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
CHRISTOPHER HOUSE
Employer identification number
23-7316001
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.") ....
8,613,108
8,812,955
8,428,967
8,596,286
15,036,653
49,487,969
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
8,613,108
8,812,955
8,428,967
8,596,286
15,036,653
49,487,969
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)..
0
6
Public support. Subtract line 5 from line 4.
49,487,969
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..
8,613,108
8,812,955
8,428,967
8,596,286
15,036,653
49,487,969
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
13,996
8,320
38,181
36,067
57,164
153,728
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.)..
8,343
16,176
2,277
1,117
2,990
30,903
11
Total support (Add lines 7 through 10).
49,672,600
12
Gross receipts from related activities, etc. (see instructions)
..................
12
1,671,257
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
99.628 %
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
99.577 %
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
CHRISTOPHER HOUSE
Employer identification number
23-7316001
Identifier
Return Reference
Explanation
FORM 990, PART I
Christopher House is a multi-site education organization working to create a national model for helping low-income, at-risk children and their families achieve success in school, the workplace, and life. Christopher House is leading a movement for high quality program evaluation using both quantitative and qualitative indicators to assess the impact on children and families, as well as programs' strengths and areas for improvement. Infant/Pre-School Christopher House's internationally renowned, full-day early childhood schools serve children from six weeks to five years old. Elementary School Christopher House Elementary School is an innovative school model offering a continuum of education for children as young as six weeks of age through eighth grade. After-School Christopher House promotes academic achievement, self-confidence, and positive decision-making for children and youth. Parent School Christopher House fosters the literacy and English skills parents need to be self-sufficient. FORM 990, PART III - PROGRAM SERVICE, LINE 4C OUR YOUTH DEVELOPMENT PROGRAMS ARE DESIGNED TO HELP YOUTH BELIEVE IN THEIR OWN SELF-WORTH AND VALUE, EVENTUALLY TURNING THAT INTO ACHIEVEMENT AND SUCCESS. CHRISTOPHER HOUSE PROVIDES OPPORTUNITIES OUTSIDE OF SCHOOL TO LEARN, DEVELOP INTERESTS AND FOSTER RELATIONSHIPS WITH THEIR PEERS AND CARING ADULTS. OUR SCHOOL AGE PROGRAM PROVIDES AFTER SCHOOL ENRICHMENT TO 140 CHILDREN; KINDERGARTEN THROUGH 7TH GRADE. OUR TEEN REACH PROGRAM PROVIDES CAREER EXPLORATION AND COLLEGE PREPARATION TO 89 7TH TO 12TH GRADERS; AND TUTORING TO 60 STUDENTS WITH ONE-ON-ONE HOMEWORK HELP. CHRISTOPHER HOUSE CREATES A POSITIVE ENVIRONMENT FOR YOUNG PEOPLE AND INSTILLS IN THEM THE VALUES, SKILLS AND BELIEFS THEY NEED TO FULLY ENGAGE IN THE WORLD AROUND THEM AS THEY MATURE. FORM 990, PART III, line 4d: OTHER PROGRAM SERVICES FAMILY SUPPORT SERVICES: SEEKS TO SUSTAIN FAMILIES AS THEY MAKE THEIR JOURNEY TOWARDS SELF-SUFFICIENCY THROUGH A VARIETY OF SERVICES INCLUDING A FOOD PANTRY, OFFERING A WIDE VARIETY OF NUTRITIOUS AND CULTURALLY COMPETENT FOODS, FINANCIAL ASSISTANCE TO PREVENT MAJOR CRISES SUCH AS EVICTION AND HOLIDAY FOOD AND GIFTS TO ENSURE THAT EVERY FAMILY IS ABLE TO CELEBRATE THE HOLIDAY SEASON. EXPENSES: $549,305 GRANT: $0 REVENUE: $0 STATE FOOD PROGRAMS: PROVIDE WARM AND NUTRITIOUS MEALS THROUGHOUT THE YEAR TO 486 CHILDREN ENROLLED IN OUR PROGRAMS. EXPENSES:$388,229 GRANT: $0 REVENUE: $0 The Adult and Family Literacy program helps families improve literacy skills through ESL classroom learning and one-on-one tutoring, free childcare during evening classes and tutoring to meet the needs of working families and family literacy programs that promote library usage and literacy-rich homes. These services not only help parents get better-paying jobs, but also empowers them with the skills to communicate with their children's teacher, talk to their doctors or neighbors, read a prescription bottle, or fill out basic paperwork. EXPENSES: $93,386 GRANT: $0 REVENUE: $0 Christopher House Elementary School's mission is to develop independent, creative, lifelong learners in a school were students, teachers, and parents for a community committed to excellence, achievement, perseverance, respect compassion. The school's rigorous college prep curriculum develops critical thinkers who will succeed in high school, college, and beyond. The Christopher House Elementary School opened in the fall of 2013, providing kindergarten and 1st grade instruction for up to 112 scholars, and will grow one grade level each year until reaching capacity in 8th grade. EXPENSES: $330,005 GRANT: $0 REVENUE: $0
FORM 990, PART VI, LINE 2
ROBERT BUONO (DIRECTOR) and JOANNE CICCHELLI (DIRECTOR) - Family Relationship
FORM 990, PART VI, LINE 11a
THE FINANCE COMMITTEE REVIEWS AND APPROVES THE TAX RETURNS PRIOR TO FILING. THE CHIEF EXECUTIVE REVIEWS AND SIGNS THE TAX RETURNS. A COPY OF THE TAX RETURN IS PROVIDED TO ALL BOARD MEMBERS.
form 990, part vi, line 12c
Upon employment with Christopher House, it is expected that every employee at all levels will adhere to ethical principles set by Christopher House. At employment, staff is given an Employee Handbook. The employee must sign receipt of the Handbook. Included in the Handbook is a Conflict of Interest section. The board of directors must also comply with the policy and sign a form. Christopher House administration and the Board of Directors will formally review the Conflict of Interest policy every two years.
form 990, part vi, line 15
Christopher House utilizes a comprehensive and contemporaneous process to substantiate compensation for its CEO on an annual basis. First a wage and salary plan is completed every three years with consultation from an independent consultant that utilizes comparability data from similar organizations in the local market. In addition, Christopher House's Governance Manual defines the annual performance evaluation and salary increase determination practices. An Evaluation Task Force makes a recommendation for any changes in compensation to the CEO based on his or her performance and Christopher House's Compensation Policy.
form 990, part vi, line 19
The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.