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. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
SOUTHEAST OHIO SIGHT CENTER INC
Employer identification number
31-0855360
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
126,373
130,974
148,076
154,069
141,612
701,104
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
126,373
130,974
148,076
154,069
141,612
701,104
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.
701,104
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
7
Amounts from line 4..
126,373
130,974
148,076
154,069
141,612
701,104
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
4,260
4,789
9,049
11
Total support (Add lines 7 through 10).
710,153
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 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
98.730 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
99.390 %
16a
33 1/3% support test—2013.
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—2012.
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—2013.
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—2012.
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(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 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2013.
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—2012.
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
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) 2013
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.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
SOUTHEAST OHIO SIGHT CENTER INC
Employer identification number
31-0855360
Return Reference
Explanation
FORM 990-EZ, PART I, LINE 16
EXPENSES SUPPLIES 4,367 COMMUNICATIONS 4,776 TRAVEL 4,269 DEPRECIATION 3,621 COST OF VISUAL AIDS 20,192 TOTAL 37,225
FORM 990-EZ, PART II, LINE 24
ACCOUNTS RECEIVABLE 5,578 8,550 LEASEHOLD IMPROVEMENTS 12,564 12,564 LESS ACCUMULATED DEPRECIATION 12,564 12,564 COMPUTERS 1,460 1,460 LESS ACCUMULATED DEPRECIATION 1,460 1,460 FURNITURE, FIXTURES AND EQUIPMENT 17,228 17,227 LESS ACCUMULATED DEPRECIATION 10,228 12,227 CCTV 3,840 8,958 LESS ACCUMULATED DEPRECIATION 1,152 2,772 TOTAL 15,266 19,736
FORM 990-EZ, PART II, LINE 26
ACCOUNTS PAYABLE AND ACCRUED EXPENSES 6,861 7,087 CAPITAL LEASE PAYABLE 7,883 6,092
FORM 990-EZ, PART III
THE PURPOSE OF THE CENTER IS TO PROMOTE INDEPENDENT LIVING SKILLS FOR CLIENTS WHO ARE LEGALLY BLIND OR SEVERELY VISUALLY IMPAIRED AND ALSO TO PREVENT VISION LOSS THROUGH VISION SCREENINGS AND PUBLIC EDUCATION.
FORM 990-EZ, PART III, LINE 28
SOUTHEAST OHIO SIGHT CENTER INDEPENDENT LIVING PROGRAM GOAL IS TO PROMOTE INDEPENDENT LIVING SKILLS FOR CONSUMERS WHO ARE BLIND OR SEVERELY VISUALLY IMPAIRED. THIS IS ACCOMPLISHED THROUGH PROVIDING LOW VISION AND ADAPTIVE AIDS AND TRAINING SO OUR CONSUMERS CAN REMAIN IN THEIR HOMES AND FUNCTION SAFELY AND INDEPENDENTLY. SIMPLE THINGS LIKE COOKING, READING RECIPES, IDENTIFYING A CAN OF SOUP, OR MANAGING MEDICATIONS CAN BECOME A STRUGGLE. SOMETIMES THESE ISSUES BECOME MORE CRITICAL TO OUR CONSUMERS' HEALTH, FOR EXAMPLE: ACCURATELY DRAWING INSULIN SYRINGES TO MANAGE BLOOD SUGAR LEVELS. OUR CONSUMERS DESIRE TO MAINTAIN THESE LIFE SKILLS AND WE WANT TO BE THE SOLUTION TO THEIR EVERYDAY PROBLEMS. THE AGENCY CONTINUED TO SECURE FUNDING FROM THE OPPORTUNITIES FOR OHIOANS WITH DISABILITIES (FORMERLY OHIO REHABILITATION SERVICES COMMISSION), UNITED WAY OF FAIRFIELD AND HOCKING COUNTIES, FAIRFIELD COUNTY FOUNDATION AND LOCAL INTEREST GROUPS. THE SOUTHEAST OHIO SIGHT CENTER SERVED 314 CONSUMER CONTACTS IN 2013. THEY WERE SERVED IN VARIOUS WAYS INCLUDING 133 WHO HAD INDEPENDENT LIVING CASES SERVED THROUGH THE OPPORTUNITIES FOR OHIOANS WITH DISABILITIES. THESE RECEIVED REHABILITATION TEACHING, LOW VISION AIDS AND ADAPTIVE AIDS, WITH GOALS AND OBJECTIVES ACCOMPLISHED SUCCESSFULLY. THE REMAINDER OF THE CONSUMERS WERE SERVED IN VARIOUS WAYS THROUGH OTHER SOURCES OF FUNDING: 4 WERE TRANSFERRED TO OTHER AGENCIES TO BE SERVED, 33 CLOSED FROM REFERRAL FROM SOSC, BUT GIVEN INFORMATION ON POSSIBLE SERVICES FROM OTHER AGENCIES, 38 RECEIVED INFORMATION PERTINENT TO THEIR NEEDS, AND 15 RECEIVED INFORMATION CONCERNING THE TALKING BOOKS PROGRAM. THESE CONSUMERS HAD VARIOUS DIAGNOSES: MACULAR DEGENERATION: 67.5% GLAUCOMA: 9.0% CATARACTS: 2.5% DIABETIC RETINOPATHY: 6.4% PHYSICAL IMPAIRMENT: 6.4% RETINITIS PIGMENTOSA: 2.5% CONGENITAL BLINDNESS: 2.5% CORNEAL DISORDERS: 2.0% HISTOPLASMOSIS: 1.2% 48% OF OUR CONSUMERS WERE FROM FAIRFIELD COUNTY, WITH 91% OF ALL THE REFERRALS FALLING WITHIN THE COUNTIES WE SERVE. THE 133 CONSUMERS WHO WERE SERVED AND CLOSED WITH COMPLETE INDEPENDENT LIVING PLANS MET THE FOLLOWING GOALS: CORRESPONDENCE:98% BUDGET/MONEY MANAGEMENT:48% MEAL PREPARATION:41% CLOTHING CARE/LAUNDRY: 7% CLEANING: 4% HOME MECHANICS:17% SHOPPING:26% PERSONAL MANAGEMENT:44% DEPENDENT CARE: 3% WHEN THE CONSUMERS WERE SURVEYED, THE FOLLOWING INFORMATION WAS RECEIVED: INCREASED INDEPENDENCE: 95% AGREED; 5% NEUTRAL FELT SAFER IN THEIR ENVIRONMENT: 90% AGREED; 5% NEUTRAL; 5% NOT APPLICABLE AGREED WITH RT ABOUT SUCCESS IN ALL INDICATORS: 96% AGREED; 4% DISAGREED THE GOAL OF THE PREVENTION PROGRAM IS TO SCREEN FOR UNDETECTED EYE CONDITIONS POSSIBLY AFFECTING CHILDREN AND ADULTS. WITHOUT EARLY DETECTION WE ARE SETTING CHILDREN UP FOR FAILURE IN SCHOOL AND AT HOME. 80% OF LEARNING IN A CHILD'S FIRST 12 YEARS COMES THROUGH THE EYES AMBLYOPIA WHICH AFFECTS 3 PERCENT OF ALL CHILDREN IS RESPONSIBLE FOR MORE LOSS OF VISION IN PEOPLE AGE 45 AND YOUNGER THAN ALL OTHER EYE DISEASES AND TRAUMA COMBINED. ALL CHILDREN REFERRED ARE FOLLOWED UP BY THE PREVENTION COORDINATOR. IF A CHILD'S PARENTS CANNOT AFFORD EYEGLASSES OR AN EYE EXAM THE PREVENTION COORDINATOR CAN REFER THESE FAMILIES TO "SIGHT FOR STUDENTS" A PREVENT BLINDNESS OHIO PROGRAM. CURRENTLY THE SOUTHEAST OHIO SIGHT CENTER IS THE ONLY ENTITY PROVIDING VISION SCREENINGS AT THE PRE-SCHOOL LEVEL AND FOR ADULTS THROUGHOUT FAIRFIELD COUNTY. THE AGENCY IS NOT ONLY PROVIDING SCREENINGS BUT IMPLEMENTING EDUCATION AND OUTREACH TO THE COMMUNITY. WE CONTINUE OUR RELATIONSHIP WITH PREVENT BLINDNESS OHIO'S VISION CARE OUTREACH PROGRAM. THIS PROGRAM ENABLES THE AGENCY TO BE A LIASON FOR INDIVIDUALS THAT NEED EYE CARE AND EYEGLASSES IN FAIRFIELD COUNTY. WE WERE ABLE TO SERVE 17 CLIENTS IN THIS PROGRAM. WE SERVED 1 CHILD THROUGH OUR VISION CARE SOLUTIONS PROGRAM WHICH PROVIDES FREE EYE EXAM AND EYEGLASSES. THE PREVENTION CONTINUES TO SECURE FUNDING THROUGH UNITED WAY OF FAIRFIELD COUNTY, LIONS CLUBS AND OTHER LOCAL INTEREST GROUPS. THE FOLLOWING UNITS OF SERVICES WERE COLLECTED FOR 2013: PRESCHOOL CHILDREN SCREENED:371 CHILDREN REFERRED: 19 ADULTS SCREENED: 77 ADULTS REFERRED: 9 VISION CARE OUTREACH: 17 VISION CARE SOLUTIONS: 1 INDIVIDUALS WHO ATTENDED PRESENTATIONS:144 515 CHILDREN AND ADULTS WERE SCREENED WITH 28 BEING REFERRED FOR EYE CARE FOLLOW-UP.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.