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
ENVISION FOUNDATION INC
Employer identification number
20-3874095
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.") ....
3,072,779
6,806,000
2,285,047
581,983
1,040,745
13,786,554
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
0
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
0
4
Total. Add lines 1 through 3
3,072,779
6,806,000
2,285,047
581,983
1,040,745
13,786,554
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)..
11,000,384
6
Public support. Subtract line 5 from line 4.
2,786,170
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..
3,072,779
6,806,000
2,285,047
581,983
1,040,745
13,786,554
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
68,074
124,693
206,601
0
0
399,368
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
0
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
375
375
11
Total support (Add lines 7 through 10).
14,186,297
12
Gross receipts from related activities, etc. (see instructions)
..................
12
951,058
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
19.640 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
17.490 %
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
ENVISION FOUNDATION INC
Employer identification number
20-3874095
Return Reference
Explanation
FORM 990, PART III, LINE 4A
ENVISION KIDS CLUB SUPPORT GROUPS: MONTHLY SUPPORT GROUPS ADDRESS THE NEEDS OF YOUTHS AND TEENS WITH VISUAL IMPAIRMENTS. KIDS CLUB IS A COLLABORATIVE EFFORT BETWEEN ENVISION AND THE WOMEN OF THE DELTA GAMMA FRATERNITY AT WICHITA STATE UNIVERSITY. KIDS CLUB HELPS OUR VISUALLY IMPAIRED YOUTHS WITH SOCIAL AND EMOTIONAL DEVELOPMENT, EDUCATIONAL INSTRUCTION IN IMPROVING SKILLS, AND NEW TECHNOLOGY AND ACCESSING VISION REHABILITATION SERVICES. PARTICIPATION IN KIDS CLUB EMPOWERS YOUTH EXPERIENCING VISION LOSS TO BOND AND BUILD PEER SUPPORT THROUGH INTERACTING WITH OTHER CHILDREN WITH VISION LOSS. THIS EMPOWERMENT AND SUPPORT NETWORK HAS SHOWN DIRECT BENEFITS IN HELPING COPE WITH VISION LOSS AND INTEGRATING WITH THEIR NON-DISABLED PEERS. MONTHLY ACTIVITIES LET KIDS BE KIDS WITHOUT THE STIGMA OF A VISUAL IMPAIRMENT, WHILE ALSO ALLOWING ENVISION STAFF TO MONITOR THE PROGRESS AND NEEDS OF EACH INDIVIDUAL CHILD. ECDC: SERVING VISUALLY IMPAIRED AND TYPICALLY DEVELOPING CHILDREN IN AN INTEGRATED SETTING, THE GOAL OF THE ENVISION CHILD DEVELOPMENT CENTER IS TO PROVIDE COMPREHENSIVE EARLY INTERVENTION SERVICES FOR CHILDREN BIRTH THROUGH AGE FIVE. A STATE-OF-THE-ART CHILDCARE FACILITY AND PRESCHOOL, THE ENVISION CHILD DEVELOPMENT CENTER OFFERS A QUALITY EDUCATION WITH THE GOAL OF MAXIMIZING EACH CHILD'S POTENTIAL. THE ENVISION CHILD DEVELOPMENT CENTER IS SUPPORTED BY LICENSED AND CERTIFIED PROFESSIONALS WITH EXPERTISE IN PHYSICAL AND OCCUPATIONAL THERAPIES, AND ORIENTATION AND MOBILITY (O&M) AND BRAILLE. ALL TEACHERS MEET OR EXCEED THE REQUIREMENTS SET FORTH BY THE KANSAS DEPARTMENT OF HEALTH AND ENVIRONMENT BUREAU OF CHILD CARE AND HEALTH FACILITIES. EYES 4 OTHERS PROGRAM: EYES 4 OTHERS IS A UNIQUE PROGRAM BRINGING REGULARLY SIGHTED AND VISUALLY IMPAIRED CHILDREN TOGETHER THROUGH THE LOVE OF READING. LISTENING OR FOLLOWING ALONG TO BOOKS READ ALOUD BY THEIR PEERS IS A SPECIAL EXPERIENCE FOR VISUALLY IMPAIRED CHILDREN AND IMPROVES LITERACY, BUT THE PROGRAM ALSO BENEFITS THE SIGHTED CHILDREN. IN ADDITION TO LEARNING TOLERANCE AND ACCEPTANCE OF THOSE WITH DISABILITIES, SIGHTED CHILDREN EXPERIENCE ENHANCED READING ABILITIES, EMPOWERMENT AND DISCIPLINE AS THEY SET GOALS AND PREPARE THEIR READING SCHEDULES AND ALTRUISM AS THEY LEARN HOW IT FEELS TO GIVE BACK. EVRC: ENVISION VISION REHABILITATION CENTER OFFERS COMPREHENSIVE, STATE-OF-THE-ART SERVICES IN ONE CONVENIENT LOCATION. LICENSED AND CERTIFIED SPECIALISTS WORK DIRECTLY WITH INDIVIDUALS AND THEIR FAMILIES, BUILDING INDEPENDENCE AND INSPIRING HOPE, REGARDLESS OF THEIR ABILITY TO PAY. ENVISION VISION REHABILITATION CENTER IS A CLINIC WITH ONE GOAL; TO HELP OUR PATIENTS REALIZE THEIR BEST POSSIBLE FUNCTIONAL VISION. WE ACHIEVE THIS BY COMBINING A COMPREHENSIVE VISION REHABILITATION PROGRAM WITH ADAPTIVE AIDS, TRAINING AND RESOURCES. WE OFFER A WIDE VARIETY OF VISION REHABILITATION SERVICES AND RESOURCES TO HELP PEOPLE WHO ARE BLIND OR LOW VISION BECOME MORE INDEPENDENT. SAFELY NAVIGATING THE STREETS, COOKING A MEAL AND HANDLING FINANCES ARE JUST SOME OF THE DAILY CHALLENGES WITH WHICH INDIVIDUALS WITH VISION IMPAIRMENTS STRUGGLE. MUSIC PROGRAM: MUSIC HAS THE POWER TO REACH EVERYONE REGARDLESS OF DISABILITY. RESEARCH INDICATES THAT CHILDREN WITH VISUAL IMPAIRMENTS OFTEN EXCEL AT RHYTHMIC WORK, MUSICAL PATTERNS AND MUSICAL PLAY WHICH CAN BE A VALUABLE TOOL IN ASSISTING OTHER AREAS OF DEVELOPMENT SUCH AS BEHAVIOR; MOVEMENT AND MOBILITY; LANGUAGE; MEMORY AND CONCEPT DEVELOPMENT; MATHEMATICS AND LOGIC; LITERACY; AND SOCIAL INTERACTION. THE OPPORTUNITY TO EXPERIENCE MUSIC IS ESSENTIAL IN THE EARLY YEARS. IN FACT, ACCORDING TO "MUSIC EDUCATION: NOT JUST A FRILL" BY THE NATIONAL ORGANIZATION OF PARENTS OF BLIND CHILDREN, THE EDUCATION CONSEQUENCES OF WEAK MUSICAL FUNDAMENTALS FOR A VISUALLY IMPAIRED CHILD CAN BE AS DEVASTATING AS THE INABILITY TO READ OR WRITE. THE ENVISION MUSIC PROGRAM IS A COLLABORATIVE EFFORT INVOLVING COMMUNITY VOLUNTEERS AND MUSIC PROFESSIONALS. PRESCHOOL THROUGH HIGH SCHOOL CHILDREN GAIN MUSIC AWARENESS AT THEIR OWN RATE AND/OR AS A CHILD'S INSTRUCTION IS CORRELATED WITH WHAT THEY ARE WORKING ON IN THEIR SCHOOL MUSIC CLASS. ART PROGRAM: ART CAN GIVE A VISUALLY IMPAIRED CHILD A TANGIBLE WAY TO "MAP OUT" A SENSE OF THE WORLD. ART IS CULTIVATED FROM WITHIN, BUILDS CONFIDENCE AND INCREASES SELF-CONCEPT WHILE ENRICHING HEARTS AND MINDS. IN ORDER TO REVEAL THAT A PERSON WITHOUT SIGHT CAN STILL ENCOMPASS A CREATIVE VISION, THE ENVISION CHILD DEVELOPMENT CENTER OFFERS AN ACCESSIBLE ART EDUCATION FOR CHILDREN WITH VISION LOSS. IN COLLABORATION WITH COMMUNITY VOLUNTEERS AND ARTS PROFESSIONALS, ENVISION'S ART PROGRAM SUPPORTS A VITAL EXPERIENCE FOR VISUALLY IMPAIRED CHILDREN AND TEENS WHOM MIGHT NOT OTHERWISE HAVE THIS EXPOSURE. PROVIDING ACCESS TO THE ARTS FOR THE BLIND AND VISUALLY IMPAIRED IS OUR CORE PRINCIPLE, WHILE OUR PHILOSOPHY EXPRESSES THE BELIEF THAT INDIVIDUALS WHO ARE VISUALLY IMPAIRED CAN EQUALLY ENGAGE IN CREATIVE ARTS THROUGH EXPLORATION AND DISCOVERY, COUPLED WITH A BROAD VIEW THAT EMBRACES THE DIFFERENCES WITHIN ALL INDIVIDUALS. ASSISTIVE TECHNOLOGY CAMP: TODAY'S SOCIETY IS DRIVEN BY COMPUTERS; IT IS DIFFICULT TO IMAGINE ANY STUDENT ENGAGING IN SOCIETY WITHOUT ADEQUATE TECHNOLOGICAL SKILLS. STILL, MANY VISUALLY IMPAIRED YOUTHS BELIEVE THAT COMPUTERS, HIGHER EDUCATION AND MANY CAREERS ARE "OUT OF REACH". THE ENVISION ASSISTIVE TECHNOLOGY CAMP IS A WEEK-LONG EDUCATIONAL EXPERIENCE FOR KANSAS STUDENTS FROM ALL 105 COUNTIES NOMINATED FOR PARTICIPATION BY KANSAS TEACHERS OF THE VISUALLY IMPAIRED. THE RESIDENTIAL CAMP ALLOWS STUDENTS TO SPEND AN ENTIRE WEEK WITH OTHER VISUALLY IMPAIRED TEENS AS THEY PARTICIPATE IN COMPUTER TRAINING, RESUME BUILDING, AND CAREER BUILDING ACTIVITIES WITH MENTORS WHO USE ASSISTIVE TECHNOLOGY IN THEIR FIELDS. THROUGHOUT THE WEEK STUDENTS RECEIVE INSPIRATION FROM PROMINENT BUSINESS PROFESSIONALS AND COMMUNITY LEADERS AND LEARN MORE ABOUT INTERACTING IN SOCIAL SETTINGS AS THEY GO BOWLING, ATTEND A MINOR-LEAGUE BASEBALL GAME AS FEATURED GUESTS, EAT AT VARIOUS RESTAURANTS AND ENJOY A GAME NIGHT. IT IS A WONDERFUL OPPORTUNITY FOR THE STUDENTS TO EXPERIENCE - MANY FOR THE FIRST TIME - THE INDEPENDENCE OF BEING AWAY FROM HOME AS WELL AS A TASTE OF COLLEGE LIFE. AT THE END OF THE WEEK, STUDENTS ARE PRESENTED WITH THEIR VERY OWN COMPUTERS EQUIPPED WITH THE APPROPRIATE ASSISTIVE TECHNOLOGY SOFTWARE (SCREEN READING OR SCREEN MAGNIFICATION) AT NO COST. ENVISION RESEARCH INSTITUTE: THE ENVISION RESEARCH INSTITUTE UNDERGOES NATIONAL EXPERIMENTS AIMED AT IMPROVING THE LIVES OF THOSE WHO ARE VISUALLY IMPAIRED THROUGH WORKING TOWARD BREAKTHROUGHS IN OPHTHALMOLOGY. THE INSTITUTE WORKS DILIGENTLY TO BE AT THE FOREFRONT OF CUTTING EDGE RESEARCH WITH PRACTICAL APPLICATIONS, PARTNERING WITH NATIONAL RESEARCHERS FROM ACROSS THE NATION AS WELL AS PARTICIPATING IN NATIONAL STUDIES. PHYSICAL EDUCATION PROGRAM: THE BENEFITS OF PHYSICAL FITNESS BOTH TO OUR PHYSICAL AND MENTAL HEALTH ARE WELL KNOWN. IT IS ALSO WELL KNOWN THAT THE PERCENTAGE OF OVERWEIGHT AND UNFIT CHILDREN IN OUR COUNTRY IS AT AN ALL-TIME HIGH. CONSIDER THEN, THAT CHILDREN WHO ARE VISUALLY IMPAIRED GENERALLY HAVE LOWER LEVELS OF FITNESS THAN TYPICAL CHILDREN AND ARE OFTEN EXCLUDED OR DISCOURAGED FROM PARTICIPATING IN STRENUOUS PHYSICAL ACTIVITY. ENVISION HAS CREATED A PHYSICAL EDUCATION PROGRAM TAILORED TO MEET THE NEEDS OF VISUALLY IMPAIRED STUDENTS THROUGH ENHANCEMENT OF COORDINATION, BALANCE, STRENGTH MOTOR SKILLS AND AREA AWARENESS. EQUALLY IMPORTANT, HOWEVER, THE PROGRAM FURTHER EMPHASIZES CONFIDENCE, CHARACTER BUILDING AND LEADERSHIP. WEEKLY CLASSES ARE OFFERED TO VISUALLY IMPAIRED CHILDREN BEGINNING AT AGE FIVE. INSIGHT: INSIGHT EDUCATION RESOURCE GUIDE IS A CURRICULUM SUPPLEMENT FOR GRADES 2-5. THIS PROGRAM IS DESIGNED TO HELP EDUCATORS TEACH STUDENTS THE MANY ASPECTS OF VISION AND VISION LOSS. MANY STUDENTS HAVE NEVER INTERACTED WITH A PERSON WHO IS BLIND OR VISUALLY IMPAIRED. BECAUSE THE NUMBER OF INDIVIDUALS WHO ARE BLIND OR VISUALLY IMPAIRED WILL DOUBLE OVER THE NEXT DECADE, CHANCES ARE THESE STUDENTS SOON WILL BE CONFRONTED WITH A CLASSMATE, LOVED ONE OR FRIEND EXPERIENCING SOME LEVEL OF VISUAL IMPAIRMENT. PARENT SUPPORT GROUP: FOR PARENTS, LEARNING THAT THEIR CHILD IS VISUALLY IMPAIRED OR BLIND IS OFTEN DEVASTATING. ENVISION STRIVES TO PROVIDE SUPPORT, UNDERSTANDING AND RESOURCES SO THAT FAMILIES CAN CONFIDENTLY CONTRIBUTE TO THEIR CHILD'S FULLEST DEVELOPMENT. THE MONTHLY SUPPORT GROUPS ADDRESS REHABILITATION SERVICES, EDUCATION, SPECIAL RESOURCES, OUTREACH, AND ADVOCACY ALLOWING THE FAMILY TO BECOME FULLY IMMERSED IN THEIR CHILD'S JOURNEY. PIONEERS OF PERSPECTIVE: PATIENTS DO NOT HAVE TO EXPERIENCE LOW VISION AND BLINDNESS ALONE. THE JOURNEY AND REHABILITATION PROCESS IS MUCH EASIER WHEN SHARED WITH OTHERS EXPERIENCING THE SAME CHALLENGES. PIONEERS OF PERSPECTIVE IS A SUPPORT GROUP DESIGNED SPECIFICALLY FOR ADULTS AND SENIORS EXPERIENCING THE CHALLENGES OF VISION LOSS. THE MONTHLY SUPPORT GROUPS ADDR
FORM 990, PART V, LINE 2A
THE ORGANIZATION USES A COMMON PAYMASTER (ENVISION, INC.) FOR PAYROLL REPORTING. CONSEQUENTLY, NO FORM W-3 WAS FILED BY THE ORGANIZATION FOR 2013 EVEN THOUGH IT HAD EMPLOYEES AT YEAR-END.
FORM 990, PART V, LINE 2
MICHAEL MONTEFERRANTE AND KATHY COX SERVED AS OFFICERS OF SUMMIT PLASTICS, A RELATED FOR PROFIT COMPANY.
FORM 990, PART VI, SECTION A, LINE 6
ENVISION, INC. (ENVISION), A KANSAS NONPROFIT CORPORATION, IS THE SOLE MEMBER OF ENVISION FOUNDATION, INC. (ENVISION FOUNDATION).
FORM 990, PART VI, SECTION A, LINE 7A
THE GOVERNING BODY OF ENVISION FOUNDATION IS ABLE TO NOMINATE NEW MEMBERS TO ITS GOVERNING BODY. ENVISION, BEING THE SOLE MEMBER OF THE ENVISION FOUNDATION, RETAINS THE RIGHT TO APPROVE SUCH NEW MEMBERS OF THE GOVERNING BODY OF ENVISION FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 7B
ENVISION IS THE SOLE MEMBER AND HAS THE AUTHORITY TO APPROVE THE ARTICLES OF INCORPORATION, BYLAWS, ELECTION TO OR REMOVAL FROM THE BOARD OF DIRECTORS, THE ANNUAL OPERATING AND CAPITAL BUDGETS, AND THE LONG RANGE OR STRATEGIC PLAN.
FORM 990, PART VI, SECTION B, LINE 11B
THE FORM 990 IS PREPARED AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. A DRAFT OF FORM 990 IS THEN PROVIDED TO THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING. ANY QUESTIONS OR CONCERNS THE AUDIT COMMITTEE HAS ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS ARE MADE, IF NEEDED. THE FINAL FORM 990 WITH ALL REQUIRED SCHEDULES IS THEN PROVIDED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE 990 WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C
AT THE TIME OF THE HIRE (OR ELECTION IN THE CASE OF CORPORATE DIRECTORS AND TRUSTEES) AND ANNUALLY THEREAFTER, THE CEO OR HIS/HER DESIGNEE SHALL PROVIDE TO THE BOARD AND TO ALL EXECUTIVE OFFICERS, ADMINISTRATIVE STAFF, ASSOCIATES AND VOLUNTEERS A COPY OF THE CONFLICT OF INTEREST POLICY AND THE APPLICABLE CONFLICT OF INTEREST DISCLOSURE FORM AND QUESTIONNAIRE, WHICH SHALL BE COMPLETED TO IDENTIFY ANY RELATIONSHIPS, POSITIONS OR CIRCUMSTANCES WITH RESPECT TO WHICH IT IS BELIEVED A CONFLICT MAY ARISE. SUCH ANNUAL MONITORING AND REVIEW PROCEDURES SHALL BE PART OF THE CORPORATE COMPLIANCE PLAN. AN APPROPRIATE REPORT SHALL BE SUBMITTED TO THE AUDIT COMMITTEE CONCERNING ANY INTEREST SO DISCLOSED. EACH MEMBER OF THE BOARD OF DIRECTORS AND ALL MANAGEMENT ASSOCIATES SHALL DISCLOSE FULLY AND FRANKLY ANY AND ALL ACTUAL OR POTENTIAL CONFLICTS OF DUALITY OF INTEREST OR RESPONSIBILITY, WHETHER INDIVIDUAL, PERSONAL, OR BUSINESS, WHICH MAY EXIST OR APPEAR AS TO ENVISION FOUNDATION OR ANY SYSTEM ENTITY OR ANY MATTER OR BUSINESS WHICH MAY COME BEFORE THE BOARD (INCLUDING ITS COMMITTEES). THE DISCLOSING INDIVIDUAL SHALL NEITHER VOTE NOR ENDEAVOR TO INFLUENCE CORPORATE ACTION IN ANY SUCH MATTER. UPON REQUEST OF THE SUBJECT BOARD, THE AFFECTED INDIVIDUAL SHALL LEAVE THE BOARDROOM WHILE THE MATTER IS DISCUSSED AND A VOTE, IF ANY, SHALL BE RECORDED IN THE MINUTES OF THE BOARD OR ITS COMMITTEE.
FORM 990, PART VI, SECTION B, LINES 15A & B
KENT WILSON, KATHY COX, MICHAEL MONTEFERRANTE, MARY SHANNON AND HEATHER HOGAN ALL SERVED AS OFFICERS OF ENVISION FOUNDATION BUT ARE COMPENSATED BY ENVISION, INC. ENVISION, INC. USES THE FOLLOWING FOR DETERMINING EXECUTIVE AND OFFICER COMPENSATION: 1. BASE SALARIES - WILL BE POSITIONED SO THAT MIDPOINTS TARGET THE 25TH PERCENTILE. EXECUTIVE SALARIES WILL BE ADMINISTERED WITHIN RANGES BUILT AROUND THE 25TH PERCENTILE AND BASED ON PERFORMANCE, EXPERIENCE, TENURE AND OTHER RELEVANT FACTORS. 2. INCENTIVES - WILL BE POSITIONED TO PROVIDE TOTAL CASH COMPENSATION AT THE 25TH PERCENTILE OF THE PEER GROUP FOR ON-PLAN PERFORMANCE. 3. BENEFITS - WILL BE POSITIONED AT MARKET COMPETITIVE LEVELS, APPROXIMATING THE 60TH TO 75TH PERCENTILE OF THE PEER GROUP. 4. TOTAL COMPENSATION - WILL BE POSITIONED AT APPROXIMATELY THE 25TH PERCENTILE FOR ON-PLAN PERFORMANCE WITH TARGET INCENTIVE AWARDS, AND APPROXIMATELY THE 30TH TO 50TH PERCENTILE WITH OUTSTANDING PERFORMANCE WITH MAXIMUM INCENTIVE AWARDS. THE ENVISION BOARD OF DIRECTORS APPROVES THE CEO COMPENSATION PACKAGE UPON RECOMMENDATION OF THE COMPENSATION COMMITTEE. THE CEO SHALL ADMINISTER THE SALARIES AND INCENTIVE PAYMENTS TO OTHER EXECUTIVES UNDER THE GUIDELINES OF THE COMPENSATION PLAN DESCRIBED ABOVE. THE LAST COMPENSATION REVIEW WAS CONDUCTED IN 2013.
FORM 990, PART VI, SECTION C, LINE 19
THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST IN WRITING OR IN PERSON AT THE CORPORATE OFFICE.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.