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
CHI CHI RODRIGUEZ YOUTH FOUNDATION INC
Employer identification number
59-2017124
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.") ....
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
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.
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..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
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).
12
Gross receipts from related activities, etc. (see instructions)
..................
12
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
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
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.") .
649,016
595,875
694,107
560,000
589,886
3,088,884
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......
1,334,828
1,358,217
1,461,864
1,458,810
1,395,641
7,009,360
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
0
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
0
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
304,571
304,571
304,571
304,571
304,571
1,522,855
6
Total. Add lines 1 through 5.
2,288,415
2,258,663
2,460,542
2,323,381
2,290,098
11,621,099
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
21,540
111,300
257,430
91,080
103,404
584,754
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.
98,448
68,821
354
28,240
2,052
197,915
c
Add lines 7a and 7b..
119,988
180,121
257,784
119,320
105,456
782,669
8
Public support (Subtract line 7c from line 6.)
10,838,430
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...
2,288,415
2,258,663
2,460,542
2,323,381
2,290,098
11,621,099
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
65
65
46
34
30
240
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
0
c
Add lines 10a and 10b.
65
65
46
34
30
240
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
0
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
2,973
1,438
4,024
14,538
4,668
27,641
13
Total support. (Add lines 9, 10c, 11, and 12.)..
2,291,453
2,260,166
2,464,612
2,337,953
2,294,796
11,648,980
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
93.040 %
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
94.080 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
0 %
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
0.010 %
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
Part III, Line 12--OTHER INCOME REPRESENTS MISCELLANEOUS OTHER INCOME EARNED BY THE ORGANIZATION.
Explanation
Schedule A (Form 990 or 990-EZ) 2013
Additional Data
Software ID:
13000170
Software Version:
2013v4.0
-
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.
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
CHI CHI RODRIGUEZ YOUTH FOUNDATION INC
Employer identification number
59-2017124
Return Reference
Explanation
Client Note 1
Client Note 1 - Additional Information on Program ServicesOur program is based on love and respect, one that builds confidence, instills discipline and provides positive educational experiences. A unique forum was chosen the golf course. Golf is frequently considered the game of successful people, who would provide excellent role models for Chi Chis Kids. Golf also requires self-control, responsibility and respect for others. Outstanding athletic ability, size and dexterity are not necessary to participate. Success for Chi Chis Kids had to be through (as Chi Chi said), love, understanding, compassion, and self-esteem. Though Chi Chi was raised in a poor family, it was rich in all of those qualities.The target group for Academy activities is children ranging in ages from 5 to 17. We currently have just over 900 participants & students in our program.Some of the candidates for the programs are referred by the Pinellas County School System, consisting of 79 elementary and 27 middle schools, according to the Pinellas County School System website. Also referrals may come from private counselors or psychologists, community agencies, and, in the case of one program, the court system.To be accepted into the program, children must meet two or more of the following requirements: (1) abused; (2) from a single parent home; (3) on some form of government assistance; (4) have poor grades; (5) be socially withdrawn.The Academy uses a holistic approach in its programs. Emphasis is placed on tutoring, social skills, core values, personal grooming, business skills, retail, art, landscaping, and golf. Golf was chosen as a key ingredient for the program because it does not require unusual size, speed, or strength for excellence. The sport does, however, require personal discipline, concentration, honesty, and tenacity. These qualities plus exposure to role models of successful adult golfers made that game a natural choice.The Public Partnership SchoolThe Public Partnership School is a voluntary mini-school for those fourth through eighth grade students who are not achieving at their grade level, have low self-esteem or have difficulty adjusting to an academic environment. Students learn through interactive learning experiences in the fields of management, marketing, retail sales, landscaping, agronomy and various other real-world business environments. Through the school's Shadow Program the students, on a rotating basis, get to spend time with adults in every department of the Golf Club and the Chi Chi Rodriguez Foundation. While learning about the various jobs, the children see how basic educational skills like math and reading are used on an everyday basis. The teachers feel that students are much more enthusiastic when they see how the things they learn are involved beyond the classroom. Plus, as our teachers like to point out, "Social skills are an integral part of our educational setting." This would be great in every classroom. Any good teacher tries to simulate a real world environment, and that's what we've created here. The focus of the school is to help "at-risk" children (discouraged learners who have low self esteem or stressful family conditions). "It fits in a model for drop-out prevention."The Pinellas County School system identifies the children in need of these special surroundings and provides the teachers and principal, while the Foundation provides the assistants, facilities, and the classroom enrichment materials. The golf club delivers the real life learning experience. "We maximize the resources that the students would receive at mainstream schools, and then provide them with additional support. The students have a much greater opportunity to succeed because of that support." The small school atmosphere, individual attention, counseling, availability of student services and special instructional components taught by the Pinellas County certified teachers foster a desire in Chi Chi's Kids to succeed in school and life. The First Tee of Clearwater ProgramThe purpose of the First Tee Program at the Chi Chi Rodriguez Academy is to provide the students with a different perspective of life and its fundamental values.As one of the premier youth character-education programs in the country, The First Tee Life Skills Experience has helped many children increase their potential for success through the game of golf. The program is predicated on Nine Core Values inherently connected with golf, such as integrity, respect and sportsmanship. These values serve as the framework that helps children from all walks of life to achieve higher grades, higher confidence and better social and communication skills, with proven results.After School Enrichment ProgramThe After School Enrichment Program provides academic assistance and teaches retail skills, horticulture and personal life management skills. The goal is to reinforce and further academic studies in a positive, hands-on environment. Self-discipline is taught through the game of golf. The program has been in operation since 1979. In 2013, a partnership with the Boys & Girls Club became official as a chartered and licensed facility making the Club eligible for membership into the Boys & Girls Clubs of America. This membership allows the Club to receive funding from the national group. The Boys & Girls Club provides a full time on site Director, programming, risk management and two part time staff members. The Foundation provides one part time staff member along with The First Tee Program, equipment and coaches, facility maintenance and insurance.The Academy and a staff of professional educators, specialists and volunteers are the mentors for students who are facing difficult family and personal situations at home. Also, this program now has a partnership with the Big Brothers Big Sisters of Pinellas County, where our students are matched with a Big Brother or Sister to mentor them as well.Students participate in programs designed to meet their individual needs. Homework is always completed first with assistance available. Students work hard at accomplishing tasks and reaching goals. Guest speakers, personal grooming, etiquette classes and golf are only a few of the activities integrated into a curriculum designed to encourage positive changes in self-image and academic performance.The Community Service ProgramThe Academy provides a safe supervised environment for local youth to fulfill their graduation, scholarship and organizational volunteer service hour requirements. During the after school program the staff needs help with student homework assistance and mentoring. In addition, the campus is an approved site for adjudicated youth and adults to perform their court ordered community service hours.
Form 990, Part VI, Line 11b: Form 990 Review Process
THE INDEPENDENT TAX PREPARER REVIEWED THE FORM 990 WITH MANAGEMENT AND THE BOARD OF DIRECTORS.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees
Industry benchmarks from other non profits are typically reviewed to compare compensation packages. Benchmarks used to determine base salary and other benefits are: educational background, industry experience, budget size, number of employees and number of direct reports.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.