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
MAINE CENTER ON DEAFNESS
Employer identification number
01-0416755
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.") ....
584,555
660,531
602,677
666,394
741,119
3,255,276
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
584,555
660,531
602,677
666,394
741,119
3,255,276
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)..
299,997
6
Public support. Subtract line 5 from line 4.
2,955,279
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..
584,555
660,531
602,677
666,394
741,119
3,255,276
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
2,059
471
50
26
23
2,629
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.)..
1,446
1,479
2,323
7,078
12,326
11
Total support (Add lines 7 through 10).
3,270,231
12
Gross receipts from related activities, etc. (see instructions)
..................
12
125,543
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
90.370 %
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
89.750 %
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
MAINE CENTER ON DEAFNESS
Employer identification number
01-0416755
Identifier
Return Reference
Explanation
FIRST ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4A
MAINE CENTER ON DEAFNESS ALSO PROVIDES EQUIPMENT SPECIFIC TO THE EMERGENCY ALERT SYSTEM. UNDER THIS PROGRAM, CLIENTS RECEIVE THEIR CHOICE OF EITHER A ONE-WAY PAGER OR TWO-WAY PAGER. THESE DEVICES RECEIVE E-MAIL BASED EMERGENCY ALERTS SO THAT FOLKS WHO CANNOT HEAR THE RADIO HAVE VISUAL ACCESS TO EMERGENCY INFORMATION SENT OUT BY THE NATIONAL WEATHER SERVICE, DEPARTMENT OF TRANSPORTATION, MAINE TURNPIKE AUTHORITY, PUBLIC SAFETY, AND OTHERS. WEATHER RADIOS ARE ALSO AVAILABLE FOR THOSE INDIVIDUALS WHO PREFER THAT METHOD OF NOTIFICATION. CLIENTS QUALIFY FOR EITHER 'LENDING' (NO COST) OR 'COST SHARE' (LOW COST) EQUIPMENT ON A SLIDING SCALE BASIS. MOST CLIENTS QUALIFY FOR THE LENDING OPTION, AND THEY ARE ALLOWED TO BORROW THE EQUIPMENT FOR AS LONG AS THEY NEED OR WANT IT. ALTHOUGH MAINE'S POPULATION IS RATHER SMALL WHEN COMPARED TO OTHER STATES, THE EQUIPMENT PROGRAM MAINTAINS A HEALTHY DEMAND FOR SERVICES. SINCE THE INCLUSION OF HEARING AIDS AS AN ALLOWABLE EXPENSE, DEMAND FOR HEARINGS AIDS HAS OUTSTRIPPED REQUESTS FOR ANY OTHER TYPE OF EQUIPMENT, RESULTING IN A WAITING LIST, SORTED ACCORDING TO CONTRACT REQUIREMENTS FOR DISTRIBUTION. PROGRAM STAFF WILL ALSO CONDUCT HOME VISITS FOR CLIENTS WHO NEED TRAINING ON THE EQUIPMENT THEY HAVE OBTAINED THROUGH THE PROGRAM.
SECOND ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4B
IN VARIOUS LOCATIONS AROUND THE STATE; HOSTING QUARTERLY MEETINGS OF THE DEAF RIGHTS GROUP, A CROSS-AGENCY COLLABORATION PROVIDING SYSTEMIC ADVOCACY TO D/HH/LD INDIVIDUALS; PROVIDING INFORMATION TO THE MAINE LEGISLATURE ON BILLS RELATING TO D/HH/LD ISSUES AND CIVIL RIGHTS; PARTICIPATING IN THE MAINE EMPLOYMENT LAWYERS ASSOCIATION; DISTRIBUTED MONTHLY NEWSLETTER AND WEEKLY E-MAIL BULLETINS INCLUDING ARTICLES ON CIVIL RIGHTS ISSUES AFFECTING D/HH/LD INDIVIDUALS; HOLDING WORKSHOPS ON CIVIL RIGHTS ISSUES AT AN ANNUAL CONFERENCE FOR D/HH/LD SERVICE PROVIDERS; AND ; PARTICIPATING IN QUARTERLY MEETINGS OF THE COMMISSION FOR THE DEAF, HARD-OF-HEARING AND LATE-DEAFENED.
THIRD ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4C
HAS EQUAL ACCESS TO THE PHONE LINE AND IS NOT LIMITED IN THEIR CALLING ACCESS. HAMILTON RELAY ALSO OFFERS A VARIETY OF ADDITIONAL RELAY SERVICES INCLUDING: SPEECH-TO SPEECH (STS), VOICE CARRY OVER (VCO) HEARING CARRY OVER (HCO), SPANISH RELAY AND CAPTIONED TELEPHONE RELAY - ALL OF WHICH ARE INCLUDED IN THE OUTREACH PRESENTATIONS. UNFORTUNATELY, MANY RELAY CALLERS FIND THAT THEIR CALLS ARE REJECTED BY BUSINESSES, DOCTORS, AND OTHER ENTITIES THAT DO NOT UNDERSTAND THE RELAY SERVICE OR THE ADA THAT MANDATES THEY RESPOND TO THOSE CALLS AS THEY WOULD ANY OTHER CALL. MCD IS UNDER CONTRACT WITH MAINE'S CURRENT RELAY SERVICE PROVIDER, HAMILTON RELAY, TO DELIVER EDUCATIONAL AND OUTREACH TRAININGS AND MATERIALS THROUGHOUT THE STATE OF MAINE IN AN EFFORT TO REDUCE THE MISUNDERSTANDING AND MISHANDLING OF RELAY CALLS. MCD HAS GIVEN PRESENTATIONS TO HOSPITAL STAFF, UNIVERSITY ADMINISTRATORS, COLLEGE AUDIOLOGY CLASSES, VARIOUS AGENCY STAFF/MANAGER MEETINGS AND SEVERAL MAINE CAREER CENTERS. OUTREACH STAFF HAS MADE VISITS TO MEDICAL PROVIDERS SUCH AS ENTS, AUDIOLOGISTS, ASSISTED LIVING FACILITIES TO BOTH STAFF AND RESIDENTS, AND OTHERS WHO TEND TO WORK WITH POPULATIONS REQUIRING RELAY-DEPENDENT EQUIPMENT. MCD CONDUCTS OUTREACH EFFORTS AT VARIOUS EVENTS AND COMMUNITY HEALTH FAIRS, AS WELL AS TO APPLICABLE TOWN OFFICES AND GOVERNMENTAL AGENCIES. IN ADDITION TO CHAMBER OF COMMERCE MAILINGS, WE ALSO UTILIZE THE MCD WEBSITE AND NEWSLETTERS TO PROMOTE AWARENESS OF ISSUES CONNECTED TO THE RELAY SERVICE. THOUSANDS OF PEOPLE ARE EXPOSED TO THESE MESSAGES OVER THE COURSE OF A YEAR.
ALL OTHER ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4D
PEER SUPPORT GROUP AND VISUAL GESTURAL COMMUNICATION: THE PSG PROGRAM PROVIDES OUTREACH AND SUPPORT FOR ADULTS WITH DEVELOPMENTAL DISABILITIES WHO COMMUNICATION THROUGH SIGN LANGUAGE OR GESTURE. THE PROGRAM ALSO SERVES THE CAREGIVERS WHO WORK WITH THIS POPULATION. PSG PARTICIPANTS MEET MONTHLY IN VARIOUS LOCATIONS ACROSS THE STATE, AS WELL AS A FEW SPECIAL EVENT ACTIVITIES GEARED TOWARD HOLIDAY OR SEASONAL THEMES. THE INTENT OF PSG MEETINGS IS TO ENGAGE PARTICIPANTS IN LEARNING BY USING SOCIAL COGNITION ACTIVITIES AND GAMES STIMULATING COMMUNICATION, SOCIAL SKILLS, AND FINE AND GROSS MOTOR SKILLS. THIS APPROACH EMPHASIZES AN INFORMAL, STRESS-FREE LEARNING ENVIRONMENT FOR CONSUMERS TO PRACTICE NEW SKILLS AND TO IMPROVE LANGUAGE USE. ATTENDANCE AT THE MEETINGS CAN FLUCTUATE, BUT OVER THE COURSE OF A YEAR MCD WILL SEE ANYWHERE FROM 5 TO 125 CLIENTS AT EACH PSG EVENT. THE VGC PROGRAM INTRODUCES DIRECT CARE STAFF, FAMILY AND SUPPORT PERSONS WHO WORK WITH DEVELOPMENTALLY DISABLED ADULTS TO VGC. THIS IMPROVES THE QUALITY OF LIFE AND INDEPENDENT LIVING SKILLS FOR DEVELOPMENTALLY DISABLED ADULTS WHO USE VGC. THE PURPOSE IS TO INCREASE SOCIAL COGNITION AND COMMUNICATION AND TO DECREASE MALADAPTIVE BEHAVIORS. DEAF-BLIND EQUIPMENT DISTRIBUTION PROGRAM: IN ACCORDANCE WITH THE FCC'S PILOT PROGRAM, MCD ASSESSES POTENTIAL DEAF-BLIND CLIENTS' REQUIREMENT FOR TECHNOLOGY TO ASSIST IN INTERNET ACCESSIBILITY, WHICH IT THEN DISTRIBUTES, INSTALLS, AND TRAINS THE CLIENT IN THE USE OF. CURRENTLY IN THE THIRD YEAR, MCD HAS AIDED MANY CLIENTS IN KEEPING IN TOUCH WITH CURRENT EVENTS, PERSONAL INTERESTS, AND FAMILY AND FRIENDS.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
THE MCD FORM 990 IS CIRCULATED TO BOARD MEMBERS FOR REVIEW AND COMMENT VIA E-MAIL BY EXECUTIVE STAFF 24 HOURS BEFORE FILING.
ENFORCEMENT OF CONFLICTS POLICY
FORM 990, PAGE 6, PART VI, LINE 12C
A COPY OF THE CONFLICT OF INTEREST POLICY IS PROVIDED TO EACH BOARD MEMBER, OFFICER, STAFF MEMBER, AND VOLUNTEER UPON COMMENCEMENT OF SUCH PERSON'S RELATIONSHIP WITH MAINE CENTER ON DEAFNESS. EACH BOARD MEMBER, OFFICER, STAFF MEMBER, AND VOLUNTEER SHALL SIGN AND DATE THE POLICY AT THE BEGINNING OF HIS OR HER TERM OF SERVICE OR EMPLOYMENT AND EACH YEAR THEREAFTER.
COMPENSATION PROCESS FOR TOP OFFICIAL
FORM 990, PAGE 6, PART VI, LINE 15A
THE EXECUTIVE DIRECTOR IS INFORMALLY REVIEWED AND MONITORED THROUGH THE COURSE OF THE YEAR, BY FREQUENT COMMUNICATIONS WITH, AND AT THE PLEASURE OF, THE BOARD PRESIDENT, TREASURER, AND COMMITTEE MEMBERS, AND BY WAY OF THE EXECUTIVE DIRECTOR REPORTING TO THE FULL BOARD ON A MONTHLY BASIS. IN THE PRIOR FISCAL-YEAR, THE EXECUTIVE DIRECTOR'S COMPENSATION WAS REVIEWED BY AN APPOINTED BOARD MEMBER AND REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. THE COMPENSATION PACKAGE WAS COMPARED TO THE WAGE AND BENEFITS SURVEY PREPARED BY THE MAINE ASSOCIATION OF NONPROFITS.
COMPENSATION PROCESS FOR OFFICERS
FORM 990, PAGE 6, PART VI, LINE 15B
THE FINANCE DIRECTOR'S SALARY IS REVIEWED IN A SIMILAR MANNER AS THE EXECUTIVE DIRECTOR. THE FINANCE DIRECTOR'S WORK IS REVIEWED AND MONITORED THROUGH THE COURSE OF THE YEAR BY FREQUENT COMMUNICATIONS WITH THE EXECUTIVE DIRECTOR AND THE BOARD TREASURER AND VARIOUS FINANCIAL REPORTS PRODUCED FOR THEIR REVIEW. COMPENSATION IS REVIEWED BY THE EXECUTIVE DIRECTOR AND REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS DURING THE BUDGET APPROVAL PROCESS. THE COMPENSATION IS COMPARED TO THE WAGE AND BENEFIT SURVEY PREPARED BY THE MAINE ASSOCIATION OF NONPROFITS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
MAINE CENTER ON DEAFNESS, UPON REQUEST, MAKES AVAILABLE TO THE PUBLIC ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS.
RECONCILIATION OF CHANGES - OTHER
FORM 990, PART XI, LINE 9
COST OF GOODS SOLD 0 COST OF GOODS SOLD 0
OTHER CHANGES IN NET ASSETS EXPLANATION
FORM 990, PART XI, LINE 9
PRIOR PERIOD ADJUSTMENT 2,762 UNREALIZED GAIN/(LOSS) ON INVESTMENTS 655
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.