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
BARIUM SPRINGS HOME FOR CHILDREN
Employer identification number
56-0529993
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.") ....
2,192,625
2,545,989
3,021,772
2,326,487
2,807,190
12,894,063
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
2,192,625
2,545,989
3,021,772
2,326,487
2,807,190
12,894,063
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)..
3,067,687
6
Public support. Subtract line 5 from line 4.
9,826,376
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..
2,192,625
2,545,989
3,021,772
2,326,487
2,807,190
12,894,063
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
773,118
1,304,219
1,191,698
1,185,133
1,291,623
5,745,791
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
230,240
230,240
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).
18,870,094
12
Gross receipts from related activities, etc. (see instructions)
..................
12
12,453,056
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
52.070 %
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
39.210 %
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
BARIUM SPRINGS HOME FOR CHILDREN
Employer identification number
56-0529993
Identifier
Return Reference
Explanation
ORGANIZATION'S MISSION
FORM 990 - ORGANIZATION'S MISSION
OUR VISION BARIUM SPRINGS HOME FOR CHILDREN IS COMMITTED TO A SAFE AND NURTURING FAMILY LIFE FOR EVERY CHILD IN NORTH CAROLINA. () OUR MISSION SERVING NORTH CAROLINA'S CHILDREN AND FAMILIES NOW: MAKING A DIFFERENCE FOR THE FUTURE. () OUR GUIDING PRINCIPLES AND CORE VALUES WE BELIEVE IN: BEING FAITH BASED BEING CHILD CENTERED BEING FAMILY FOCUSED USING BEST PRACTICE PROVIDING THE HIGHEST QUALITY SERVICES BEING COLLABORATIVE BEING HOLISTIC BEING DIVERSE BEING INNOVATIVE BEING RESPECTFUL BEING RESPONSIVE CHANGING WHILE RESPECTING OUR HISTORY
SECOND ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4B
TRAINING TO CHILDCARE CENTERS, PROVIDERS AND AGENCIES THROUGHOUT NORTH CAROLINA. THE CENTER SERVES AS A MODEL CHILDCARE CENTER, AND THE CONSULTANTS WHO WORK IN THE CENTER PROVIDE CONSULTATION AND TRAINING IN VARIOUS FORMS IN AN EFFORT TO IMPROVE THE QUALITY OF EARLY CHILDHOOD CARE AND EDUCATION THROUGHOUT THE STATE. SADLY DUE TO BUDGET CONCERNS THE DECISION WAS MADE BY BARIUM SPRINGS TO CLOSE THE WAGNER FAMILY CHILD AND DEVELOPMENT CENTER NEAR THE END OF THE CURRENT FISCAL YEAR.
ALL OTHER ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4D
COMMUNITY BASED SERVICES - THE HOME'S COMMUNITY BASED PROGRAMS ASSIST CHILDREN AND FAMILIES BY PROVIDING OPPORTUNITIES FOR ASSESSMENT, DIAGNOSIS, THERAPY, SERVICE COORDINATION AND SKILL DEVELOPMENT AROUND MENTAL HEALTH ISSUES. IN ADDITION TO PROVIDING SERVICES TO CHILDREN AND FAMILIES IN THE COMMUNITY, THEY ALSO PROVIDE NEEDED CLINICAL SERVICES TO CHILDREN AND ADOLESCENTS IN OTHER BARIUM SPRINGS PROGRAMS. SCHOLARSHIP PROGRAMS - FOR YOUTH WHO HAVE SUCCESSFULLY COMPLETED A MINIMUM SIX-MONTH STAY IN THE RESIDENTIAL PROGRAM, THE HOME PROVIDES SCHOLARSHIP ASSISTANCE FOR ANY ACCREDITED POST HIGH SCHOOL EDUCATIONAL PROGRAM. SCHOLARSHIP ASSISTANCE MAY INCLUDE FUNDS FOR TUITION, BOOKS, FEES, HOUSING, LIVING ALLOWANCES, MEDICAL INSURANCE, VEHICLE EXPENSES, SCHOOL SUPPLIES AND CLOTHES. COMMUNITY PROJECTS - THE HOME HAS SEVERAL BUILDINGS ON CAMPUS THAT ARE NO LONGER USED TO SUPPORT EXISTING PROGRAMS THAT ARE INSTEAD USED TO ENHANCE THE COMMUNITY AT LARGE. CURRENT EXAMPLES ARE THE YMCA, POST OFFICE AND THE BARIUM SPRINGS ALUMNI REUNION. CLINICAL - THE HOME PROVIDES CLINICAL SERVICES TO CHILDREN AND FAMILIES IN OTHER BARIUM SPRINGS PROGRAMS AS WELL AS FAMILIES AND INDIVIDUALS IN THE SURROUNDING COMMUNITY. LICENSED THERAPISTS, PSYCHOLOGISTS AND PSYCHIATRISTS PROVIDE THESE SERVICES AT THE COUNSELING CENTER OF IREDELL. SERVICES INCLUDE: "DIAGNOSTIC ASSESSMENT "CHILD AND ADOLESCENT INDIVIDUAL THERAPY "INDIVIDUAL AND FAMILY THERAPY "ADOLESCENT GROUP THERAPY "MEDICATION MANAGEMENT "CRISIS INTERVENTION "MARITAL COUNSELING "DEPRESSION AND ANXIETY TREATMENT "PARENTING EDUCATION "MANAGING GRIEF, LOSS AND BEREAVEMENT "SUBSTANCE ABUSE COUNSELING "COUNSELING FOR DOMESTIC VIOLENCE VICTIMS AND SURVIVORS "EMPLOYEE ASSISTANCE PROGRAMS "DWI ASSESSMENTS AND TREATMENT
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
EACH BOARD MEMBER RECEIVES A PACKET CONTAINING A PRELIMINARY DRAFT OF FORM 990 FOR THE TAX YEAR, A COPY OF THE HOME'S AUDITED FINANCIAL STATEMENTS, AND A LIST OF QUESTIONS TO ANSWER AND RETURN TO THE HOME. THE BOARD MEMBER REVIEWS THE TAX RETURN AND COMPARES IT TO THE AUDITED FINANCIAL STATEMENT. THE BOARD MEMBER THEN FILLS OUT THE QUESTIONNAIRE TO RETURN TO THE HOME INCLUDING REPRESENTATIONS ABOUT RELATED PARTY RELATIONSHIPS AND ANY CHANGES THEY THINK NEED TO BE MADE TO THE FORM 990. THE HOME OBTAINS THE COMPLETED QUESTIONNAIRES AND MAKES ANY CHANGES NEEDED TO FORM 990 PRIOR TO FILING.
ENFORCEMENT OF CONFLICTS POLICY
FORM 990, PAGE 6, PART VI, LINE 12C
THE VICE PRESIDENT OF BUSINESS RELATIONS MONITORS CONFLICTS OF INTEREST AND INSURES THAT CONFLICTS ARE DISCLOSED ANNUALLY AT MINIMUM.
COMPENSATION PROCESS FOR TOP OFFICIAL
FORM 990, PAGE 6, PART VI, LINE 15A
FINDLEY DAVIES (A HUMAN RESOURCES/COMPENSATION CONSULTING COMPANY)WAS HIRED TO CONDUCT A SALARY STUDY AND DEVELOP A SALARY SYSTEM (I.E. - JOB GRADES AND SALARY RANGES). THEY REVIEWED ALL STAFF POSITIONS AND COMPARED THEM INTERNALLY (TO OTHER SIMILAR POSITIONS) AND EXTERNALLY (TO MARKET DATA FOR SIMILAR POSITIONS). THEY THEN DEVELOPED A PROPOSED SALARY SYSTEM FOR BARIUM SPRINGS HOME FOR CHILDREN WHICH WE IMPLEMENTED AND HAVE USED SINCE THEN. IN THE INITIAL STUDY, THEY IDENTIFIED COMPARABLE MARKET BENCHMARKS FOR EACH STAFF POSITION FROM VARIOUS SOURCES (E.G. - CWLA SALARY SURVEYS, EMPLOYMENT SECURITY COMMISSION SALARY SURVEYS, ETC, ETC). ANNUAL MERIT INCREASES FOR ALL POSITIONS ARE NOW BASED ON TWO FACTORS - OVERALL JOB PERFORMANCE AS MEASURED BY THE ANNUAL EVALUATION RATING SCALE AND THE POSITION OF THAT PERSON'S COMPENSATION WITHIN THEIR JOB GRADE AND SALARY RANGE. FOR EXAMPLE - A STAFF MEMBER WHO IS IN THE LOWER HALF OF THE SALARY RANGE FOR THEIR JOB GRADE WOULD RECEIVE LARGER MERIT INCREASES THAN A STAFF MEMBER IN THE HIGHER END OF THEIR SALARY RANGE. WE NOW CONDUCT A BI-ANNUAL REVIEW OF ALL STAFF COMPENSATION, ACCORDING TO THE FOLLOWING POLICY: I.POLICY: BARIUM SPRINGS HOME FOR CHILDREN (BSHC) UNDERSTANDS THAT ITS PRIMARY RESOURCE IN BEING SUCCESSFUL HELPING CHILDREN AND FAMILIES IS ITS STAFF. BECAUSE OF THIS IT IS IMPORTANT THAT STAFF ARE FAIRLY COMPENSATED FOR SERVICE TO BSHC. BIANNUALLY IN YEARS ENDING IN ODD NUMBERS, COMPENSATION FOR BSHC STAFF WILL BE COMPARED WITH THE RELEVANT JOB MARKETS AND RECOMMENDATIONS FOR CHANGES WILL BE INCLUDED IN THE BUDGET PRESENTATION TO THE BOARD OF REGENTS. II.PROCEDURES: A. THE HUMAN RESOURCE DEPARTMENT WILL ACTIVATE A COMPENSATION COMPARISON PROCESS BIANNUALLY IN YEARS ENDING IN ODD NUMBERS, TO BE INCLUDED IN THAT YEAR'S BUDGET PROCESS. B. COMPARATIVE COMPENSATION STATISTICS WILL BE GATHERED FROM APPROPRIATE COMPARISON SOURCES, SUCH AS, THE DUKE ENDOWMENT, THE CHILD WELFARE OF AMERICA AND THE ALLIANCE FOR CHILDREN AND FAMILIES C. THE VICE-PRESIDENT FOR SUPPORT SERVICES AND THE HUMAN RESOURCES MANAGER WILL BE RESPONSIBLE TO THE SENIOR MANAGEMENT TEAM FOR A REPORT AND ANY RECOMMENDATION TO CHANGE THE COMPENSATION SCALE. D. ANY RECOMMENDATION FOR CHANGE TO THE COMPENSATION SCALE WILL BE INCLUDED IN THE PROPOSED BUDGET AND IDENTIFIED TO THE FINANCE AND FACILITY COMMITTEE DURING THE BUDGET PRESENTATION BY THE CHIEF FINANCIAL OFFICER. IN ADDITION TO THE ABOVE PROCESS, THE COMPENSATION INFORMATION OF ALL MANAGEMENT POSITIONS IS REVIEWED BY THE BOARD OF REGENTS EVERY YEAR.
COMPENSATION PROCESS FOR OFFICERS
FORM 990, PAGE 6, PART VI, LINE 15B
FINDLEY DAVIES (A HUMAN RESOURCES/COMPENSATION CONSULTING COMPANY)WAS HIRED TO CONDUCT A SALARY STUDY AND DEVELOP A SALARY SYSTEM (I.E. - JOB GRADES AND SALARY RANGES). THEY REVIEWED ALL STAFF POSITIONS AND COMPARED THEM INTERNALLY (TO OTHER SIMILAR POSITIONS) AND EXTERNALLY (TO MARKET DATA FOR SIMILAR POSITIONS). THEY THEN DEVELOPED A PROPOSED SALARY SYSTEM FOR BARIUM SPRINGS HOME FOR CHILDREN WHICH WE IMPLEMENTED AND HAVE USED SINCE THEN. IN THE INITIAL STUDY, THEY IDENTIFIED COMPARABLE MARKET BENCHMARKS FOR EACH STAFF POSITION FROM VARIOUS SOURCES (E.G. - CWLA SALARY SURVEYS, EMPLOYMENT SECURITY COMMISSION SALARY SURVEYS, ETC, ETC). ANNUAL MERIT INCREASES FOR ALL POSITIONS ARE NOW BASED ON TWO FACTORS - OVERALL JOB PERFORMANCE AS MEASURED BY THE ANNUAL EVALUATION RATING SCALE AND THE POSITION OF THAT PERSON'S COMPENSATION WITHIN THEIR JOB GRADE AND SALARY RANGE. FOR EXAMPLE - A STAFF MEMBER WHO IS IN THE LOWER HALF OF THE SALARY RANGE FOR THEIR JOB GRADE WOULD RECEIVE LARGER MERIT INCREASES THAN A STAFF MEMBER IN THE HIGHER END OF THEIR SALARY RANGE. WE NOW CONDUCT A BI-ANNUAL REVIEW OF ALL STAFF COMPENSATION, ACCORDING TO THE FOLLOWING POLICY: I.POLICY: BARIUM SPRINGS HOME FOR CHILDREN (BSHC) UNDERSTANDS THAT ITS PRIMARY RESOURCE IN BEING SUCCESSFUL HELPING CHILDREN AND FAMILIES IS ITS STAFF. BECAUSE OF THIS IT IS IMPORTANT THAT STAFF ARE FAIRLY COMPENSATED FOR SERVICE TO BSHC. BIANNUALLY IN YEARS ENDING IN ODD NUMBERS, COMPENSATION FOR BSHC STAFF WILL BE COMPARED WITH THE RELEVANT JOB MARKETS AND RECOMMENDATIONS FOR CHANGES WILL BE INCLUDED IN THE BUDGET PRESENTATION TO THE BOARD OF REGENTS. II.PROCEDURES: A. THE HUMAN RESOURCE DEPARTMENT WILL ACTIVATE A COMPENSATION COMPARISON PROCESS BIANNUALLY IN YEARS ENDING IN ODD NUMBERS, TO BE INCLUDED IN THAT YEAR'S BUDGET PROCESS. B. COMPARATIVE COMPENSATION STATISTICS WILL BE GATHERED FROM APPROPRIATE COMPARISON SOURCES, SUCH AS, THE DUKE ENDOWMENT, THE CHILD WELFARE OF AMERICA AND THE ALLIANCE FOR CHILDREN AND FAMILIES C. THE VICE-PRESIDENT FOR SUPPORT SERVICES AND THE HUMAN RESOURCES MANAGER WILL BE RESPONSIBLE TO THE SENIOR MANAGEMENT TEAM FOR A REPORT AND ANY RECOMMENDATION TO CHANGE THE COMPENSATION SCALE. D. ANY RECOMMENDATION FOR CHANGE TO THE COMPENSATION SCALE WILL BE INCLUDED IN THE PROPOSED BUDGET AND IDENTIFIED TO THE FINANCE AND FACILITY COMMITTEE DURING THE BUDGET PRESENTATION BY THE CHIEF FINANCIAL OFFICER. IN ADDITION TO THE ABOVE PROCESS, THE COMPENSATION INFORMATION OF ALL MANAGEMENT POSITIONS IS REVIEWED BY THE BOARD OF REGENTS EVERY YEAR.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
UPON REQUEST THE APPROPRIATE DOCUMENTS ARE PROVIDED TO THE INQUIRER BY AN AGREED METHOD.
RECONCILIATION OF CHANGES - OTHER
FORM 990, PART XI, LINE 9
CHANGE IN VALUE OF SPLIT INTEREST TRUST 985,436
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.