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.) .... | 69,670 | 33,887 | 34,446 | 30,952 | 61,896 | 230,851 |
| 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 | 69,670 | 33,887 | 34,446 | 30,952 | 61,896 | 230,851 |
| 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. | 230,851 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 69,670 | 33,887 | 34,446 | 30,952 | 61,896 | 230,851 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 476 | 662 | 631 | 471 | 233 | 2,473 |
| 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.).. | 48,019 | 43,499 | 34,637 | 35,327 | 133,684 | 295,166 |
| 11 | Total support. Add lines 7 through 10. | 528,490 | |||||
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 | 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) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (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 | ||||
| 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 |
||||
|
2
Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions) |
||||
| 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) |
||||
| 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) |
||||
|
6
Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
||||
|
7 Excess distributions carryover to 2016. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a | ||||
| b | ||||
| c Excess from 2013....... | ||||
| d From 2014....... | ||||
| e From 2015....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| PART II, LINE 10 | OTHER INCOME 161,482 |
| Software ID: | |
| 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 | IAG'S MISSION IS TO AID & PROVIDE CUSTOMIZED SERVICES TO BOTH CHILDREN AND ADULTS WITH DISABILITIES, AND THEIR FAMILIES, TO LIVE NORMAL LIVES IN THE COMMUNITY, TO REMAIN IN A COMMUNITY HOME, LIVE INDEPENDENTLY AND ACTIVELY PARTICIPATE IN COMMUNITY LIFE. |
| FORM 990, PAGE 1, PART I, LINE 6 | BOARD OF DIRECTORS |
| FORM 990, PAGE 2, PART III, LINE 2 | SHORT TERM STABILIZATION HOMES PROGRAM (SSH) FUNDED BY ILLINOIS DEPARTMENT OF HUMAN SERVICES (IDHS), DIVISION OF DEVELOPMENTAL DISABILITIES. THE SHORT TERM STABILIZATION HOMES (SSH) PROGRAM WILL PROVIDE, UPON REFERRAL FROM THE DIVISION OF DEVELOPMENTAL DISABILITIES (DDD), SHORT TERM STABILIZATION RESIDENTIAL SERVICES FOR UP TO 90 DAYS TO ADULTS WITH AN INTELLECTUAL OR DEVELOPMENTAL DISABILITY WHO ARE EXPERIENCING ACUTE BEHAVIORAL CONDITIONS. |
| FORM 990, PAGE 2, PART III, LINE 4D | DEPARTMENT OF CHILDREN AND FAMILY SERVICES TRANSITIONAL LIVING PROGRAM PROVIDES RESIDENTIAL AND PROFESSIONAL SUPPORTS FOR YOUNG ADULTS FROM 18 - 21 YEARS OLD WHO EXHIBIT SEVERE BEHAVIORAL OR EMOTIONAL DISORDERS WITH THE GOAL OF TRANSITION FROM CHILDHOOD DEPENDENCE TO ADULT SELF-RELIANCE AND INDEPENDENCE. THE DAY PROGRAM AND THE SUBCONTRACT DAY PROGRAM ARE DEVELOPMENTAL TRAINING PROGRAMS THAT HELP PEOPLE WITH DEVELOPMENTAL AND OTHER DISABILITIES ACQUIRE INTERPERSONAL SKILLS FOR PARTICIPATING IN THE COMMUNITY THROUGH WORK TRAINING AND COMMUNITY ACTIVITY PROGRAMS. THE INTERMEDIATE CARE FACILITY FOR THE INDIVIDUAL WITH AN INTELLECTUAL DISABILITY (ICFIID) DEVELOPMENTAL TRAINING (DT) PROGRAM IS PART OF THE 24-HOUR MEDICAID ENTITLEMENT PROGRAM FOR CHILDREN AND ADULTS WITH INTELLECTUAL/DEVELOPMENTAL DISABILITIES WHO MEET ELIGIBILITY REQUIREMENTS. THE DT PROGRAM IS A SUBCONTRACT WITH AN ICFMR WITH A LICENSED DT PROVIDER FOR FIVE DAYS PER WEEK OVER 12 MONTHS PROVIDING 240 DAYS OF SERVICE TO INDIVIDUALS WHO RESIDE AT THE ICFIID. IAG PROVIDES DT SERVICES FOR MORE THAN 130 PEOPLE FROM 5 ICFMR. THE PROGRAM PROVIDES TRAINING AND SUPPORTS RANGING FROM SELF CARE AND PROFESSIONAL HYGIENE TRAINING TO COMMUNITY ACTIVITIES AND INTERNET LEARNING PROGRAM BASED ON INDIVIDUAL NEEDS AND INTERESTS. THE DHS TRAUMATIC BRAIN INJURY (TBI) WAIVER PROGRAM PROVIDES A STAY AT HOME OPTION TO NURSING HOME PLACEMENT FOR CHILDREN AND ADULTS WHO HAVE SUSTAINED A TBI. INDIVIDUALS WITH A TBI MAY ELECT TO STAY AT HOME AND USE CASE COORDINATORS TO IDENTIFY AND LOCATE NECESSARY SUPPORTS RANGING FROM A PERSONAL ASSISTANT TO VISITING NURSE TO HOME MODIFICATION FOR ACCESSIBILITY. IAG PROVIDES ONGOING CASE COORDINATION FOR MORE THAN 200 PEOPLE WHO HAVE SUCCESSFULLY REMAINED AT HOME RATHER THAN PLACEMENT IN A NURSING HOME. IN THE HOST FAMILY PROGRAM, A FAMILY ACCEPTS ONE OR TWO ADULT INDIVIDUALS WITH AN INTELLECTUAL OR DEVELOPMENTAL DISABILITY INTO THEIR HOME AS FAMILY MEMBERS. THE HOST FAMILY CONTRACTS WITH IAG FOR PAYMENT OF ITS SUPPORTS AND SERVICES. DHS THERAPY AND BEHAVIORAL SERVICES ARE PROVIDED BY LICENSED PROFESSIONALS WHO ARE CERTIFIED (NPI) MEDICAID PROVIDERS. THERAPISTS PROVIDE INTERVENTIONS FOR INDIVIDUALS OR GROUPS WITH ISSUES RANGING FROM SEVERE MENTAL ILLNESS OR POST TRAUMA DISORDERS TO INTERPERSONAL RELATIONSHIPS. BEHAVIORAL SERVICES ARE PROVIDED BY PH.D./PSY.D. LICENSED PSYCHOLOGISTS OR CERTIFIED BEHAVIOR ANALYSTS FOR INDIVIDUALS WITH SEVERE AND PERSISTENT BEHAVIORAL DISORDERS. MORE THAN 300 PEOPLE IN IAG'S CILA PROGRAM RECEIVED THERAPY AND/OR BEHAVIORAL SUPPORT EACH YEAR. HOME BASED SERVICES PROGRAM IS PART OF THE WAIVER PROGRAM FOR CHILDREN AND ADULTS WITH AN INTELLECTUAL DISABILITY/DEVELOPMENTAL DISABILITY. IAG SUPPORTS INDIVIDUALS AND THEIR FAMILIES TO CONTINUE HOME BASED LIVING, BY ASSISTING THEM IN ACQUIRING NEEDED PERSONAL EQUIPMENT SUCH AS AN E.G. AND A WHEELCHAIR. SHORT TERM STABILIZATION HOMES PROGRAM (SSH) FUNDED BY ILLINOIS DEPARTMENT OF HUMAN SERVICES (IDHS), DIVISION OF DEVELOPMENTAL DISABILITIES. THE SHORT TERM STABILIZATION HOMES (SSH) PROGRAM WILL PROVIDE, UPON REFERRAL FROM THE DIVISION OF DEVELOPMENTAL DISABILITIES (DDD), SHORT TERM STABILIZATION RESIDENTIAL SERVICES FOR UP TO 90 DAYS TO ADULTS WITH AN INTELLECTUAL OR DEVELOPMENTAL DISABILITY WHO ARE EXPERIENCING ACUTE BEHAVIORAL CONDITIONS. |
| FORM 990, PAGE 6, PART VI, LINE 2 | JOEY GERBAC DIRECTOR FAMILY RELATIONSHIP EVA GERBAC DIRECTOR FAMILY RELATIONSHIP |
| FORM 990, PAGE 6, PART VI, LINE 11B | A COPY OF THE 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING. THE 990 IS REVIEWED AND DISCUSSED AT THE BOARD MEETING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE POLICY IS MONITORED AND REVIEWED BY IAG'S ATTORNEY AND ISSUES OF POSSIBLE CONFLICTS ARE PRESENTED FOR DISCUSSION WITH THE BOARD OF DIRECTORS. THE BUSINESS OFFICE REVIEWS NEW AND RENEWED CONTRACTS FOR OUTSIDE CONTRACTORS AND VENDORS FOR POSSIBLE CONFLICTS OF INTEREST. POSSIBLE INSTANCES OF CONFLICTS OF INTEREST ARE REFERRED TO THE CEO WHO REVIEWS AREAS OF POSSIBLE CONFLICT WITH THE AGENCY ATTORNEY. IF POSSIBLE CONFLICT MAY BE EVIDENT THE ISSUE IS PRESENTED TO THE BOARD OF DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE COMPENSATION FOR CEO AND EXECUTIVE DIRECTOR IS DETERMINED BY THE BOARD OF DIRECTORS. AN EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS MAY REVIEW COMPENSATION SURVEYS AND RELATED INFORMATION, AND MAKE RECOMMENDATIONS TO THE BOARD OF DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE COMPENSATION FOR CEO AND EXECUTIVE DIRECTOR IS DETERMINED BY THE BOARD OF DIRECTORS. AN EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS MAY REVIEW COMPENSATION SURVEYS AND RELATED INFORMATION, AND MAKE RECOMMENDATIONS TO THE BOARD OF DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | ITEMS ARE MADE AVAILABLE UPON REQUEST. |
| Software ID: | |
| Software Version: |