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
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 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.") ....
840,159
724,893
871,104
740,358
658,834
3,835,348
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
840,159
724,893
871,104
740,358
658,834
3,835,348
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)..
1,054,453
6
Public support. Subtract line 5 from line 4.
2,780,895
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..
840,159
724,893
871,104
740,358
658,834
3,835,348
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
8,838
20,154
11,969
5,234
5,330
51,525
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
0
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
47,076
19,919
14,692
12,412
9,824
103,923
11
Total support (Add lines 7 through 10).
3,990,796
12
Gross receipts from related activities, etc. (see instructions)
..................
12
18,899,433
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
69.680 %
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
76.370 %
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:
12000229
Software Version:
2012v2.0
-
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
2012
Open to Public Inspection
Name of the organization
Family and Children Services
Employer identification number
94-1167408
Identifier
Return Reference
Explanation
Form 990, Part XII, Line 2c
Form 990, Part XII, Line 2: Change of Oversight or Selection Process
The role of the audit committee has not changed from prior years.
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 15a
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management
Directors receive no compensation or benefits from the agency; they serve solely as volunteers. The CEO's compensation and benefits are reviewed annually by the board of directors. The Agency conducts a periodic review of staff compensation and benefits, utilizing a regional nonprofit salary survey.
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 11b
Form 990, Part VI, Line 11b: 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/Hard-of-Hearing ProgramFCS is the primary provider of mental health and family support services for the Deaf & Hard-of-Hearing community in Santa Clara County. In addition to mental health care (please see Mental Health Services), we provide intensive services for parents of young children, teaching them how to promote their childs healthy development, connecting them with local resources, providing clinical counseling and case management, and teaching parents to advocate for their childrens needs.During fiscal year 2012-2013, more than 130 children and adults were served through Deaf/Hard-of-Hearing Program services. OTHER PROGRAM SERVICES 5: School ServicesFCSs School-Based Services Program fosters 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 for students include: Individual and family counseling: Short- and long-term clinical counseling services for students coping with emotional and mental health needs, including grief, loss, depression, anxiety, stress, and home life situations.On-site mental health care and case management for K-12 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 which affect learning and classroom behavior. Teen Families and Schools Together (FAST) Program: Our family-focused program reaches high-risk teens and their family members using a nationally-recognized, evidence-based model curriculum. Families participate in an 8-week program that is designed to build networks of support, strengthen family relationships, and improve communication, while safeguarding against substance abuse, family violence, gang involvement, truancy, and other risk factors. Following completion of the 9-week program, families receive two years of after-care services.Mental health assessments: Comprehensive assessments of a childs educationally-related mental health needs designed to inform school and family planning.During the 2012-2013 fiscal year, close to 600 individuals participated in school-based services. OTHER PROGRAM SERVICES 6: Clinical Counseling ProgramFCS has provided clinical counseling services for children, youth, and adults in Silicon Valley for 65 years. Our services assist individuals and families with short- and long-term emotional and mental 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. We also offer clinical counseling and case management services for veterans and their family members.During the 2012-2013 fiscal year, more than 380 children, teens, and adults received counseling services. OTHER PROGRAM SERVICES 7: Positive SolutionsThrough FCSs Positive Solutions Program, we strive to end the cycle of domestic violence and child abuse and neglect, and to help families establish healthy, nurturing relationships. FCS has more than 15 years of experience supporting parents and partners in learning positive relationship strategies.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 Program groups 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 without violence and child abuse prevention groups designed to end patterns of abuse or neglect and give parents knowledge, skills, and tools to nurture their children, improve their communication, manage stress and anger; andIndividual and group cognitive behavior treatment to support probation-referred adults in creating a positive and healthy lifestyle that benefits the individual and his or her family.During fiscal year 2012-2013, more than 660 adults participated in Positive Solutions Program services.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.