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
BELLEFAIRE JEWISH CHILDREN'S BUREAU
Employer identification number
34-0714630
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.") ....
2,486,183
3,597,649
2,889,248
2,921,000
7,297,957
19,192,037
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
2,486,183
3,597,649
2,889,248
2,921,000
7,297,957
19,192,037
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.
19,192,037
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..
2,486,183
3,597,649
2,889,248
2,921,000
7,297,957
19,192,037
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
708,508
615,504
590,865
653,252
320,784
2,888,913
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.)..
518,460
251,311
769,771
11
Total support (Add lines 7 through 10).
22,850,721
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
83.990 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
79.990 %
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.)
0
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
0 %
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
0 %
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:
13000178
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
BELLEFAIRE JEWISH CHILDREN'S BUREAU
Employer identification number
34-0714630
Return Reference
Explanation
Pt XI
CHANGE IN VALUE OF PERPETUAL TRUSTS: 187,441
Pt XI
PENSION LIABILITY ADJUSTMENT: 512,292
Pt XI
FUNDRAISING EXPENSES: -19,293
Pt XI
TOTAL 680,440
Pt VI, Line 1a
THE EXECUTIVE COMMITTEE OF THE BOARD HAS BEEN AUTHORIZED TO
Pt VI, Line 1a
ACT ON THE BOARDS BEHALF IN BETWEEN MEETINGS.
Pt VI, Line 11b
THE PRELIMINARY 990 IS REVIEWED BY THE DIRECTOR OF ACCOUNTING,
Pt VI, Line 11b
THE CHIEF FINANCIAL OFFICER AND MCGLADREY LLP. IT IS THEN
Pt VI, Line 11b
REVIEWED BY THE PRESIDENT AND THE FINANCE COMMITTTEE PRIOR
Pt VI, Line 11b
TO FILING. A COPY IS MADE ALSO AVALIABLE TO THE BOARD PRIOR
Pt VI, Line 11b
TO BEING FILED.
Pt VI, Line 12c
BELLEFAIRE'S CONFLICT OF INTEREST POLICY REQUIRES THAT ON AN
Pt VI, Line 12c
ANNUAL BASIS EACH BOARD MEMBER COMPLETES A CONFLICT OF INTEREST
Pt VI, Line 12c
DISCLOSURE STATEMENT. THIS STATEMENT IS DISTRIBUTED AND COLLECTED
Pt VI, Line 12c
BY THE CHAIR OF THE RISK MANAGEMENT COMMITTEE OF THE BOARD AND
Pt VI, Line 12c
IS MAINTAINED IN THAT OFFICE. EACH DISCLOSURE STATEMENT THAT
Pt VI, Line 12c
CONTAINS A "YES" ANSWER TO ANY ONE OR MORE QUESTIONS IS GIVEN TO
Pt VI, Line 12c
THE COMPANY PRESIDENT AND BOARD PRESIDENT WHO BRINGS THE MATTER, IF MATERIAL,
Pt VI, Line 12c
TO THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE DETERMINES IF
Pt VI, Line 12c
A CONFLICT EXISTS AND IF IT IS MATERIAL.
Pt VI, Line 15a
AN INDEPENDENT EXECUTIVE COMMITTEE OF THE BOARD
Pt VI, Line 15a
MONITORS SALARIES FOR PRESIDENTS OF LIKE ORGANIZATIONS.
Pt VI, Line 15a
BASED ON THIS ANALYSIS, THE COMPENSATION FOR THE PRESIDENT
Pt VI, Line 15a
WAS DETERMINED. THE SALARY OF THE PRESIDENT IS REVIEWED AND
Pt VI, Line 15a
APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD ANNUALLY.
Pt VI, Line 19
THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY
Form 990, Part III, Line 4d
FOSTER CARE AND ADOPTION:THE FOSTER CARE PROGRAM PROVIDES SAFE FOSTER HOMES FOR YOUTH WHO HAVE BEEN ABUSED, NEGLECTED, 2025292. 666557. 2050339.
Pt VI, Line 19
IS MADE AVAILABLE TO THE PUBLIC AT THE OFFICE OF BELLEFAIRE
Pt VI, Line 19
CHILDREN'S BUREAU, 22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44118 DURING
Pt VI, Line 19
NORMAL BUSINESS HOURS. THE FINANCIAL STATEMENTS ARE
Pt VI, Line 19
AVAILABLE TO THE PUBLIC AS REQUESTED FOR THE SAME PERIOD
Pt VI, Line 19
OF TIME AS SET FORTH IN IRC SECTION 6104(d).
Pt XII, Line 2c
THIS PROCESS HAS NOT CHANGED FROM PRIOR YEARS.
Pt VI, Line 6
WINGSPAN CARE GROUP IS THE SOLE MEMBER OF BELLEFAIRE JEWISH
Pt VI, Line 6
CHILDREN'S BUREAU, CUYAHOGA CONNECTIONS AND APPLEWOOD CENTERS.
Pt VI, Line 7a
WINGSPAN CARE GROUP HAS THE POWER TO ELECT MEMBERS TO THE
Pt VI, Line 7a
GOVERNING BODY OF BELLEFAIRE JEWISH CHILDREN'S BUREAU.
Pt VI, Line 7b
WINGSPAN CARE GROUP HAS THE POWER TO APPROVE ALL DECISIONS
Pt VI, Line 7b
MADE BY THE GOVERNING BODY OF BELLEFAIRE JEWISH CHILDREN'S BUREAU.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.