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 (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) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (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) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (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) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 545,716 | 529,150 | 461,830 | 460,178 | 498,873 | 2,495,747 |
| 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...... | 9,505,827 | 9,675,318 | 9,606,114 | 9,605,877 | 9,285,551 | 47,678,687 |
| 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. | 10,051,543 | 10,204,468 | 10,067,944 | 10,066,055 | 9,784,424 | 50,174,434 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 0 | |||||
| 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. | 0 | |||||
| c | Add lines 7a and 7b.. | 0 | |||||
| 8 | Public support. (Subtract line 7c from line 6.) | 50,174,434 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 10,051,543 | 10,204,468 | 10,067,944 | 10,066,055 | 9,784,424 | 50,174,434 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 3,359 | 5,714 | 3,062 | 4,809 | 4,846 | 21,790 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 3,359 | 5,714 | 3,062 | 4,809 | 4,846 | 21,790 |
| 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.) .. | 21,487 | 17,843 | 9,874 | 8,075 | 16,783 | 74,062 |
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 10,076,389 | 10,228,025 | 10,080,880 | 10,078,939 | 9,806,053 | 50,270,286 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 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): |
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| 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 | ||||
| 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 2015 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-2015 |
(iii) Distributable Amount for 2015 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2015 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions) |
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| 3 Excess distributions carryover, if any, to 2015: | ||||
| a | ||||
| b | ||||
| c | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2015 distributable amount | ||||
|
i
Carryover from 2010 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2015 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2015 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
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|
6
Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
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|
7 Excess distributions carryover to 2016. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a | ||||
| b | ||||
| c Excess from 2013....... | ||||
| d From 2014....... | ||||
| e From 2015....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | MANAGEMENT FEES - 2011 AMOUNT: $ 6,500. 2012 AMOUNT: $ 6,000. 2013 AMOUNT: $ 6,000. 2014 AMOUNT: $ 6,000. 2015 AMOUNT: $ 6,000. OTHER MISC REVENUE - 2011 AMOUNT: $ 14,987. 2012 AMOUNT: $ 1,843. 2013 AMOUNT: $ 931. 2014 AMOUNT: $ 2,075. 2015 AMOUNT: $ 4,530. INSURANCE SETTLEMENT - 2012 AMOUNT: $ 10,000. 2013 AMOUNT: $ 2,943. 2015 AMOUNT: $ 6,253. |
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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, PART VI, SECTION A, LINE 4 | THE BY-LAWS WERE AMENDED IN SEPTEMBER 2015. TWO CHANGES WERE MADE: FIRST, TO REDUCE THE NUMBER THE NUMBER OF BOARD MEMBERS FROM A MINIMUM OF 12 AND A MAXIMUM OF 21 TO A MINIMUM OF 14 AND A MAXIMUM OF 18; SECOND, AN AMENDMENT WAS ADDED TO GIVE THE ABILITY TO EXTEND BOARD MEMBERS TERM LIMITS WITH A BOARD MEMBER WHO EXHIBITED OUTSTANDING SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE ORANGE COUNTY CEREBRAL PALSY ASSOCIATION, INC. HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE: WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY MANAGEMENT AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, IT IS SUBMITTED ELECTRONICALLY TO MEMBERS OF THE ORGANIZATIONS GOVERNING BODY FOR ANY COMMENTS. ANY COMMENTS ARE THEN GROUPED, SUMMARIZED AND PROVIDED TO THE COMPLIANCE OFFICER OR COMMITTEE IN CHARGE OF FILING THE RETURN FOR THEIR REVIEW. EACH ISSUE IS DOCUMENTED AND ADDRESSED UNTIL THE RETURN IS FINALIZED AND APPROVED FOR FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY IS GIVEN TO EACH INDIVIDUAL THAT SERVES ON THE BOARD OF DIRECTORS AND EMPLOYEES. THE RELATIONSHIP BETWEEN INSPIRE AND ITS BOARD OF DIRECTORS AND PERSONNEL IS ONE WHICH CARRIES WITH IT A DUTY OF HONESTY, LOYALTY AND FIDELITY. ALL PERSONNEL MUST EXERCISE THE UTMOST GOOD FAITH IN ALL TRANSACTIONS, WHICH TOUCH UPON THEIR DUTIES AND RESPONSIBILITIES FOR OR ON BEHALF, OF INSPIRE. EVEN THE APPEARANCE OF ILLEGALITY, OF IMPROPRIETY, OR OF A CONFLICT OF INTEREST OR DUALITY OF INTEREST CAN BE DETRIMENTAL TO INSPIRE, AND THEREFORE MUST BE AVOIDED. THE POLICY IS DISCUSSED ANNUALLY AT A BOARD OF DIRECTORS MEETING. INSPIRE RECEIVES SIGNED CONFLICT OF INTEREST STATEMENTS FROM THE AGENCY BOARD MEMBERS AND TOP MANAGEMENT STAFF ANNUALLY. A PERSON WHO HAS A CONFLICT OF INTEREST SHALL NOT PARTICIPATE IN OR BE PERMITTED TO HEAR THE BOARD'S DISCUSSION OF THE MATTER EXCEPT TO DISCLOSE MATERIAL FACTS AND TO RESPOND TO QUESTIONS. SUCH PERSON SHALL NOT ATTEMPT TO EXERT HIS OR HER PERSONAL INFLUENCE WITH RESPECT TO THE MATTER, EITHER AT OR OUTSIDE THE MEETING. A PERSON WHO HAS A CONFLICT OF INTEREST WITH RESPECT TO A CONTRACT OR TRANSACTION THAT WILL BE VOTED ON AT A MEETING SHALL NOT BE COUNTED IN DETERMINING THE PRESENCE OF A QUORUM FOR PURPOSES OF THE VOTE. THE PERSON HAVING A CONFLICT OF INTEREST MAY NOT VOTE ON THE CONTRACT OR TRANSACTION AND SHALL NOT BE PRESENT IN THE MEETING ROOM WHEN THE VOTE IS TAKEN, UNLESS THE VOTE IS BY SECRET BALLOT. SUCH PERSON'S INELIGIBILITY TO VOTE SHALL BE REFLECTED IN THE MINUTES OF THE MEETING. IN THE EVENT IT IS NOT ENTIRELY CLEAR THAT A CONFLICT OF INTEREST EXISTS, THE INDIVIDUAL WITH THE POTENTIAL CONFLICT SHALL DISCLOSE THE CIRCUMSTANCES TO THE CHAIR OR THE CHAIR'S DESIGNEE, WHO SHALL DETERMINE WHETHER FULL BOARD DISCUSSION IS WARRANTED OR WHETHER THERE EXISTS A CONFLICT OF INTEREST THAT IS SUBJECT TO THIS POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE PERSONNEL/COMPENSATION COMMITTEE SHALL, MEET WITH THE PRESIDENT AND CEO, REVIEW THE CORPORATION'S PERSONNEL POLICIES ANNUALLY AND SHALL RECOMMEND REVISIONS TO THE BOARD FOR ACTION. THE COMMITTEE SHALL CONSULT WITH THE FINANCE COMMITTEE AND THE PRESIDENT AND CEO CONCERNING RECOMMENDING CHANGES IN WAGE AND SALARY STRUCTURE AND LEVELS FOR STAFF. THE COMMITTEE WILL ALSO DEVOTE ITS ATTENTION TO REVIEWING COMPENSATION MATTERS INVOLVING THE PRESIDENT/CEO AND THE SENIOR MANAGEMENT STAFF. COMPENSATION IS DETERMINED FOR MANAGEMENT AND HIGHLY COMPENSATED EMPLOYEES BASED ON MARKET SALARIES AT THE TIME OF HIRE. INCREASES SUBSEQUENTLY ARE BASED ON ANNUAL PERFORMANCE APPRAISALS AND EVALUATION OF GOAL COMPLETION. INSPIRE OFFERS A GENEROUS BENEFIT PACKAGE TO MANAGEMENT AND HIGHLY COMPENSATED EMPLOYEES WHICH SUPPLEMENT THE WAGES RECEIVED. SALARY SURVEYS ARE OBTAINED AND REFERENCED ANNUALLY WHEN HIRING NEW EMPLOYEES AS WELL AS INFORMATION RECEIVED FROM PROFESSIONAL HUMAN RESOURCE GROUPS TO WHICH INSPIRE BELONGS. THE TOP EXECUTIVE/PRESIDENT SALARY, PERFORMANCE AND GOALS ARE REVIEWED BY THE BOARD PERSONNEL AND COMPENSATION COMMITTEE AND MERIT INCREASES OR BONUS COMPENSATION IS DETERMINED AND VOTED ON BY THE FULL BOARD IN A CLOSED SESSION. THIS PROCESS WAS LAST UNDERTAKEN IN 2016. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE EXEMPT ORGANIZATION MAKES ITS FORMS 1023 AND 990, AS WELL AS, ITS GOVERNING DOCUMENTS AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR WEBSITES. THE FORMS ARE ALSO AVAILABLE UPON REQUEST AT 2 FLETCHER STREET, GOSHEN, NY 10924 OR BY CALLING THE ORGANIZATION DIRECTLY AT (845)294-7300. |
| FORM 990, PART XI, LINE 2C: | THE AUDIT/COMPLIANCE COMMITTEE OVERSEES FINANCIAL CHECKS AND BALANCES FOR THE ORGANIZATION. THE COMMITTEE'S PRINCIPAL RESPONSIBILITIES ARE TO ENGAGE AN INDEPENDENT AUDITOR, REVIEW THE AUDIT REPORT WITH THE AUDITOR, AND ENSURE THAT APPROPRIATE INTERNAL CONTROLS ARE IN PLACE. THIS IS NOT A POLICY-MAKING BODY; RATHER ITS ROLE IS TO ENSURE THAT PROPER INTERNAL CONTROLS ARE IN PLACE. THIS PROCEDURE IS UNCHANGED FROM THE PRIOR YEAR. |
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