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
CAREY SERVICES INC
Employer identification number
35-0965642
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.") ....
1,858,862
3,853,482
1,574,662
1,561,400
2,010,283
10,858,689
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
1,858,862
3,853,482
1,574,662
1,561,400
2,010,283
10,858,689
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.
10,858,689
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..
1,858,862
3,853,482
1,574,662
1,561,400
2,010,283
10,858,689
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
103,900
43,245
58,276
52,764
56,136
314,321
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.)..
3,430
35,229
24,357
44,848
16,887
124,751
11
Total support (Add lines 7 through 10).
11,297,761
12
Gross receipts from related activities, etc. (see instructions)
..................
12
49,991,924
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
96.110 %
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
94.970 %
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:
12000229
Software Version:
2012v2.0
-
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
CAREY SERVICES INC
Employer identification number
35-0965642
Identifier
Return Reference
Explanation
Form 990, Part XI, Line 9
Other Changes In Net Assets Or Fund Balances - Other Increases
Change in Temp Restricted Net Assets = $639430
Form 990, Part XI, Line 9
Other Changes In Net Assets Or Fund Balances - Other Increases
CHANGE IN PERM REST NET ASSETS = $6785
Form 990, Part VI, Line 19
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part VI, Line 15b
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees
THE EXECUTIVE COMMITTEE IS RESPONSIBLE FOR CONDUCTING A BI-ANNUAL REVIEW OF TOP-LEVEL EMPLOYEE COMPENSATION. COMPARABLE INDUSTRY DATA IS USED AS A BENCHMARK FOR COMPENSATION FIGURES, INCLUDING SALARY AND BENEFITS. SOURCES USED WITHIN THIS REVIEW INCLUDE DATABASES FOR LOCAL, STATE, AND NATIONAL TRADE ASSOCIATIONS, AS WELL AS FOR NOT-FOR-PROFITS. JOB POSITIONS ARE COMPARED TO THOSE WITH SIMILAR RESPONSIBILITIES, BUDGET SIZES, AND OVERALL SPANS OF CONTROL. THE REVIEW PROCESS IS DESIGNED TO REWARD STRONG INDIVIDUAL PERFORMANCE AND TO PROMOTE TOP-LEVEL EMPLOYEE RETENTION, AMONG OTHER THINGS. IN ADDITION TO COMPENSATION REVIEWS, SENIOR MANAGERS HAVE THEIR PERFORMANCE ASSESSED/MEASURED ANNUALLY BY THE PRESIDENT/CEO.
Form 990, Part VI, Line 15a
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management
THE EXECUTIVE COMMITTEE IS RESPONSIBLE FOR CONDUCTING A BI-ANNUAL REVIEW OF TOP-LEVEL EMPLOYEE COMPENSATION. COMPARABLE INDUSTRY DATA IS USED AS A BENCHMARK FOR COMPENSATION FIGURES, INCLUDING SALARY AND BENEFITS. SOURCES USED WITHIN THIS REVIEW INCLUDE DATABASES FOR LOCAL, STATE, AND NATIONAL TRADE ASSOCIATIONS, AS WELL AS FOR NOT-FOR-PROFITS. JOB POSITIONS ARE COMPARED TO THOSE WITH SIMILAR RESPONSIBILITIES, BUDGET SIZES, AND OVERALL SPANS OF CONTROL. THE REVIEW PROCESS IS DESIGNED TO REWARD STRONG INDIVIDUAL PERFORMANCE AND TO PROMOTE TOP-LEVEL EMPLOYEE RETENTION, AMONG OTHER THINGS. IN ADDITION TO COMPENSATION REVIEWS, SENIOR MANAGERS HAVE THEIR PERFORMANCE ASSESSED/MEASURED ANNUALLY BY THE PRESIDENT/CEO.
Form 990, Part VI, Line 12c
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts
CAREY SERVICES MONITORS AND MAINTAINS AWARENESS OF BUSINESS RELATIONSHIPS WITH THE GOVERNING BOARD.
Form 990, Part VI, Line 11b
Form 990, Part VI, Line 11b: Form 990 Review Process
A PASSWORD-PROTECTED PDF COPY OF THE FORM 990 IS PROVIDED TO BOARD MEMBERS VIA E-MAIL FOR THEIR REVIEW.
Form 990, Part VI, Line 7b
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders
CAREY SERVICES HAS TWO CLASSES OF MEMBERS; VOTING MEMBERS AND ASSOCIATE NON-VOTING MEMBERS. THE VOTING MEMBERS INCLUDE THE BOARD OF DIRECTORS. THE ASSOCIATE NON-VOTING MEMBERS CONSULT WHEN THE BOARD OF DIRECTORS DETERMINES THEY CAN MAKE A CONTRIBUTION TO THE GOALS AND PURPOSES OF THE CORPORATION.
Form 990, Part VI, Line 7a
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body
CAREY SERVICES HAS TWO CLASSES OF MEMBERS; VOTING MEMBERS AND ASSOCIATE NON-VOTING MEMBERS. THE VOTING MEMBERS INCLUDE THE BOARD OF DIRECTORS, WHO MAY ELECT EACH OTHER.
Form 990, Part VI, Line 2
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et
JIM WIDNER IS A BOARD MEMBER, AND CAREY HAS A MORTGAGE WITH MUTUAL BANK.ROSS HOFFMAN IS A BOARD MEMBER, AND CAREY HAS A BUSINESS RELATIONSHIP WITH PRO PRINTS.MICHELLE BUNKER SERVES AS THE BOARD SECRETARY, AND CAREY HAS A BUSINESS RELATIONSHIP WITH THE CHAMBER OF COMMERCE.JACQUIE DODYK SERVES AS THE BOARD TREASURER, AND CAREY HAS A BUSINESS RELATIONSHIP WITH THE AFFORDABLE HOUSING CORPORTATION OF MARION, IN FOR THE AFFORDABLE HOUSING PROJECT/PLEASANT WOODS.
Form 990, Part III, Line 4d
Form 990, Part III, Line 4d: Other Program Services Description
OTHER PROGRAM SERVICES 4: WORKSHOP - THE WORKSHOP PROGRAM AT CAREY SERVICES PROVIDES EMPLOYMENT OPPORTUNITIES TO TEACH AND IMPROVE VOCATIONAL SKILLS TO PEOPLE WITH DISABILITIES. VARIOUS TASKS INCLUDE ASSEMBLY, PACKAGING, HOT GLUING, QUALITY CONTROL INSPECTION, SORTING, COUNTING, AND MAILING OPPORTUNITIES. OTHER PROGRAM SERVICES 5: EMPLOYMENT SERVICES - CAREY PROVIDES ASSISTANCE IN HELPING INDIVIDUALS PREPARE FOR JOBS THROUGH EDUCATION AND PRACTICE ON EMPLOYMENT SEARCHES, DEVELOPING RESUMES, COMPLETING APPLICATIONS AND PREPARING AND EXECUTING AN EFFECTIVE INTERVIEW. ADDITIONALLY, THEY CAN PROVIDE JOB COACHING AND CAN LINK PEOPLE TO CLOTHING AND NEEEDED SUPPLIES FOR AN INTERVIEW OR THIER JOB IN SOME CASES. OTHER PROGRAM SERVICES 6: EARLY HEAD START - EHS IS A FEDERALLY FUNDED PROGRAM FOR FAMILIES WITH CHILDREN UNDER THREE YEARS OLD AND PREGNANT WOMEN WHO MEET HEAD START INCOME GUIDELINES. EHS WORKS WITH FIRST STEPS TO ENSURE THAT CHILDREN WITH DISABILITIES RECEIVE QUALITY AND COMPREHENSIVE SERVICES.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.