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
THE CHRISTMAS BOX INTERNATIONAL
Employer identification number
31-1617816
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.") ....
1,248,004
1,337,977
1,009,020
921,664
849,828
5,366,493
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
1,248,004
1,337,977
1,009,020
921,664
849,828
5,366,493
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)..
138,865
6
Public support. Subtract line 5 from line 4.
5,227,628
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..
1,248,004
1,337,977
1,009,020
921,664
849,828
5,366,493
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
59,693
75,769
58,964
58,883
73,906
327,215
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
17,728
19,182
15,574
5,492
4,671
62,647
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11
Total support (Add lines 7 through 10).
5,756,355
12
Gross receipts from related activities, etc. (see instructions)
..................
12
2,155
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
90.810 %
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
90.300 %
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
THE CHRISTMAS BOX INTERNATIONAL
Employer identification number
31-1617816
Identifier
Return Reference
Explanation
FIRST ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4A
2012 MOAB CHRISTMAS BOX HOUSE/FAMILY SUPPORT CENTER STATISTICS: - 196 TOTAL CHILDREN SERVED - 281 TOTAL DAYS OF CARE - 87 AVERAGE OF DAYS CHILDREN IN PLACEMENT - 374 VOLUNTEER HOURS BY 52 VOLUNTEERS 2012 SALT LAKE CHRISTMAS BOX HOUSE STATISTICS: - 222 TOTAL CHILDREN SERVED - 3,522 TOTAL DAYS OF CARE - 18.4 AVERAGE OF DAYS CHILDREN IN PLACEMENT - 286 YOUTH SERVED AT THE GROUP HOMES THROUGH THE CBH - 56 CHILDREN SERVED THROUGH THE CHRISTMAS BOX ROOM THAT DIDN'T STAY AT CBH - 3,504.5 VOLUNTEER HOURS DONATED BY 972 VOLUNTEERS 2012 OGDEN CHRISTMAS BOX HOUSE STATISTICS: - 161 CHILDREN SERVED - 4,677 TOTAL DAYS OF CARE - 12.81 AVERAGE OF DAYS CHILDREN IN PLACEMENT - 104 ADDITIONAL CHILDREN THAT STAYED LESS THAN 24 HRS - 143 CHILDREN SERVED THROUGH CHRISTMAS BOX ROOM THAT DIDN'T STAY AT CBH - 80 CHILDREN SERVED THROUGH ANIMAL ADOPTION PROGRAM AT CBH CHRISTMAS BOX CLUBS AND ROOMS: (VOLUNTEER COMMUNITY AND PARTNER ASSISTANCE). ESTABLISHED A NEW UTAH VALLEY NORTH CHRISTMAS BOX CLUB TO SUPPORT NEW CHRISTMAS BOX ROOM IN AMERICAN FORK. LIFESTART INITIATIVE SERVING YOUTH TRANSITIONING TO ADULT LIVING FROM FOSTER CARE. IN JULY, WITH THE HELP OF 77 VOLUNTEERS PROVIDING 205 HOURS OF SERVICE, ASSEMBLED LIFESTART BOXES TO SUPPORT 215 UTAH YOUTH AGING OUT OF FOSTER CARE. CBI SUPPORTED UTAH YOUTH MENTOR PROJECT WITH THEIR ONGOING ACTIVITIES AND ANNUAL CHRISTMAS HOLIDAY RETREAT. WE ALSO SUPPORTED THE DYS MILESTONE HOUSES. THROUGHOUT THE YEAR, CBI PARTICIPATED IN NUMEROUS STATEWIDE ACTIVITIES INCLUDING THE ANNUAL STATE YOUTH SUMMIT HELD IN SLC AT THE UNIVERSITY OF UTAH IN AUGUST. TRANSITIONING TO ADULT LIVING YOUTH SERVED: LIFESTART BOXES - 215 YOUTH SUMMIT - 155 YOUTH MENTOR PROJECT - 55 DYS MILESTONE HOUSES - 17 REGIONAL ACTIVITIES - 65 GIVING TREE PROJECT HOLIDAY GIVING TO PROVIDE GIFTS FOR AT-RISK CHILDREN SERVED OVER 3700 CHILDREN: - 409 CHILDREN IN THE OGDEN AREA - 396 CHILDREN IN THE SALT LAKE AREA - 149 CHILDREN IN THE UTAH COUNTY AREA - 31 CHILDREN IN THE MOAB AREA - 9 CHILDREN IN THE ST. GEORGE AREA - OVER 1400 CHILDREN THROUGH PARTNERING ORGANIZATIONS BOTH LOCALLY AND INTERNATIONALLY - OVER 2,300 CHILDREN THROUGH THE COMING YEAR IN UTAH COMMUNITIES DONATIONS HELP FILL CHRISTMAS BOX ROOMS IN SALT LAKE, OGDEN & UTAH COUNTY AREAS HUNDREDS OF VOLUNTEERS ASSISTED, SHARED REMAINING DONATIONS WITH OTHER AGENCIES/ORGANIZATIONS REGIONAL EFFORTS: RESOURCES HAVE BEEN UTILIZED IN: UTAH AND NORTH DAKOTA INTERNATIONAL EFFORTS: RESOURCES HAVE BEEN SHARED WITH CHILDREN IN: - HAITI - TAIWAN - INDIA - PHILIPPINES - CONGO - THE DEYHLE FOUNDATION DONATIONS PARTNERED WITH INTERNATIONAL CHARITIES: - FOR EVERY CHILD: 168 CHILDREN SERVED - YOUTH MAKING A DIFFERENCE: 250 CHILDREN SERVED - THE DEYHLE FOUNDATION: 100 CHILDREN SERVED COMMUNITY OUTREACH INTERNAL OPERATIONS: CBH STAFF MEETINGS AND CBI BOARD OF DIRECTORS MEETING IN SEPTEMBER DIRECT SERVICES: - CBI PROGRAM PLANNING COMMITTEE - OGDEN CHRISTMAS BOX CLUB MEETINGS AND EVENTS - QUALITY IMPROVEMENT COMMITTEES IN NORTHERN UTAH AND SALT LAKE CITY - ASSISTED WITH YOUTH SUMMIT IN AUGUST - 10 EAGLE SCOUT PROJECTS (OGDEN GROUNDS CLEAN-UP, CLOTHING/TOY DRIVES) - UNITED WAY NATIONAL DAY OF CARING (SLCBH PLAYGROUND CLEAN-UP) IN SEPTEMBER - LES OLSON SERVICE PROJECT (SLCBH WALKWAY FROM CBH TO DYS) - CONTACTED AND EDUCATED DONORS FOR SCENTSY ANIMAL ADOPTIONS, ACQUIRED A ONE-YEAR SUPPLY OF SCENTSY STUFFED ANIMALS - PROVIDED LUNCH FOR SLCBH RELIEF STAFF AND RESIDENTS DURING STAFF RETREAT
POLICIES AND PROCEDURES GOVERNING CHAPTERS
FORM 990, PAGE 6, PART VI, LINE 10B
CHAPTER RESPONSIBILITIES I.CHAPTER RESPONSIBILITIES FOR SHELTER CLUBS - THOSE CHAPTERS ESTABLISHED WITHIN THE VICINITY OF A FUNCTIONAL CBH FACILITY. 1.TO ASSIST WITH THE FUNCTIONING OF THE SHELTER BY: (A)PROMOTING AWARENESS OF THE CBH (B)SUPPORTING CBH FACILITY PARTNERS (C)SUPPORTING CBH PROGRAMS THROUGH VOLUNTEER EFFORTS (D)SUPPORT CBH PROGRAMS THROUGH FUNDRAISING (SEE FUNDRAISING SECTION FOR LIST OF POSSIBLE FUNDRAISERS) II.NON-SHELTER MODEL - THOSE CHAPTERS NOT WITHIN THE VICINITY OF A CBH FACILITY. 1. SUPPORT LOCAL CHILD ADVOCACY THROUGH VOLUNTEERISM 2. SUPPORT LOCAL CHILD ADVOCACY THROUGH PUBLIC RELATIONS 3. SUPPORT LOCAL CHILD ADVOCACY THROUGH FUNDRAISING 4. ASCERTAIN READINESS AND FEASIBILITY OF CBH FACILITY DEVELOPMENT 5. PREPARE GROUNDWORK FOR CBH FACILITY
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
MANAGEMENT AND THE BOARD ARE PROVIDED A DRAFT COPY OF THE FORM 990 PRIOR TO FILING. THEY ARE GIVEN THE OPPORTUNITY TO ASK QUESTIONS, REQUEST CHANGES OR CLARIFICATIONS, AND APPROVE THE FORM FOR FILING.
ENFORCEMENT OF CONFLICTS POLICY
FORM 990, PAGE 6, PART VI, LINE 12C
THE ORGANIZATION'S CONFLICT OF INTEREST POLICY COVERS ALL DIRECTORS AND STAFF. EACH DIRECTOR AND STAFF MEMBER IS REQUIRED TO DISCLOSE ACTUAL OR APPARENT CONFLICTS OF INTEREST IN WRITING EACH YEAR. THEY ARE ALSO REQUIRED TO SIGN THE FOLLOWING STATEMENT EACH YEAR: I WILL AVOID DIRECT OR INDIRECT, ACTUAL OR APPARENT, CONFLICTS OF INTEREST AND ADVISE ALL APPROPRIATE PARTIES OF ANY POTENTIAL CONFLICT. SUCH CONFLICTS MIGHT OCCUR IF: MY PERSONAL BUSINESS OR MY FRIEND OR RELATIVE PROVIDES GOODS OR SERVICES TO THE CHRISTMAS BOX INTERNATIONAL FOR CONSIDERATION; OR A VENDOR OR BUSINESS ACQUAINTANCE WITH WHOM I HAVE AN OUTSIDE BUSINESS RELATIONSHIP PROVIDES GOODS OR SERVICES TO THE CHRISTMAS BOX INTERNATIONAL FOR CONSIDERATION. IF I AM REQUESTED BY THE CHRISTMAS BOX INTERNATIONAL TO PERFORM A SERVICE, OR PROVIDE A PRODUCT FOR THE ORGANIZATION, COMPETITIVE BIDS WILL BE SOUGHT AND/OR COMPARABLE VALUATION DETERMINED. I WILL RECUSE MYSELF FROM ANY BOARD VOTE FROM WHICH I COULD POTENTIALLY BENEFIT. IF THE CONTRACT IS AWARDED, THE BOARD MEMBER WILL BE PAID ACCORDINGLY FOR THE SERVICE OR PRODUCT. IF ACTUAL OR APPARENT CONFLICTS OF INTEREST ARE DISCLOSED OR OTHERWISE IDENTIFIED THE BOARD CHAIR IS ULTIMATELY RESPONSIBLE FOR DETERMINING WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS. THE BOARD CHAIR MAY ASK OTHER BOARD MEMBERS TO ASSIST IN THIS DETERMINATION. IF A BOARD MEMBER IS DETERMINED TO HAVE A CONFLICT OF INTEREST THE BOARD MEMBER IS EXCLUDED FROM VOTING ON RELATED MATTERS. IF NECESSARY, THE BOARD MEMBER MAY BE EXCUSED FROM THE BOARD. IF A STAFF MEMBER IS DETERMINED TO HAVE A CONFLICT OF INTEREST, THE APPROPRIATE ACTION IS DETERMINED BY BY THE BOARD CHAIR ON A CASE BY CASE BASIS.
COMPENSATION PROCESS FOR TOP OFFICIAL
FORM 990, PAGE 6, PART VI, LINE 15A
COMPENSATION FOR THE EXECUTIVE DIRECTOR IS DETERMINED THROUGH THE FOLLOWING PROCESS. 1. COMPARISONS ARE MADE TO INFORMATION AVAILABLE THROUGH ONLINE RESOURCES SUCH AS THE UTAH NONPROFITS ASSOCIATION TO DETERMINE A REASONABLE COMPENSATION LEVEL BASED ON SIMILAR TYPES OR ORGANIZATIONS, DUTIES, AND GEOGRAPHIC REGION. 2. THE COMPENSATION IS DISCUSSED FIRST WITH THE BOARD CHAIR AND THEN WITH THE ENTIRE BOARD. 3. DELIBERATION AND DECISION RELATED TO PAY CHANGES IS RECORDED IN THE BOARD MINUTES.
COMPENSATION PROCESS FOR OFFICERS
FORM 990, PAGE 6, PART VI, LINE 15B
THERE ARE NO OTHER OFFICERS OR EMPLOYEES CLASSIFIED AS "KEY."
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS OF THE ORGANIZATION ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
RECONCILIATION OF CHANGES - OTHER
FORM 990, PART XI, LINE 9
SPECIAL EVENTS EXPENSE 14,621 RENTAL EXPENSES 6,643 SPECIAL EVENTS EXPENSE -14,621 RENTAL EXPENSES -6,643
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.