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
CHILDREN'S FUND OF CONNECTICUT INC
Employer identification number
06-1364513
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)
No
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
No
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
No
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
(A)
CONNECTICUT CHILDRENS MEDICAL CENTER
060646755
IRC 501(C)
Yes
Yes
Yes
0
Total
0
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.") .
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
CHILDREN'S FUND OF CONNECTICUT INC
Employer identification number
06-1364513
Return Reference
Explanation
FORM 990, PART VI, SECTION A, LINE 3
THE CHILD HEALTH AND DEVELOPMENT INSTITUTE OF CONNECTICUT, INC. A RELATED 501(C)(3) ORGANIZATION, PERFORMS MANAGMENT DUTIES FOR THE CHILDREN'S FUND OF CONNECTICUT, INC. AS DIRECTED BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11
THE FOLLOWING IS THE CHILDREN'S FUND OF CONNECTICUT, INC.'S FORM 990 REVIEW PROCESS POLICY - THE FORM 990 (TAX RETURN) WILL BE PREPARED ANNUALLY. COPIES OF THE COMPLETED FORM 990, WITH SUPPORTING SCHEDULES, WILL BE DISTRIBUTED BY THE VP FOR FINANCE AND OPERATIONS TO THE PRESIDENT AND CEO FOR REVIEW AND APPROVAL. ANY CORRECTIONS OR CHANGES WILL BE NOTED AND ADDRESSED. ONCE APPROVED BY THE PRESIDENT AND CEO, THE VP FOR FINANCE AND OPERATIONS WILL PROVIDE THE FORM 990 WITH SUPPORTING SCHEDULES TO THE BOARD OF DIRECTORS. ONCE THE BOARD OF DIRECTORS HAS HAD A REASONABLE OPPORTUNITY TO REVIEW THE FORM 990, ANY CORRECTIONS OR CHANGES WILL BE NOTED AND ADDRESSED. THE VP FOR FINANCE AND OPERATIONS WILL THEN PROCESS THE FILING OF THE FORM 990 USING E-FILE RETURN PROCEDURES.
FORM 990, PART VI, SECTION B, LINE 12C
THE FOLLOWING IS THE DISCLOSURE SECTION OF THE CHILDREN'S FUND OF CONNECTICUT, INC.'S CONFLICT OF INTEREST POLICY - TO PROMOTE THE SOUND ADMINISTRATION OF THIS POLICY, ALL DIRECTORS AND OFFICERS OF THE CORPORATION COMPLETE ANNUALLY (AND UPDATE AS APPROPRIATE), A DISCLOSURE STATEMENT THAT DESCRIBES A TRANSACTION OR ARRANGEMENT THAT COULD REASONABLY GIVE RISE TO A CONFLICT OF INTEREST. THE STATEMENT INCLUDES AN ITEMIZATION AND DESCRIPTION OF THE NATURE OF ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST AND ALL MATERIAL FACTS RELATED THERETO. DIRECTORS AND OFFICERS ARE URGED TO BE INCLUSIVE IN THIS DISCLOSURE SINCE THE DISCLOSURE OF POTENTIAL CONFLICTS IS ESSENTIAL TO ENSURING APPROPRIATE, OPEN DISCUSSION, EVEN IF A CONFLICT OF INTEREST IS EVENTUALLY DETERMINED NOT TO EXIST. IF, AFTER SUBMITTING AN ANNUAL DISCLOSURE STATEMENT, AN APPARENT OR POTENTIAL CONFLICT ARISES WITHIN THE SPIRIT OF THIS POLICY, DIRECTORS AND OFFICERS IMMEDIATELY DISCLOSE THE SITUATION IN WRITING TO THE PRESIDENT. DISCLOSURE STATEMENTS ARE PROVIDED BY AND RETURNED TO THE PRESIDENT. IF A POTENTIAL CONFLICT OF INTEREST SITUATION INVOLVES A PENDING TRANSACTION OR ARRANGEMENT ON THE PART OF THE CORPORATION, SUCH POTENTIAL CONFLICT IS BROUGHT TO THE ATTENTION OF THE PRESIDENT PRIOR TO ANY ACTION ON THE PART OF THE CORPORATION. THE PRESIDENT CONSULTS WITH THE DIRECTOR OR OFFICER WITH THE POTENTIAL CONFLICT AND OBTAINS INFORMATION NECESSARY FOR AN ORDINARILY PRUDENT PERSON TO MAKE A JUDGMENT AS TO WHETHER A CONFLICT EXISTS. THE PRESIDENT EXERCISES GOOD FAITH JUDGMENT IN DETERMINING WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS, AND PROVIDES GUIDANCE TO THE DIRECTOR OR OFFICER WITH THE POTENTIAL CONFLICT AND/OR TO THE BOARD, AS APPLICABLE, AS TO THE APPROPRIATE COURSE OF ACTION. IF A CONFLICT EXISTS OR IF THE PRESIDENT DETERMINES THAT FURTHER REVIEW WOULD BE PRUDENT, HE OR SHE SHALL SEEK THE ADVICE AND APPROVAL OF THE BOARD IN DETERMINING WHETHER THE SITUATION OR TRANSACTION IS FAIR AND SERVES THE CORPORATION'S BEST INTERESTS. DIRECTORS AND OFFICERS WHO HAVE DECLARED OR HAVE BEEN DEEMED TO HAVE A CONFLICT OF INTEREST ("INTERESTED PERSONS") REFRAIN FROM CONSIDERATION OF PROPOSED TRANSACTIONS OR ARRANGEMENTS, UNLESS FOR SPECIAL REASON THE BOARD REQUESTS INFORMATION OR INTERPRETATIONS. THE CORPORATION MAKES ITS DECISION AS TO WHETHER TO ENTER INTO A TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH THE FOLLOWING DETERMINATION PROCESS. A) AN INTERESTED PERSON MAY UPON INVITATION MAKE A PRESENTATION AT THE BOARD MEETING, BUT AFTER THE PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. B) IN THE CONTEXT OF A TRANSACTION OR ARRANGEMENT, THE PRESIDENT SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED DIRECTOR OR COMMITTEE OF DISINTERESTED DIRECTORS TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. C) AFTER EXERCISING DUE DILIGENCE, THE BOARD SHALL DETERMINE, IF APPROPRIATE, WHETHER THE CORPORATION CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. D) IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE OR APPROPRIATE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE BOARD SHALL DETERMINE BY A MAJORITY VOTE, BUT NOT FEWER THAN TWO, OF THE DISINTERESTED DIRECTORS, OR AS OTHERWISE PERMITTED BY LAW, WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST AND IS FAIR AND REASONABLE; PROVIDED, HOWEVER, IF SUCH CONFLICTING INTEREST TRANSACTION IS APPROVED BY DISINTERESTED DIRECTORS WHO DO NOT SATISFY A QUORUM OR VOTING REQUIREMENT APPLICABLE TO THE AUTHORIZATION OF THE ACTION BY REASON OF THE CORPORATION'S CERTIFICATE OF INCORPORATION, BYLAWS OR A PROVISION OF LAW, THE ACTION MUST BE INDEPENDENTLY APPROVED BY SUCH INTERESTED AND DISINTERESTED DIRECTORS AS SATISFY THE APPLICABLE QUORUM OR VOTING REQUIREMENT. THE BOARD WILL RETAIN DETAILED MINUTES OF ANY PROCEEDINGS INVOLVING A POTENTIAL CONFLICT OF INTEREST TRANSACTION.
FORM 990, PART VI, SECTION B, LINE 15
THE CHILDREN'S FUND OF CONNECTICUT DOES NOT HAVE EMPLOYEES BUT DOES HAVE A COMPENSATION POLICY IN THE EVENT THAT EMPLOYEES ARE HIRED. THIS POLICY APPLIES TO THE PROCESS FOR DETERMINING COMPENSATION IN COMPLIANCE WITH IRS INSTRUCTIONS FOR THE CFC'S CEO, TOP MANAGEMENT OFFICIAL, OTHER OFFICERS OR KEY EMPLYEES. THE PROCESS INCLUDES ALL OF THESE ELEMENTS: (1) REVIEW AND APPROVAL BY THE BOARD OF DIRECTORS OR EXECUTIVE COMMITTEE OF THE CHILDREN'S FUND OF CONNECTICUT (CFC); (2) USE OF DATA AS TO COMPARABLE COMPENSATION; AND (3) CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING. 1. REVIEW AND APPROVAL. THE COMPENSATION OF THE PERSON IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS OR EXECUTIVE COMMITTEE OF CFC, PROVIDED THAT PERSONS WITH CONFLICTS OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE ARE NOT INVOLVED IN THIS REVIEW AND APPROVAL. 2. USE OF DATA AS TO COMPARABLE COMPENSATION. THE COMPENSATION OF THE PERSON IS REVIEWED AND APPROVED USING DATA AS TO COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. 3. CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING. THERE IS CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO THE DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENT.
FORM 990, PART VI, SECTION C, LINE 19
THE CHILDREN'S FUND OF CONNECTICUT, INC. (CFC) MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. COPIES ARE PROVIDED TO THE PUBLIC OR THE PUBLIC MAY INSPECT THE DOCUMENTS AT CFC'S OFFICE LOCATED AT 270 FARMINGTON AVENUE, SUITE 367, FARMINGTON, CT 06032.
FORM 990, PART XII, LINE 2C
THERE HAVE BEEN NO CHANGES MADE TO THE ORGANIZATION'S SELECTION OR OVERSIGHT PROCESS DURING THE TAX YEAR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.