Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (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 listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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 VI.).. | ||||||
| 11 | Total support Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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 VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e | Discount claimed for blockage or other factors (explain in detail in Part VI): | |||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| 7 | Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions) | |||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2014 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2014 |
(iii) Distributable Amount for 2014 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2014 from Section C, line 6 |
||||
|
2
Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions) |
||||
| 3 Excess distributions carryover, if any, to 2014: | ||||
| a From 2009.......X | ||||
| b From 2010.......X | ||||
| c From 2011.......X | ||||
| d From 2012.......X | ||||
| e From 2013....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2014 distributable amount | ||||
|
i
Carryover from 2009 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2014 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2014 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
||||
|
6
Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
||||
|
7 Excess distributions carryover to 2015. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a From 2010.......X | ||||
| b From 2011.......X | ||||
| c From 2012.......X | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
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| SCHEDULE E, LINE 3 | CARDINAL HAYES SCHOOL FOR SPECIAL CHILDREN DOES LIMITED ADVERTISING TO THE GENERAL PUBLIC IN MAGAZINES AND OTHER PRINT MEDIA. THE SCHOOL IS LISTED ON THE NYS REGISTER OF APPROVED SPECIAL EDUCATION SCHOOLS. LOCAL PUBLIC SCHOOL DISTRICTS ARE RESPONSIBLE FOR DETERMINING ELIGIBILITY FOR ADMISSION TO THE PROGRAM. HOWEVER, THE FOLLOWING NONDISCRIMINATORY POLICY IS PUBLISHED ANNUALLY IN THE LEGAL NOTICES SECTION OF THE POUGHKEEPSIE JOURNAL NEWSPAPER WHICH PROVIDES THE BROADEST CIRCULATION AREA WITHIN THE SURROUNDING COMMUNITY: "CARDINAL HAYES SCHOOL FOR SPECIAL CHILDREN, MILLBROOK, NY, A SCHOOL FOR CHILDREN WITH DEVELOPMENTAL DISABILITIES, ADMITS STUDENTS OF ANY RACE, COLOR, NATIONAL AND ETHNIC ORIGIN TO ALL THE RIGHTS, PRIVILEGES, PROGRAMS, AND ACTIVITIES GENERALLY ACCORDED OR MADE AVAILABLE TO STUDENTS AT THE SCHOOL. IT DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL AND ETHNIC ORIGIN IN ADMINISTRATION OF ITS EDUCATIONAL POLICIES, ADMISSIONS POLICIES AND OTHER SCHOOL-ADMINISTERED PROGRAMS." AS INFORMATION FOR OUR SCHOOL CAN BE FOUND WITHIN THE CARDINAL HAYES HOME WEBSITE, THIS SAME POLICY IS INCLUDED ON WWW.CARDINALHAYESHOME.ORG AS WELL. INFORMATION BROCHURES FOR CARDINAL HAYES SCHOOL FOR SPECIAL CHILDREN INCLUDE THE FOLLOWING MESSAGE: CARDINAL HAYES SCHOOL FOR SPECIAL CHILDREN ADMITS STUDENTS OF ANY RACE, COLOR, AND NATIONAL ETHNIC ORIGIN. |
| SCHEDULE E, LINE 6 | TUITION AND GRANTS RECEIVED FROM NYS EDUCATION DEPARTMENT. |
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| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | TO PROVIDE EDUCATIONAL PROGRAMS IN A LOVING, CARING ENVIRONMENT FOR DISABLED STUDENTS. CHS IS A NOT-FOR-PROFIT DAY SCHOOL SERVING STUDENTS WHO ARE MULTIPLY DISABLED. CHARTERED IN 1984, THE SCHOOL IS CERTIFIED AND RECEIVED PUBLIC FUNDING THROUGH THE NYS EDUCATION DEPARTMENT. |
| FORM 990, PAGE 2, PART III, LINE 4A | WORLD AROUND THEM. AN INDIVIDUALIZED EDUCATION PLAN IS DEVELOPED FOR EACH STUDENT ACCORDING TO HIS OR HER CAPACITY, LEVEL OF FUNCTIONING, NEEDS, STRENGTHS AND WEEKNESSES. OUR CURRICULUM IS ALIGNED WITH THE NYS ALTERNATE LEARNING STANDARDS AND INCLUDES COMMUNICATION, LANGUAGE DEVLOPMENT, VERBAL BEHAVIOR APPROACHES, ADAPTIVE PHYSICAL EDUCATION, SELF HELP SKILLS, MULTI-SENSORY INTEGRATIONS, ACTIVE LEARNING, ASSISTIVE TECHNOLOGY AND BEHAVIORAL MODIFICATION. STAFFING FOR THE SCHOOL INCLUDES SPECIAL EDUCATION TEACHERS CERTIFIED BY THE NYS EDUCATION DEPARTMENT AND CLASSROOM AIDS WHO ARE TRAINED THROUGH IN-SERVICE PROGRAMS. SOME STUDENTS REQUIRE THE ADDITIONAL ASSISTANCE OF A 1-1 AID. OTHER LICENSED PROFESSIONALS SERVING THE SCHOOL INCLUDE - PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS, TEACHERS FOR VISUALLY IMPAIRED, ADAPTIVE PHYSICAL EDUCATION INSTRUCTOR, MUSIC THERAPIST, NURSE, SOCIAL WORKER, BEHAVIORAL SPECIALIST AND PHYSICIAN. CHILDREN ARE REFERRED BY THEIR LOCAL SCHOOL DISTRICT'S COMMITTEE ON SPECIAL EDUCATION. THE TUITION RATE FOR THE SCHOOL IS ESTABLISHED BY THE NYS EDUCATION DEPARTMENT. THE LOCAL SCHOOL DISTRICT IS RESPONSIBLE FOR TUITION PAYMENTS AS WELL AS TRANSPORTATION FOR PUPILS IN OUT PROGRAM. |
| FORM 990, PAGE 6, PART VI, LINE 2 | FREDRICK WILHELM SHARON WILHELM BOARD MEMBER BOARD MEMBER HUSBAND AND WIFE ELIZABETH WOLF BENJAMIN HAYDEN BOARD MEMBER BOARD MEMBER SISTER AND BROTHER INLAW |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FINAL DRAFT OF THE 990 IS PRESENTED TO THE AUDIT COMMITTEE FOR FINAL REVIEW, DISCUSSION AND APPROVAL FOR DISTRIBUTION TO THE FULL BOARD. THE RETURN IS MADE AVAILABLE TO THE BOARD IN HARD OR ELECTRONIC FORM AND THE AUDIT COMMITTEE REPORTS ON ITS DISCUSSION TO THE BOARD. UPON DISCUSSION AND RECOMMENDATION FROM THE AUDIT COMMITTEE THE FULL BOARD APPROVES THE SUBMISSION OF THE FORM. |
| FORM 990, PAGE 6, PART VI, LINE 12C | IN THE EVENT THAT THE BOARD CONSIDERS AN ISSUE THAT INVOLVES THE FINANCIAL RELATIONSHIP BETWEEN CHS AND A MEMBER OF THE BOARD, THE BOARD MEMBER WILL DISCLOSE TO THE BOARD THE FINANCIAL RELATIONSHIP THAT THE PARTICULAR BOARD MEMBER HAS WITH RESPECT TO THE ISSUE. NO CONTRACT OR OTHER TRANSACTION BETWEEN CHS AND A BOARD MEMBER IN WHICH THERE EXISTS A CONFLICT OF INTEREST SHALL BE EITHER VOID OR VOIDABLE FOR THIS REASON ALONE OR BY REASON THAT SUCH BOARD MEMBER IS PRESENT AT THE MEETING OF THE BOARD, OR OF A COMMITTEE THEROF, WHICH AUTHORIZES SUCH CONTRACT OR TRANSACTION, OR THAT SUCH BOARD MEMBER'S VOTE IS COUNTED FOR SUCH PURPOSE, IF THE MATERIAL FACTS AS TO SUCH BOARD MEMBER'S INTERESTS IN SUCH CONTRACT OR TRANSACTION ARE DISCLOSED IN GOOD FAITH OR KNOWN TO THE BOARD OR COMMITTEE, AND THE BOARD OR COMMITTEE AUTHORIZES SUCH CONTRACT OR TRANSACTION BY A VOTE SUFFICIENT FOR SUCH PURPOSE WITHOUT COUNTING THE VOTE OR VOTES OF SUCH BOARD MEMBER. BOARD MEMBERS WHO SERVE AS EMPLOYEES OR VOLUNTEERS IN A DECISION-MAKING CAPACITY ON BEHALF OF ANOTHER ORGANIZATION WITH WHICH CHSC IS WORKING OR TRANSACTING BUSINESS, SHALL INFORM THE BOARD PRESIDENT AND THE EXECUTIVE DIRECTOR AS TO THEIR INVOLVEMENT IN THE SAID ORGANIZATION. IN THE EVENT OF AN ACTUAL OR PERCEIVED CONFLICT OF INTEREST, THE MINUTES OF THE BOARD AND ALL COMMITTEES WITH THE BOARD-DELEGATED POWERS SHALL CONTAIN: 1- THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL INTETEST IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE FINANCIAL INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT AND THE BOARD'S OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED. 2- THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE BYLAWS OF CHS ESTABLISH A COMPENSATION COMMITTEE THAT HAS GENERAL OVERSIGHT OF THE ORGANIZATION'S HUMAN RESOURCE PLAN. SPECIFIC DUTIES INCLUDE YEARLY EVALUATION OF THE EXECUTIVE DIRECTOR AND OTHER OFFICERS AND MANAGEMENT OFFICIALS. A COMPETENT SALARY SURVEY IS USED TO BENCHMARK COMPENSATION FOR THE POSITION UTILIZING INDUSTRY SPECIFIC REPORTS AND OTHER STUDIES. THE COMMITTEE MEETS INDEPENDENT OF THE CHIEF EXECUTIVE TO DISCUSS PERFORMANCE RELATIVE TO THE POSITION DESCRIPTION. THE COMMITTEE ALSO CONSIDERS INPUT OBTAINED FROM OTHER BOARD MEMBERS, STAFF, PROFESSIONAL ADVISORS, AND OTHER INFORMED COMMUNITY LEADERS. ONCE A CONSENSUS IS REACHED REGARDING PERFORMANCE, A SIMILAR DISCUSSION IS HELD CONCERNING COMPENSATION RELATIVE TO ANNUAL BENCHMARK AND ESTABLISHED OBJECTIVES. THE COMMITTEE PRESENTS ITS FINDINGS AND RECOMMENDATIONS, IN AN EXECUTIVE SESSION WITHOUT THE EXECUTIVE DIRECTOR AND OTHER OFFICER OR MANAGEMENT OFFICIALS PRESENT, TO THE FULL BOARD FOR REVIEW AND APPROVAL. THE DECISION OF THE BOARD OR SUB-COMMITTEE ON THE AMOUNT OF COMPENSATION PAID TO AN INDIVIDUAL SHOULD BE ADEQUATELY DOCUMENTED IN A CONTEMPORANEOUSLY WRITTEN FORMAT. THE RECORDS OR BOARD MINUTES OF THE BOARD OR SUB-COMMITTEE SHOULD DOCUMENT: THE DATE OF THE DECISION THE MEMBERS PRESENT DURING THE DECISION AND THOSE WHO VOTED ON IT THE FULL TERMS OF THE TRANSACTION APPROVED THE COMPARABLE DATA USED AND RELIED UPON TO MAKE THE DECISION HOW THE COMPARABLE DATA WAS OBTAINED THE COMMITTEE AND OR BOARD CHAIR THEN MEET WITH THE EMPLOYEE TO DISCUSS AND DOCUMENT STRENGTHS, WEEKNESSES, AND GOALS FOR THE UPCOMING YEAR. COMPENSATION FOR THE UPCOMONG YEAR IS ALSO DISCUSSED AND DOCUMENTED. |
| FORM 990, PAGE 6, PART VI, LINE 15B | SEE 15 A |
| FORM 990, PAGE 6, PART VI, LINE 19 | SENT UPON REQUEST |
| Software ID: | |
| Software Version: |