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
JEWISH FAMILY SERVICE OF ST PAUL
Employer identification number
41-0694697
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.") ....
828,546
761,924
603,633
551,738
581,105
3,326,946
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
828,546
761,924
603,633
551,738
581,105
3,326,946
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)..
39,175
6
Public support. Subtract line 5 from line 4.
3,287,771
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..
828,546
761,924
603,633
551,738
581,105
3,326,946
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
21,071
19,634
19,099
23,281
17,623
100,708
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
1,110
1,110
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).
3,428,764
12
Gross receipts from related activities, etc. (see instructions)
..................
12
3,640,715
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
95.890 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
95.640 %
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
JEWISH FAMILY SERVICE OF ST PAUL
Employer identification number
41-0694697
Return Reference
Explanation
FORM 990, PART III, LINE 3
A CONTRACT WITH THE MN DHS TO MONITOR A RUSSIAN LANGUAGE VOICE MAIL BOX ENDED ON JUNE 30, 2013. CORRESPONDANCE FROM COUNTIES OR THE STATE HAVE PHONE NUMBERS FOR NON-ENGLISH SPEAKERS REFERENCING A NUMBER TO CALL WITH QUESTIONS. A NEW RFP WAS ISSUED IN THE SPRING, 2013 WHICH REQUESTED AN EXPANSION REGARDING THE NUMBER OF LANGUAGES OFFERRED. JFS DID NOT SUBMIT A PROPOSAL BECAUSE IT DID NOT FIT THE ORGAINZATION'S MISSION.
FORM 990, PART III, LINE 4A
SENIOR SERVICES: CASE MANAGEMENT - WE HELP SENIORS REMAIN IN THEIR HOMES IN AN APPROPRIATE, DIGNIFIED, AND SECURE MANNER THAT ALLOWS FOR SELF-DETERMINATION. JEWISH FAMILY SERVICE CASE MANAGERS PROVIDE SUPPORT FOR INDEPENDENT LIVING THROUGH FAMILY CONSULTATION, PERSONALIZED ASSESSMENT, AND INDIVIDUALIZED CARE PLANS. WE ALSO LOCATE AND MONITOR SERVICES SUCH AS HOMEMAKING, PERSONAL CARE, NURSING, AND DELIVERY OF KOSHER MEALS. FAMILY CONSULTATION SERVICES - JEWISH FAMILY SERVICE OFFERS A MULTI-DISCIPLINARY APPROACH FOR SENIOR SERVICE FAMILY CONSULTATIONS. CONSULTATIONS ARE USUALLY PROVIDED BY A NURSE AND/OR SOCIAL WORKER WITH ACCESS TO JEWISH FAMILY SERVICE MENTAL HEALTH PROFESSIONALS AS NEEDED. AMONG THE QUESTIONS THAT CAN BE ADDRESSED ARE: - GUIDANCE WITH MAKING LONG TERM CARE DECISIONS AND PLANS - FINDING RESOURCES AND SUPPORTS - DECIDING IF IT'S TIME TO MAKE A MOVE TO A MORE SUPPORTED SETTING - ADDRESSING DISAGREEMENTS IN THE FAMILY REGARDING ROLES AND RESPONSIBILITES FOR CARE. IN 2013: - 932 ELDERS AND PERSONS LIVING WITH DISABILITIES LIVING IN THE COMMUNITY WERE PROVIDED WITH SERVICES SUCH AS CASE MANAGEMENT, HOME-DELIVERED KOSHER MEALS, HOUSEKEEPING AND PERSONAL CARE - THE TOOLS THEY NEEDED TO REMAIN IN THEIR HOMES IN AN APPROPRIATE, DIGNIFIED AND SECURE MANNER. - BY PROVIDING INDIVIDUAL ASSESSMENTS AND PLANS AND BY LOCATING AND MONITORING SERVICES JEWISH FAMILY SERVICE CASE MANAGERS SUPPORT SELF-DETERMINATION AND INDEPENDENT LIVING. - 179 FAMILY MEMBERS OF OLDER ADULTS RECEIVED INFORMATION AND SUPPORT AS THEY MAINTAIN THEIR RELATIVES IN THE COMMUNITY. - OVER 300 SENIORS WERE SCREENED AND RECEIVED APPROPRIATE INTERVENTION TO ADDRESS SYMPTOMS OF DEPRESSION THROUGH OUR DAPS (DEPRESSION ASSESSMENT FOR SENIORS) INTITIATIVE.
FORM 990, PART III, LINE 4B, DESCRIPTION OF PROGRAM SERVICE:
COUNSELING AND EARLY INTERVENTION JFS PROVIDES COMPREHENSIVE COUNSELING SERVICES FOR INDIVIDUALS, COUPLES, CHILDREN, AND FAMILIES. OUR LICENSED AND EXPERIENCED THERAPISTS OFFER CONFIDENTIAL HELP WITH CONCERNS ABOUT DEPRESSION, ANXIETY, RELATIONSHIPS, PARENTING, CHILDHOOD BEHAVIOR, LOSS, AND AGING. IN 2013: - 138 INDIVIDUALS AND FAMILIES MET WITH A JEWISH FAMILY SERVICE THERAPIST TO ADDRESS PERSONAL ISSUES, APPLY EXISTING STRENGTHS, DEVELOP NEW COPING SKILLS, AND ENHANCE INTERPERSONAL COMMUNICATION. - 150 ADULTS, ADOLESCENTS, AND CHILDREN PARTICIPATED IN SUPPORT AND EDUCATIONAL GROUPS SUCH AS DEPRESSION SUPPORT, TEAM AND SELF ESTEEM BUILDING GROUPS, AND OTHERS. - JEWISH COMMUNITY ORGANIZATIONS SUCH AS TALMUD TORAH , LABAVITCH CHEDER DAY SCHOOL, AND VARIOUS SYNAGOGUES OBTAINED CONSULTATION FOR STAFF ON INDIVIDUAL AND GROUP ISSUE
FORM 990, PART III, LINE 4C, DESCRIPTION OF PROGRAM SERVICE:
EMPLOYMENT AND VOCATIONAL SERVICES OUR EMPLOYMENT SERVICES PROFESSIONALS HELP PEOPLE FIND AND KEEP JOBS, DEVELOP LONG-TERM CAREER PLANS, AND ENHANCE THEIR SKILLS. SERVICES INCLUDE SKILLS ASSESSMENT, CAREER PLANNING, RESUME PREPARATION, JOB SEARCH ASSISTANCE, INTERVIEW SKILLS, AND POST-PLACEMENT SUPPORT. IN 2013 WE PLACED 69 PERSONS IN FULL TIME JOBS PAYING AN AVERAGE OF $22,000 PER YEAR WITH BENEFITS.
FORM 990, PART VI, SECTION A, LINE 8B
THE EXECUTIVE COMMITTEE SHALL HAVE THE AUTHORITY OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE BUSINESS OF THIS CORPORATION IN THE INTERVAL BETWEEN MEETINGS OF THE BOARD OF DIRECTORS, AND THE EXECUTIVE COMMITTEE SHALL AT ALL TIMES BE SUBJECT TO THE CONTROL AND DIRECTION OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11
THE EXECUTIVE DIRECTOR AND ACCOUNTING STAFF COMPLETE THE FORM 990 QUESTIONNAIRE, THE BOARD RECEIVES E-COPIES OF THE COMPLETED FORM 990 FOR REVIEW, THE BOARD OF DIRECTORS APPROVES THE COMPLETED FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C
AT THE FIRST BOARD MEETING EACH YEAR THE POLICY IS DISTRIBUTED TO ALL BOARD MEMBERS ALONG WITH A SIGNATURE PAGE THAT MUST BE RETURNED. BOARD MEMBERS ARE REQUIRED TO IDENTIFY ANY KNOWN CONFLICTS, SIGN THE SIGNATURE PAGE, AND RETURN IT. THE BOARD OF DIRECTORS REVIEWS ALL POTENTIAL CONFLICTS.
FORM 990, PART VI, SECTION B, LINE 15
IN HIRING THE EXECUTIVE DIRECTOR, SALARY INFORMATION WAS DERIVED FROM A LOCAL INDEPENDENT HR PROVIDER AND FROM THE ASSOCIATION OF JEWISH FAMILY AND CHILDREN'S AGENCIES. A SALARY SCALE IS USED FOR KEY EMPLOYEES OTHER THAN THE EXECUTIVE DIRECTOR.
FORM 990, PART VI, SECTION C, LINE 19
PUBLIC DOCUMENTS ARE AVAILABLE UPON REQUEST.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.