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
EASTER SEALS FLORIDA INC
Employer identification number
59-0637848
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.") ....
1,686,573
1,386,788
1,340,205
1,727,081
1,365,153
7,505,800
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
1,686,573
1,386,788
1,340,205
1,727,081
1,365,153
7,505,800
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)..
265,127
6
Public support. Subtract line 5 from line 4.
7,240,673
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..
1,686,573
1,386,788
1,340,205
1,727,081
1,365,153
7,505,800
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
10,733
17,173
13,295
54,343
86,699
182,243
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.)..
83,432
52,215
116,263
14,065
39,607
305,582
11
Total support (Add lines 7 through 10).
7,993,625
12
Gross receipts from related activities, etc. (see instructions)
..................
12
67,339,372
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
90.580 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
91.950 %
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
EASTER SEALS FLORIDA INC
Employer identification number
59-0637848
Return Reference
Explanation
FORM 990, PART III, LINE 1: DESCRIPTION OF ORGANIZATION'S MISSION:
EASTER SEALS PROVIDES EXCEPTIONAL SERVICES TO ENSURE THAT ALL PEOPLE WITH DISABILITIES OR SPECIAL NEEDS AND THEIR FAMILIES HAVE EQUAL OPPORTUNITIES TO LIVE, LEARN, WORK AND PLAY IN THEIR COMMUNITIES. FOR 66 YEARS, EASTER SEALS FLORIDA, INC. HAS BEEN PROVIDING SERVICES THAT HELP CHILDREN AND ADULTS WITH DISABILITIES AND/OR SPECIAL NEEDS GAIN GREATER INDEPENDENCE, AND ACHIEVE PERSONAL GOALS. OUR PRIMARY SERVICES INCLUDE INCLUSIVE CHILD DEVELOPMENT, CAMPING AND RECREATION, EMPLOYMENT, PERSONAL EMERGENCY RESPONSE SYSTEMS, CLINICAL AND THERAPY SERVICES, PRIVATE K-12 SCHOOLS FOR CHILDREN WITH AUTISM, HOME-BASED EARLY INTERVENTION, TEEN PARENTING PROGRAMS, EARLY STEPS, INTENSIVE BEHAVORIAL RESIDENTIAL HABILITATION AND ADULT DAY HEALTH CARE. THESE SERVICES (THAT SPAN THROUGHOUT 40 OF FLORIDA'S 67 COUNTIES), WERE PROVIDED TO AND BENEFIT OVER 7,000 INDIVIDUALS AND THEIR FAMILIES EACH YEAR. EASTER SEALS SERVED 7,166 INDIVIDUALS WITH DISABILITIES AND THEIR FAMILIES THROUGH 20 PROGRAMS STATEWIDE.
FORM 990, PART VI, SECTION B, LINE 11
THE CFO WILL EXTEND AN OPEN INVITATION TO THE ENTIRE BOARD OF DIRECTORS TO PARTICIPATE IN A WEBINAR BASED MEETING TO REVIEW THE FINAL DRAFT OF THE 990 PRIOR TO SUBMISSION TO THE IRS. 1. THE CFO WILL ORGANIZE AND CONDUCT THE 990 REVIEW MEETING. 2. THE DRAFT 990 (INCLUDING ALL ATTACHMENTS) WILL BE DISTRIBUTED TO THE BOARD OF DIRECTORS ALONG WITH THE INVITATION TO THE MEETING, NO LESS THAN ONE WEEK PRIOR TO THE MEETING DATE. 3. THE MEETING WILL CONSIST OF: THE CFO HIGHLIGHTING KEY AREAS OF THE 990, BOARD MEMBERS ASKING ANY QUESTIONS RELATED TO HOW THE DOCUMENT WAS COMPLETED, AND BOARD MEMBERS MAKING RECOMMENDATIONS FOR CHANGES, IF NECESSARY. UPON COMPLETION OF THE REVIEW, THE CFO WILL GIVE NOTICE TO THE ACCOUNTANT THAT WE ARE PREPARED TO APPROVE THE 990 FOR SUBMISSION.
FORM 990, PART VI, SECTION B, LINE 12C
IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER INTEREST AND MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES A PROPOSED ACTION. AFTER DISCLOSURE OF THE INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE OR SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. AFTER IT HAS BEEN DETERMINED WHETHER A CONFLICT OF INTEREST EXISTS, THE BOARD OR COMMITTEE WILL EVALUATE THE PARTICULAR ACTION. AN INTERESTED PERSON WITH A CONFLICT OF INTEREST MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION HE OR SHE SHALL RECUSE HIMSELF OR HERSELF AND LEAVE THE MEETING DURING DISCUSSION OF, AND THE VOTE ON, THE ACTION ASSOCIATED WITH THE CONFLICT OF INTEREST. IF THE BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE RESPONSE OF A MEMBER AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD OR COMMITTEE DETERMINES THAT THE MEMBER HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY CORRECTIVE ACTION. THE MINUTES OF THE BOARD AND COMMITTEE MEETINGS SHALL CONTAIN THE NAMES OF PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE AN INTEREST IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE INTEREST IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT WAS PRESENT, AND THE BOARD'S OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED. THE MINUTES SHALL ALSO CONTAIN THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSION AND VOTES RELATED TO THE ACTION, THE CONTENT OF THE DISCUSSION, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION WITH THE MATTER. EACH BOARD MEMBER, REGIONAL BOARD MEMBER, AND KEY STAFF MEMBER SHALL ANNUALLY, OR AT THE TIME THEY ARE ELECTED OR APPOINTED, SIGN A CONFLICT OF INTEREST ANNUAL DISCLOSURE STATEMENT WHICH: A. AFFIRMS THAT SUCH A PERSON AS RECEIVED, READ, UNDERSTAND AND AGREES TO COMPLY WITH THE CONFLICT OF INTEREST POLICY, AND, B. LISTS HIS OR HER (AND HIS OR HER IMMEDIATE FAMILY MEMBERS' OR DOMESTIC PARTNER'S) OWNERSHIP, INVESTMENT, FIDUCIARY OR GOVERNING INTEREST IN, OR COMPENSATION ARRANGEMENT (INCLUDING MEMBERSHIP ON BOARD OF OTHER NON-PROFIT ORGANIZATIONS) WITH EASTER SEALS FLORIDA OR ANY AFFILIATE, ENTITY OR INDIVIDUAL WITH WHICH EASTER SEALS FLORIDA IS AFFILIATED. TO ENSURE THAT EASTER SEALS FLORIDA OPERATES IN A MANNER CONSISTENT WITH ALL APPROPRIATE REQUIREMENTS AND REGULATIONS, THE CONFLICT OF INTEREST POLICY SHALL BE REVIEWED BY THE PRESIDENT AND CEO AND BY LEGAL COUNSEL AT LEAST EVERY THREE YEARS.
FORM 990, PART VI, SECTION B, LINE 15A
CEO COMPENSATION: 1. PRIOR TO THE JULY BOARD MEETING, THE CFO WILL PROVIDE THE BOARD CHAIR WITH DOCUMENTATION OF THE MOST CURRENT SALARY SURVEY FOR CEO COMPENSATION FROM EASTER SEALS NATIONAL, AS WELL AS DATA FROM AT LEAST ONE ADDITIONAL SALARY SURVEY SOURCE. 2. FOLLOWING COMPLETION OF THE DISCUSSION OF THE CEO EVALUATION AT THE EXECUTIVE SESSION OF THE JULY BOARD MEETING, THE BOARD CHAIR WILL PRESENT THE COMPARATIVE SALARY DATA FOR THE BOARD'S CONSIDERATION AS THEY DETERMINE THE COMPENSATION PACKAGE THEY WISH TO OFFER THE CEO FOR THE NEXT FISCAL YEAR. ANY INCREASE IN COMPENSATION MUST BE APPROVED BY THE BOARD. 3. IF ANY CHANGES ARE MADE TO THE CEO'S COMPENSATION, THE BOARD CHAIR NEEDS TO DOCUMENT THAT CHANGE IN WRITING FOLLOWING THE JULY BOARD MEETING. THIS COMMUNICATION FOR THE BOARD CHAIR SHALL BE FORWARDED TO THE CFO FOR IMPLEMENTATION.
FORM 990, PART VI, SECTION C, LINE 19
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G
HEALTH SERVICES: PROGRAM SERVICE EXPENSES 1,832,602. MANAGEMENT AND GENERAL EXPENSES 53,210. FUNDRAISING EXPENSES 14,064. TOTAL EXPENSES 1,899,876.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.