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
COLUMBIA LIGHTHOUSE FOR THE BLIND INC
Employer identification number
53-0196609
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.") ....
764,835
874,297
2,478,542
5,555,081
1,530,510
11,203,265
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
764,835
874,297
2,478,542
5,555,081
1,530,510
11,203,265
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)..
1,324,533
6
Public support. Subtract line 5 from line 4.
9,878,732
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..
764,835
874,297
2,478,542
5,555,081
1,530,510
11,203,265
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
37,138
29,856
20,272
91,926
101,631
280,823
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.)..
2,690
5,000
11,410
19,100
11
Total support (Add lines 7 through 10).
11,503,188
12
Gross receipts from related activities, etc. (see instructions)
..................
12
3,858,646
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
85.880 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
82.260 %
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
COLUMBIA LIGHTHOUSE FOR THE BLIND INC
Employer identification number
53-0196609
Return Reference
Explanation
FORM 990, PAGE 2, PART III, LINE 4D
TECHNOLOGY TRAINING: THE ORGANIZATION OPERATES AN ASSISTIVE TECHNOLOGY (AT) DEPARTMENT WHICH IS RESPONSIBLE FOR: - PROVIDING ASSISTIVE TECHNOLOGY TRAINING FOR ALL CONSUMERS, AGENCIES AND CORPORATIONS. - PROVIDING WORKSITE ASSESSMENTS FOR EMPLOYERS. - SELLING ASSISTIVE TECHNOLOGY TRAINING DEVICES TO CONSUMERS AND ORGANIZATIONS. THE ORGANIZATION CURRENTLY HAS ONE FULL TIME EMPLOYED AS TRAINER AND CONTRACTS WITH SEVERAL AS TRAINERS. A MAJORITY OF COLUMBIA LIGHTHOUSE FOR THE BLIND CUSTOMERS ARE REFERRED FROM LOCAL AGENCIES IN MARYLAND, VIRGINIA AND WASHINGTON D.C. ADDITIONALLY, THE AT DEPARTMENT MANAGES THE BRAILLE PRODUCTION SERVICES. LOW VISION PROGRAM: TO PROVIDE MEDICAL SERVICES INCLUDING COMPREHENSIVE EVALUATIONS AND RECOMMENDATIONS FOR AIDS AND DEVICES. THE ORGANIZATION PROVIDES LOW VISION CARE THAT ASSISTS INDIVIDUALS EXPERIENCING VISION LOSS TO MAKE THE MOST OF THEIR REMAINING VISION. THE ORGANIZATION'S DOCTOR OF OPTOMETRY INTRODUCES CLIENTS TO ADAPTIVE AIDS AND TECHNIQUES THAT ENHANCE VISION AND ASSIST IN RETAINING INDEPENDENCE. CAREER SERVICES: COLUMBIA LIGHTHOUSE FOR THE BLIND HAS SUCCESSFULLY MANAGED ABILITYONE GOVERNMENT CONTRACTS FOR THE FOLLOWING AGENCIES: - DEPARTMENT OF EDUCATION (ALTERNATE FORMAT CENTER) - FBI (SWITCHBOARD) - CUMBERLAND PRISION (SECRETARIAL) - DEPARTMENT OF STATE (MAILROOM AND CLERICAL) - IRS MAILROOM - VA MEDICAL CENTER (JANITORIAL AND SWITCHBOARD) - ANDREWS AIR FORCE BASE (SWITCHBOARD) THE ORGANIZATION IS RESPONSIBLE FOR HIRING, TRAINING, AND MANAGING EMPLOYEES. AT LEAST 75% OF EMPLOYEES ON THE GOVERNMENT CONTRACTS MUST BE VISUALLY IMPAIRED OR BLIND. CHILDREN'S PROGRAMS: THE ORGANIZATION IS THERE FOR THE CHILD AND PARENTS FROM DIAGNOSIS THROUGH EVERY STAGE IN THE CHILD'S DEVELOPMENT. FOR OVER 45 YEARS, THE ORGANIZATION HAS BEEN PROVIDING DIRECT SERVICES TO VISUALLY IMPAIRED AND BLIND CHILDREN, FROM BIRTH THROUGH THE 12TH GRADE. THE ORGANIZATION RECOGNIZES THAT THE FAMILY IS THE MOST IMPORTANT INFLUENCE IN A CHILD'S LIFE AND PROVIDES SUPPORT AND ENCOURAGEMENT. OUT CORE CHILDREN'S PROGRAMS ARE EARLY INTERVENTION, TIME TO RAP TEEN SUPPORT GROUP, SUMMER CAMPS AND ANNUAL CHILDREN'S EVENTS.
FORM 990, PAGE 6, PART VI, LINE 1A
THE BOARD OF DIRECTORS MAY DESIGNATE STANDING OR SPECIAL COMMITTEES, INCLUDING AN EXECUTIVE COMMITTEE, FINANCE COMMITTEE, AUDIT AND COMPLIANCE COMMITTEE AND PERSONNEL COMMITTEE, AND APPOINT THE MEMBERS AND CHAIR OF ANY SUCH COMMITTEE, BY AFFIRMATIVE VOTE OF A MAJORITY OF THE DIRECTORS THEN IN OFFICE, AND MAY DELEGATE TO ANY SUCH COMMITTEE ANY OF THE BOARD'S POWERS AND AUTHORITY, PROVIDED, HOWEVER, THAT SUCH DELEGATION IS CONSISTENT WITH THE LAWS OF THE DISTRICT OF COLUMBIA, THE ARTICLES OF INCORPORATION, AND THESE BYLAWS. COMMITTEES WITHOUT DELEGATED AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS AND COMMITTEE CHAIRS MAY BE DESIGNATED AND APPOINTED BY A MAJORITY OF DIRECTORS PRESENT AT A MEETING AT WHICH A QUORUM IS PRESENT. EACH SUCH COMMITTEE SHALL CONSIST OF TWO (2) OR MORE DIRECTORS, SHALL SERVE AT THE PLEASURE OF THE BOARD, SHALL ACT ONLY IN THE INTERVAL BETWEEN MEETINGS OF THE BOARD, AND SHALL BE SUBJECT TO THE CONTROL AND DIRECTION OF THE BOARD. THE DESIGNATION AND APPOINTMENT OF ANY SUCH COMMITTEE AND THE DELEGATION THERETO OF AUTHORITY SHALL NOT OPERATE TO RELIEVE THE BOARD OR ANY INDIVIDUAL DIRECTOR OF ANY RESPONSIBILITY IMPOSED BY LAW.
FORM 990, PAGE 6, PART VI, LINE 11B
A COPY OF THE FORM 990 IS PROVIDED BY THE ACCOUNTING FIRM AND IS REVIEWED BY THE CEO/PRESIDENT. A COPY OF THE FORM 990 IS ALSO FORWARDED TO THE FINANCE COMMITTEE AND BOARD OF DIRECTORS FOR REVIEW. THE CEO/PRESIDENT DISCUSSES ANY ISSUES RAISED DURING THE REVIEWS WITH THE ACCOUNTING FIRM. ONCE ALL ISSUES HAVE BEEN RESOLVED, THE CEO/PRESIDENT RECEIVES APPROVAL FROM THE FINANCE COMMITTEE TO SUBMIT THE FORM 990 TO THE IRS.
FORM 990, PAGE 6, PART VI, LINE 12C
ALL EMPLOYEES ARE GIVEN AN EMPLOYEE HANDBOOK WHICH CONTAINS A CONFLICT OF INTEREST POLICY. ALL EMPLOYEES SIGN A DOCUMENT ACKNOWLEDGING THAT THEY HAVE RECEIVED THE HANDBOOK AND WILL READ AND ADHERE TO ITS POLICY. SUPERVISORS MONITOR WORK OF EMPLOYEES AND ARE MINDFUL OF ANY INDICATORS THAT WOULD SUGGEST THAT AN EMPLOYEE HAS A CONFLICT OF INTEREST. BOARD MEMBERS SIGN A CONFLICT OF INTEREST POLICY DISCLOSURE STATEMENT. CONTRACTS WITH PAYMENTS TO OUTSIDE AGENCIES ARE REVIEWED BY THE CEO/PRESIDENT AND CHECKED FOR ANY POSSIBILITY OF CONFLICT OF INTEREST.
FORM 990, PAGE 6, PART VI, LINE 15A
THE BOARD OF DIRECTORS DESIGNATES A "COMPENSATION COMMITTEE" TO REVIEW THE PERFORMANCE OF THE CEO AND MAKE ANY SALARY RECOMMENDATIONS, BASED ON INFORMATION AVAILABLE TO THEM. THE PRESIDENT AND CEO CONDUCTS A PERFORMANCE EVALUATION OF THE COO AND RECOMMENDS AN INCREASE (OR FREEZE) FOR THE COO BASED ON COMPARABLE DATA IN COORDINATION WITH AVAILABLE FUNDING FOR AN INCREASE.
FORM 990, PAGE 6, PART VI, LINE 17
MAINE, MARYLAND, MASSACHUSETTS, MICHIGAN, MINNESOTA, MISSISSIPPI, NEW YORK, NEW HAMPSHIRE, NEW JERSEY, NEW MEXICO, NORTH CAROLINA, OHIO, OKLAHOMA, OREGON, PENNSYLVANIA, RHODE ISLAND, SOUTH CAROLINA, TENNESSEE, VIRGINIA, WASHINGTON, WEST VIRGINIA, WISCONSIN
FORM 990, PAGE 6, PART VI, LINE 19
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9
COST OF GOOD SOLD 2,796
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.