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
Florida Sheriffs Youth Ranches Inc
Employer identification number
23-7303117
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.") ....
8,291,777
12,730,246
10,453,177
10,599,063
8,558,011
50,632,274
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
8,291,777
12,730,246
10,453,177
10,599,063
8,558,011
50,632,274
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)..
231,704
6
Public support. Subtract line 5 from line 4.
50,400,570
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..
8,291,777
12,730,246
10,453,177
10,599,063
8,558,011
50,632,274
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
946,250
775,136
841,697
699,509
815,312
4,077,904
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
30,157
42,121
39,851
33,609
26,429
172,167
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
21,443
18,382
18,070
65,212
168,456
291,563
11
Total support (Add lines 7 through 10).
55,173,908
12
Gross receipts from related activities, etc. (see instructions)
..................
12
17,714,890
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
91.350 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
91.550 %
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
Florida Sheriffs Youth Ranches Inc
Employer identification number
23-7303117
Return Reference
Explanation
Form 990, Part VI, Section A, line 4
The following is a synopsis of the changes made to the Organization's governing documents since the inception of the Organization which would be considered to be significant changes pursuant to the instructions of the Form 990. The original 1023 of the Organization was filed in 1973 in the name of the Florida Sheriffs Youth Fund, Inc., whose purposes and activities were to generate, receive, and disburse funds for The Florida Sheriffs Boys Ranch (organized and recognized as exempt in 1960), The Florida Sheriffs Girls Villa (organized and recognized as exempt in 1970), the adoption and foster home program, and any other program that may be developed for dependent, neglected, and homeless children. A copy of the original Articles of Incorporation was filed along with the Form 1023. The Articles were amended in October 1977 as a result of the merger of The Florida Sheriffs Boys Ranch Fund (a charitable trust) and The Florida Sheriffs Girls Villa into The Florida Sheriffs Youth Fund, Inc. The 1977 amendments included an amendment to the purposes of the Youth Fund, which included additional purposes to establish, acquire, maintain, and operate not-for-profit charitable, residential group care facilities and related programs in the State of Florida under the sponsorship of the Florida Sheriffs Association. The 1977 amendments also included amendments concerning the number of Board members and related Board member terms. In 1986 the Articles were amended to change the name of the Corporation to Florida Sheriffs Youth Ranches, Inc. Additionally, the Articles were amended in 2003 to amend to the description of the FSYR's purpose to include a specific reference to the Organization's locations/purposes (the Florida Sheriffs Boys Ranch, the Florida Sheriffs Youth Villa, the Florida Sheriffs Youth Camp, the Florida Sheriffs Youth Ranch-Safety Harbor, the Florida Sheriffs Youth Ranch - Bradenton/Sarasota, and the Florida Sheriffs Caruth Camp). The 2003 amendments also included changing the number of board members to a range of not fewer than 15 to no more than 17, no more than half of which shall be Sheriffs of the State of Florida.
Form 990, Part VI, Section B, line 11
The Organization's top management official and top financial official each review the Form 990 prior to its filing with the IRS. A copy of the final Form 990 is also provided to the voting members of the Organization's governing body prior to its filing with the IRS.
Form 990, Part VI, Section B, line 12c
The Organization's conflict of interest policy is distributed to each member of the Organization's governing body and its officers as well as all staff. Annually, board members, officers, and key staff are required to acknowledge that (1) they have no relationships or interests that present a conflict of interest, (2) they have one or more conflicts of interest that have been fully disclosed as required by the policy and have been properly administered in conformity with the policy, or (3) they have previously undisclosed conflicts of interest and disclosing the details of such conflicts. Any disclosure statements with previously undisclosed conflicts of interest are forwarded to appropriate Organization officials to take appropriate actions as required by the policy.
Form 990, Part VI, Section B, line 15
The Board of Directors (all of whom are independent with respect to the Organization's President) determines the compensation for the Organization's President, including the President's deferred compensation arrangement, taking into consideration historical data for salaries within the Organization as well as general market conditions and prevailing levels of compensation in the market. In addition, the Board has established a formal Classification and Pay Plan which addresses all staff positions within the Organization. These procedures are followed to ensure that compensation arrangements for the Organization's key leaders are reasonable and appropriate.
Form 990, Part VI, Section C, line 18
The Organization makes its annual Form 990 available on the Organization's website. The Form 1023 and annual Form 990-T are available upon request.
Form 990, Part VI, Section C, line 19
The Organization provides, upon request, copies of its Articles of Incorporation, bylaws, conflict of interest policy, and its financial statements. Additionally, the Organization makes its financial statements available on the Organization's website.
Form 990, Part VII, Section A, Line 1a
Roger Bouchard serves both Florida Sheriffs Youth Ranches, Inc. and a related 501(c)(3) organization, Sheriffs Ranches Enterprises, Inc. In the 2013 tax year, Sheriffs Ranches Enterprises, Inc. reimbursed Florida Sheriffs Youth Ranches, Inc. for the estimated value of the services rendered to Sheriffs Ranches Enterprises, Inc. in the amount of $36,000.
Form 990, Part XI, line 9:
Transfer of self-funded health insurance plan 645,569. Change in value of split-interest agreements -117,786.
Form 990, Part XII, Line 2c:
The Organization's Board of Directors, or a committee thereof, assumes responsibility for the oversight of the audit of its financial statements and the selection of an independent accountant. This process has not changed from the prior year.
Form 990, Part XI, Line 9
During the year ended September 30, 2014, the Florida Sheriffs Multiple Employer Trust ("the Trust") transferred a self-funded health insurance plan ("the plan") for the benefit of the Organization's eligible employees and their eligible dependents which was previously administered by the Trust to the Organization. The Organization has contracted with a third party administrator to process claims. The Organization has stop-loss insurance coverage for claims incurred which exceed $110,000 per individual per year, with an unlimited annual maximum. The Organization's consolidated statement of financial position as of September 30, 2014 includes $1,325,783 of cash related to the plan. In addition, management estimated the liability associated with claims incurred but not reported to the plan as of September 30, 2014 to be $663,000. Such amount is included in "accounts payable and accrued expenses" in the consolidated statement of financial position. The Organization recognized $645,569 in the consolidated statement of activities as "transfer of self-funded health insurance plan" related to the plan transfer.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.