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
FAMILY VISITOR PROGRAM OF GARFIELD COUNTY INC
Employer identification number
84-1001484
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.") ....
914,154
1,065,229
1,366,097
1,177,296
1,331,265
5,854,041
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
914,154
1,065,229
1,366,097
1,177,296
1,331,265
5,854,041
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)..
206,999
6
Public support. Subtract line 5 from line 4.
5,647,042
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..
914,154
1,065,229
1,366,097
1,177,296
1,331,265
5,854,041
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
2,051
1,434
652
320
100
4,557
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.)..
13,915
16,898
10,657
41,470
11
Total support (Add lines 7 through 10).
5,900,068
12
Gross receipts from related activities, etc. (see instructions)
..................
12
10,657
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
95.710 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
95.720 %
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
FAMILY VISITOR PROGRAM OF GARFIELD COUNTY INC
Employer identification number
84-1001484
Return Reference
Explanation
FORM 990 - ORGANIZATION'S MISSION
THE ORGANIZATION WAS FOUNDED IN 1983 TO PROMOTE HEALTHY FAMILIES BY PROVIDING EDUCATION, ADVOCACY, AND SUPPORT SERVICES THAT STRENGTHEN AND EMPOWER PARENTS, FOSTER THE OPTIMAL DEVELOPMENT OF CHILDREN, AND PREVENT CHILD ABUSE AND NEGLECT THROUGH PERIODIC HOME VISITS.
FORM 990, PAGE 1, PART I, LINE 6
THE BRIGHT BY THREE (FORMERLY BRIGHT BEGINNINGS) PROGRAM UTILIZES TRAINED VOLUNTEERS FROM THE COMMUNITY, AS WELL AS AGENCY STAFF, TO MAKE THE VISITS. BRIGHT BY THREE PROVIDES PARENTS WITH THREE VISITS: ONE AT BIRTH, ONE AT ONE YEAR OF AGE, AND ONE AT TWO YEARS. THE MATERIALS HELP PARENTS LEARN THE IMPORTANCE OF TALKING, READING, AND DAILY PLAY WITH THEIR CHILD. BOOKS, EDUCATIONAL MATERIALS, AND GAMES ARE PROVIDED TO ASSIST PARENTS IN THESE ACTIVITIES.
FORM 990, PAGE 2, PART III, LINE 4A
FISCAL YEAR 2014, THE HEALTHY FAMILIES AMERICA PROGRAM VISITED 66 FAMILIES, 56% OF WHOM WERE LATINA MOTHERS. VISITORS MADE 1,143 VISITS FOR A TOTAL OF 1,685 HOURS. BRIGHT BY THREE PROGRAM MATERIALS ARE GIVEN TO FAMILIES ENROLLED IN ANY OF THE AGENCY'S LONG-TERM PROGRAMS. IN ADDITION, COMMUNITY VOLUNTEERS ARE TRAINED TO PROVIDE VISITS TO PARENTS WHO REQUEST BRIGHT BEGINNINGS ONLY ONE-TIME VISITS. PROGRAM A VISITS (BIRTH TO 12 MONTHS OLD) FOCUS ON BRAIN DEVELOPMENT; PROGRAM B VISITS (12 TO 24 MONTHS OLD) FOCUS ON EARLY LITERACY; AND PROGRAM C VISITS (24 TO 36 MONTHS) FOCUS ON CHILD DISCIPLINE. IN FISCAL YEAR 2014, AGENCY STAFF AND VOLUNTEERS PROVIDED 466 VISITS. 200 OF THE 466 VISITS WERE TO FAMILIES NOT ENROLLED IN ANY OTHER FAMILY VISITOR PROGRAM SERVICES.
FORM 990, PAGE 2, PART III, LINE 4C
--TWELVE RE-1 DISTRICT TEACHERS, NURSES, AND/OR PARENT VOLUNTEERS COMPLETED TRAINING OF FACILITATORS FOR THE "DRAW THE LINE" CURRICULA --FIVE RE-1 DISTRICT TEACHERS AND NURSE COMPLETED THEIR TRAINING OF FACILITATORS FOR THE "BE PROUD BE RESPONSIBLE" CURRICULA --NEWLY TRAINED FACILITATORS WILL BE ABLE TO IMPLEMENT LESSONS IN UP TO 10 PUBLIC, PRIVATE, AND CHARTER SCHOOLS IN THE ROARING FORK VALLEY DURING THE FOURTH GRANT YEAR --NEW PREP PROGRAM MANAGER WAS HIRED --COMPLETED "MORE THAN MEETS THE EYE" FACILITATOR MANUAL FOR ADULT WORKSHOP ON TALKING TO YOUTH/TEENS ABOUT SEX --EMPLOYED FOUR SUMMER INTERNS TO CREATE AND IMPROVE SOCIAL MEDIA PLATFORMS WITH THE GOAL OF MAKING THEM MORE YOUTH FRIENDLY --FULL YEAR'S DATA PRESENTATION TO RE-2 SCHOOL BOARD --PROVIDED OPT-OUT PARENT LETTERS IN SPANISH AT PRINCIPAL'S REQUEST --IMPROVED FIDELITY TOOL AND INCREASED USE OF TECHNOLOGY FOR PRE/POST SURVEYS TO LESSEN THE BURDEN PUT ON CLASSROOM TEACHERS TAKING OVER THE FACILITATION OF LESSONS --RECRUITED 3 FEMALES AND 6 MALES FROM RECENT PREP CLASS TO PARTICIPATE IN A YOUTH FOCUS GROUP --HELD A "HEALTHY RELATIONSHIPS" CLASS FOR STUDENTS AT PRIVATE HIGH SCHOOL --PARTICIPATION IN CRADLE TO CAREER COALITION'S SOCIAL AND LIFE ASSETS ACTION TEAM --COMMUNITY OUTREACH VIA 5 RADIO INTERVIEWS AND A FRONT PAGE LOCAL NEWSPAPER ARTICLE TO PROMOTE ADULT WORKSHOPS AND ANOTHER HIGHLIGHTING STATE AND NATIONAL PREGNANCY DECLINES AS COMPARED TO GARFIELD COUNTY'S RATES --OFFERED 11 ADULT WORKSHOPS TO MEET ADULT/CHILD COMMUNICATION AND REACHED 105 ADULT PARTICIPANTS
FORM 990, PAGE 6, PART VI, LINE 11B
DRAFT WAS E-MAILED TO BOARD OF DIRECTORS FOR COMMENTS AND REVIEW. FINAL FORM 990 WILL BE AVAILABLE AT A BOARD MEETING.
FORM 990, PAGE 6, PART VI, LINE 15A
THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE EXECUTIVE DIRECTOR'S ANNUAL SALARY, WITH NO PARTICIPATION BY THE EXECUTIVE DIRECTOR OR OTHER INTERESTED PERSONS. THE EXECUTIVE DIRECTOR'S SALARY IS ESTABLISHED USING COMPARABLE DATA FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILAR NONPROFITS; CONSIDERATION OF ROLES AND RESPONSIBILITIES OF THE EXECUTIVE DIRECTOR; AND COST OF LIVING DATA. COMPARABLE MARKET DATA IS OBTAINED FROM SALARY SURVEYS AND FORM 990S FILED BY COMPARABLE NOT-FOR- PROFIT ORGANIZATIONS. DISCUSSIONS AND DECISIONS REGARDING THE COMPENSATION ARE DOCUMENTED IN BOARD OF DIRECTORS MEETING MINUTES. THE EXECUTIVE DIRECTOR ALSO RECEIVES REIMBURSEMENTS FOR ROUTINE, REASONABLE, AND DOCUMENTED EXPENSES INCURRED DURING THE YEAR UNDER AN ACCOUNTABLE PLAN. THE EXECUTIVE DIRECTOR TRAVELS THROUGHOUT OUR SERVICE AREA. THE ORGANIZATION HAS A TRAVEL POLICY THAT CAPS REIMBURSEMENT LEVELS AND REQUIRES LOW-BUDGET TRAVEL.
FORM 990, PAGE 6, PART VI, LINE 15B
A LINE ITEM BUDGET IS APPROVED BY THE BOARD OF DIRECTORS ANNUALLY. THE BOARD APPROVES THE OVERALL SALARIES AND BENEFITS EXPENSES. DISCUSSIONS AND DECISIONS REGARDING THE BUDGET ARE DOCUMENTED IN BOARD MEETING MINUTES. THE EXECUTIVE DIRECTOR REVIEWS AND APPROVES THE SALARIES OF OTHER OFFICERS OR KEY EMPLOYEES, WITH NO PARTICIPATION BY THE INTERESTED PERSONS, IN ACCORDANCE WITH THE ANNUAL BUDGET APPROVED BY THE BOARD. THE EXECUTIVE DIRECTOR ESTABLISHES SALARIES USING COMPARABLE DATA FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILAR NONPROFITS; CONSIDERATION OF ROLES AND RESPONSIBILITIES OF THE OFFICER OR KEY EMPLOYEE; AND COST OF LIVING DATA. COMPARABLE MARKET DATA IS OBTAINED FROM SALARY SURVEYS AND FORM 990S FILED BY COMPARABLE NOT-FOR- PROFIT ORGANIZATIONS.
FORM 990, PAGE 6, PART VI, LINE 19
WE CONSIDER REQUESTS ON A CASE-BY-CASE BASIS.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.