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
WOLVERINE HUMAN SERVICES
Employer identification number
38-2675330
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.") ....
39,143,767
40,187,778
28,968,431
27,016,667
24,976,553
160,293,196
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
39,143,767
40,187,778
28,968,431
27,016,667
24,976,553
160,293,196
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)..
6
Public support. Subtract line 5 from line 4.
160,293,196
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..
39,143,767
40,187,778
28,968,431
27,016,667
24,976,553
160,293,196
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
141,355
125,925
123,520
66,721
457,350
914,871
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.)..
11
Total support (Add lines 7 through 10).
161,208,067
12
Gross receipts from related activities, etc. (see instructions)
..................
12
25,049,994
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
99.430 %
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
99.590 %
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
WOLVERINE HUMAN SERVICES
Employer identification number
38-2675330
Identifier
Return Reference
Explanation
ORGANIZATION'S MISSION
FORM 990 - ORGANIZATION'S MISSION
WOLVERINE HUMAN SERVICES (WHS) IS A SOCIAL SERVICE AGENCY PROVIDING SAFETY, SUSTENANCE, NURTURING AND THERAPEUTIC INTERVENTION TO CHILDREN. WOLVERINE'S PROGRAMS FOCUS ON ADOLESCENTS SUFFERING FROM THE SOCIAL INJUSTICES OF ABUSE AND NEGLECT AND THOSE INVOLVED IN DELINQUENT ACTIVITIES. SPECIFICALLY, WHS WILL OFFER THE MOST APPROPRIATE SETTINGS AND MOST EFFECTIVE SERVICE PROVIDERS TO CHILDREN, THEIR FAMILIES AND THEIR COMMUNITIES.
ALL OTHER ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4D
WOLVERINE HUMAN SERVICES FORM 990, RETURN OF ORGANIZATIONS EXEMPT FROM INCOME TAX EIN 38-2675330 STATEMENT 15 - FORM 990, SCHEDULE O, LINE 4D STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS VICTOR'S CENTER-THIS UNIQUE PROGRAM WAS DEVELOPED TO SERVE AND PROVIDE RESIDENTIAL SERVICES TO A MORE DIFFICULT POPULATION. THE TYPICAL IQ IS LESS THAN 70 AND HAS A HISTORY OF EMOTIONAL PROBLEMS, ACTING OUT BEHAVIORS, DYSFUNCTIONAL FAMILY SYSTEMS AND FAILED PREVIOUS PLACEMENTS. THE PROGRAM OFFERS A CARING, NURTURING ENVIRONMENT, WHILE AT THE SAME TIME PROVIDING AN EXTREMELY STRUCTURED PROGRAM NECESSITATED BY THE FUNCTIONING LEVEL OF ITS RESIDENTS. ST. JUDE'S HOME FOR BOYS-OFFERS A CARING, NURTURING ENVIRONMENT, WHILE AT THE SAME TIME PROVIDING STRUCTURE AND TEACHING SELF-DISCIPLINE. GROUP, FAMILY AND INDIVIDUAL COUNSELING IS PROVIDED AS WELL AS DAILY RECREATION. DAYS OF CARE: 3,593 WOLVERINE SHELTER-THE SHELTER PROGRAM WAS DEVELOPED TO PROVIDE EMERGENCY PLACEMENTS FOR MALES DUE TO ABUSE AND NEGLECT. MANY OF THESE YOUTHS HAVE BEEN REMOVED FROM VIOLENT OR EMOTIONALLY TENSE SITUATIONS. THE MAIN GOAL OF THE SHELTER IS TO PROVIDE PROTECTION AND SUPERVISION. THE PROGRAM PROVIDES GROUP DISCUSSION, SOCIAL SKILL CLASSES, INDIVIDUAL COUNSELING, COMPLETE ASSESSMENTS INCLUDING BEHAVIORAL, EDUCATIONAL, PSYCHOLOGICAL AND/OR PSYCHIATRIC AND HEALTH CARE TO ASSIST FIA WORKERS IN CASE PLANNING. DAYS OF CARE: 10,906 FOSTER CARE SERVICES-OUR PROGRAM OFFERS TWO TYPES OF SERVICES, GENERALIZED FOSTER CARE SERVICES AND SPECIALIZED FOSTER CARE SERVICES. GENERALIZED FOSTER CARE SERVICES ARE AIMED AT PROVIDING A SAFE, SUPPORTIVE, AND STABLE ENVIRONMENT FOR THE YOUNG PERSON TO RESIDE IN WHILE SOCIAL SERVICE WORKERS EXPLORE AND SUPPORT THE FAMILY'S EFFORTS TOWARDS REUNIFICATION. FOR SPECIALIZED FOSTER CARE SERVICES, INTENSIVE TREATMENT INTERVENTIONS ARE APPLIED TOWARDS YOUTH WHO HAVE SEVERE EMOTIONAL, BEHAVIORAL, AND PHYSICAL PROBLEMS. YOUTH ARE PLACED WITH FOSTER PARENTS SPECIFICALLY LICENSED AND TRAINED TO DEAL WITH SPECIAL NEEDS POPULATIONS. DAYS OF CARE: 46,964 SUPERVISED INDEPENDENT LIVING SERVICES-THE PROGRAM IS LICENSED AND CONTRACTED TO SERVICE FOSTER CARE AND DELINQUENT YOUTH THROUGHOUT THE STATE OF MICHIGAN. OUR PRIMARY GOAL IS TO TEACH YOUTH THE ART OF INDEPENDENCE. AS THE YOUTH APPROACHES THE AGE OF LEGAL ADULTHOOD, SKILLED SOCIAL SERVICE WORKERS ADMINISTER A VARIETY OF INDIVIDUALIZED ASSESSMENTS AND TREATMENT INTERVENTIONS. TREATMENT INTERVENTIONS SUPPORT THE YOUTH'S ABILITY TO BUILD SELF-SUFFICIENCY SKILLS, ACCESS COMMUNITY SUPPORTS AND OBTAIN EDUCATIONAL AND EMOTIONAL MATURITY. DAYS OF CARE: 46,964 FAMILIES FIRST-THE PROGRAM IS CONTRACTED TO PROVIDE INTENSIVE FAMILY SUPPORT INTERVENTIONS TO WAYNE COUNTY AND GENESEE COUNTY FAMILIES INVOLVED WITH ABUSE AND NEGLECT SITUATIONS. THE PROGRAMS PRIMARY GOAL IS TO REDUCE THE POTENTIAL FOR CONTINUOUS AND/OR DEVELOPING ABUSE AND NEGLECT SITUATIONS BY EDUCATING THE FAMILY TO QUICKLY IDENTIFY AND REDUCE STRESS. FAMILIES FIRST-THE PROGRAM IS CONTRACTED TO PROVIDE INTENSIVE FAMILY SUPPORT INTERVENTIONS TO WAYNE COUNTY AND GENESEE COUNTY FAMILIES INVOLVED WITH ABUSE AND NEGLECT SITUATIONS. THE PROGRAMS PRIMARY GOAL IS TO REDUCE THE POTENTIAL FOR CONTINUOUS AND/OR DEVELOPING ABUSE AND NEGLECT SITUATIONS BY EDUCATING THE FAMILY TO QUICKLY IDENTIFY AND REDUCE STRESS. JOHN S. VITALE COMMUNITY CENTER AND SOUP KITCHEN-THE CENTER OPERATES AND AFTER-SCHOOL PROGRAM FOR NEIGHBORHOOD ELEMENTARY SCHOOL CHILDREN AND OFFERS A VARIETY OF TUTORIAL AND RECREATIONAL PROGRAMS FOR NEIGHBORHOOD FAMILIES. THE CENTER ALSO HOUSES A SOUP KITCHEN. THE SOUP KITCHEN SERVES HOMELESS AND LOW-INCOME INDIVIDUALS AND FAMILIES WITH A HOT NOURISHING MEAL THREE DAYS A WEEK AND PROVIDES A YOUTH MEAL DURING AFTER SCHOOL HOURS FIVE DAYS A WEEK. THE CENTER IS FUNDED THROUGH CONTRIBUTIONS AND THE CITY OF DETROIT NEIGHBORHOOD OPPORTUNITY GRANTS. VOCATIONAL STORE-THE PURPOSE OF THE STORE INCLUDES BUYING CLOTHING THAT IS ISSUED TO THE YOUTHS IN BULK TO REDUCE COSTS. THE YOUTHS ARE INVOLVED IN CERTAIN ASPECTS OF OPERATING THE FACILITY. FOOD DISTRIBUTION CENTER-THE FOOD DISTRIBUTION CENTER IS THE CENTRAL FOOD-PURCHASING UNIT OF THE AGENCY. IT RECEIVES, STORES, AND DISTRIBUTES FOOD TO THE PROGRAMS. IT ALSO SERVES AS A VOCATIONAL TRAINING CENTER FOR THE YOUTHS. SELECTED YOUTHS ARE TAUGHT FOOD PREPARATION SKILLS, WHICH MAY ENABLE THEM TO GAIN FUTURE EMPLOYMENT. CLARENCE FISCHER LEADERSHIP ACADEMY- THE RESIDENTIAL ACADEMY PROGRAM COMBINES WOLVERINE'S SUCCESSFUL TREATMENT MODEL FOR RESIDENTIAL CARE WITH A MILITARY MODEL DESIGNED TO INSTILL DISCIPLINE, SELF-CONFIDENCE, AND TEACH TEAM WORK. THE PROGRAM DESIGN IS BASED ON A SIX MONTH MODEL. THIS IS A TREATMENT BASED MILITARY HIGH SCHOOL, NOT A BOOT CAMP. IT BOASTS A 97% COMPLETION RATE SINCE ITS INCEPTION. THE PROGRAM DOES NOT USE ANY TYPE OF DEGRADING COMMUNICATION. ITS PURPOSE IS TO BUILD GOOD SELF-ESTEEM. THE DAILY SCHEDULE IS HIGHLY STRUCTURED TO INCLUDE PHYSICAL TRAINING, DRILLING, MARCHING AND OTHER STRENUOUS PHYSICAL ACTIVITIES ALONG WITH TREATMENT SERVICES. OTHER PROGRAMS DAYS OF CARE: 4,703
RELATED PARTY INFORMATION AMONG OFFICERS
FORM 990, PAGE 6, PART VI, LINE 2
ROBERT WOLLACK JUDY WOLLACK PRESIDENT CEO HUSBAND & WIFE
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
A COPY OF FORM 990 IS SENT TO THE CFO
ENFORCEMENT OF CONFLICTS POLICY
FORM 990, PAGE 6, PART VI, LINE 12C
SUPERVISION, EVALUATION AND DISCLOSURE
COMPENSATION PROCESS FOR TOP OFFICIAL
FORM 990, PAGE 6, PART VI, LINE 15A
COMPENSATION STUDIES AVAILABLE TO THE BOARD'S COMMITTEE
COMPENSATION PROCESS FOR OFFICERS
FORM 990, PAGE 6, PART VI, LINE 15B
COMPENSATION STUDIES AVAILABLE TO THE BOARD'S COMMITTEE
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
UPON REQUEST
ADDITIONAL INFORMATION
FORM 990, PART VII
STATEMENT FOR ROBERT E. WOLLACK THIS OFFICER'S COMP. IS SUPPORTED BY CONSISTENT MARKET BASED COMP STUDIES WHICH HAVE BEEN REVIEWED BY THE BOARD'S COMPENSATION COMMITTEE. TITLE- PRESIDENT BASE COMPENSATION- 196,606. MEDICAL BENEFITS- 16,500 MR. WOLLACK'S CHARITABLE CONTRIBUTIONS TO THE AGENCY EXCEEDED 42,000 FYE 09/30/13
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.