F990_P07_S0B_L01A
Form 990, Part VII, Section B, Line 1(A)
Coordination of dental services to clients of Easter Seals Metropolitan Chicago
F990_P11_S00_L05
Form 990, Part XI, Line 5
Increase in fair value of Benefiticial Interest in a Perpetual Trust - $28,199
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.