Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 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 |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 48,062 | 36,263 | 67,466 | 54,819 | 29,266 | 235,876 |
| 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 | 48,062 | 36,263 | 67,466 | 54,819 | 29,266 | 235,876 |
| 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. | 235,876 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 48,062 | 36,263 | 67,466 | 54,819 | 29,266 | 235,876 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 192,246 | 204,046 | 203,683 | 251,307 | 236,048 | 1,087,330 |
| 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.).. | 3,881 | 4,647 | 5,092 | 3,000 | 4,410 | 21,030 |
| 11 | Total support. Add lines 7 through 10 | 1,344,236 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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) |
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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) |
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| 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 2019 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-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015....... | ||||
| c From 2016....... | ||||
| d From 2017....... | ||||
| e From 2018....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2019 distributable amount | ||||
|
i
Carryover from 2014 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2015..... | ||||
| b Excess from 2016..... | ||||
| c Excess from 2017..... | ||||
| d Excess from 2018..... | ||||
| e Excess from 2019..... | ||||
| Facts And Circumstances Test |
|---|
| APPLICATION OF THE FACTS AND CIRCUMSTANCES AS OUTLINED IN IRC 170(B)(1)(A) (VI): 1) THE FOUNDATION'S AVERAGE CONTRIBUTIONS FROM PUBLIC SUPPORT BASED ON THE PREVIOUS 5 YEARS WAS 15-20% OF TOTAL INCOME, WHICH MEETS THE REQUIREMENT THAT THE ORGANIZATION MUST NORMALLY RECEIVE AT LEAST 10% OF THEIR TOTAL SUPPORT FROM GOVERNMENTAL BODIES OR PUBLIC SOURCES. NOT ONLY DOES IT MEET THE REQUIREMENT, IT SUBSTANTIALLY EXCEEDS THE PERCENTAGE REQUIRED. 2) THE FOUNDATION HAS AN ANNUAL GOLF TOURNAMENT WHICH DIRECTLY FUNDRAISES FROM THE GENERAL PUBLIC AND WHICH CONTINUES TO ATTRACT COMMUNITY SUPPORT. IN ADDITION TO THIS FUNDRAISER, THE FOUNDATION'S FINANCIAL STATEMENTS INDICATE THAT THE FOUNDATION CONTINUES TO SOLICIT AND ATTRACT MEMBERSHIP FROM THE GENERAL PUBLIC ON A REGULAR AND ONGOING BASIS. THEREFORE, THE FOUNDATION MEETS THE REQUIREMENT THAT THE ORGANIZATION MUST BE ORGANIZED AND OPERATED AS TO ATTRACT NEW AND ADDITIONAL PUBLIC OR GOVERNMENTAL SUPPORT ON A CONTINUOUS BASIS. 3) THERE ARE OVER 50 VOLUNTEER BOARD MEMBERS AS OF THE LAST TAX RETURN FILING, OF WHICH 11 ARE THE OFFICERS OF THE ORGANIZATION. THE FOUNDATION HAS NO PAID BOARD MEMBERS AND THERE WAS SEVERAL CHANGES AND ROTATION IN THE MIX OF THE BOARD AND EXECUTIVE COMMITTEE MEMBERS FROM THE GENERAL PUBLIC. THIS FURTHER SUPPORTS THE FACT THAT THE FOUNDATION IS ORGANIZED AND OPERATED AS TO ATTRACT NEW AND ADDITIONAL PUBLIC SUPPORT ON A CONTINUOUS BASIS. 4) THE REASON THAT THE FOUNDATION'S PUBLIC SUPPORT PERCENTAGE HAS FALLEN BELOW THE 33 1/3 PERCENT THRESHOLD IS DUE TO INVESTMENT INCOME EARNED ON ENDOWMENT FUNDS. THE INTERNAL REVENUE CODE PROVIDES THAT IF SUCH ENDOWMENT FUNDS WERE CONTRIBUTED BY A FEW INDIVIDUALS, OR MEMBERS OF THEIR FAMILY, THIS FACT WILL INCREASE THE BURDEN OF THE ORGANIZATION TO ESTABLISH THAT IT IS "PUBLICLY SUPPORTED" TAKING INTO ACCOUNT ALL PERTINENT FACTS AND CIRCUMSTANCES. THE FOUNDATION CURRENTLY HOLDS INVESTMENTS UNDER SEVEN SEPARATE ENDOWMENT FUNDS AND ONE OTHER INVESTMENT FUND, HOWEVER, ONE OF THE ENDOWMENT FUNDS AND THE OTHER INVESTMENT FUND WERE CONTRIBUTED BY A SINGLE FAMILY. THESE FUNDS HOLD OVER 90% OF THE INVESTMENT ASSETS. THESE FUNDS WERE CONTRIBUTED BY AN INDIVIDUAL'S ESTATE OVER 40 YEARS AFTER THE FOUNDATION WAS FOUNDED AND FAMILY MEMBERS OF THE DECEASED CONTRIBUTOR ARE NOT KNOWN TO BE PERFORMING MANAGEMENT DECISIONS FOR THE FOUNDATION. IRS REGULATION 1.170A-9(F)(6)(II) FURTHER PROVIDES FLEXIBILITY WHERE UNEXPECTED GIFTS MAY OTHERWISE CAUSE AN ORGANIZATION TO BE RECLASSIFIED AS A PRIVATE FOUNDATION. BEQUESTS FROM A DISINTERESTED PARTY ARE SPECIFICALLY LISTED IN THE IRS REGULATIONS AS AN UNUSUAL GRANT WHOSE FACTS SO AS TO PREVENT SUCH BEQUESTS FROM OTHERWISE CAUSING AN ORGANIZATION TO BE RECLASSIFIED AS A PRIVATE FOUNDATION. IT IS CLEAR THAT THESE REGULATIONS ARE MEANT TO PREVENT ORGANIZATIONS, SUCH AS THE FOUNDATION, FROM BEING RECLASSIFIED AS PRIVATE FOUNDATIONS SIMPLY DUE TO A GENEROUS BEQUEST. 5) THE FOUNDATION'S 1 PROGRAM SERVICE IS DEFINED AS PROVIDING SUPPORT TO THE CIVITAN INTERNATIONAL FOUNDATION, WHICH HAS IN TURN, AWARDED A GRANT OF UP TO 1,000,000 A YEAR FOR 20 YEARS TO THE UAB CIVITAN INTERNATIONAL RESEARCH CENTER. CIRC IS DEDICATED TO RESEARCH OF DEVELOPMENTAL DISABILITIES. THIS GRANT REPRESENTS 40-75% OF THE FOUNDATION'S GRANTS EACH OF THE FIVE MOST RECENT YEARS. THIS FACTOR PROVIDES FURTHER EVIDENCE THAT THE FOUNDATION IS "PUBLICLY SUPPORTED" BY ITS SPONSORSHIP OF PROGRAMS BY MEMBERS OF THE PUBLIC HAVING SPECIAL KNOWLEDGE OR EXPERTISE. |
| Return Reference | Explanation |
|---|---|
| PART II, LINE 10 | PARTNERSHIP DISTRIBUTION 13,520 OTHER INCOME 3,100 |
| PART II, LINE 17A | APPLICATION OF THE FACTS AND CIRCUMSTANCES AS OUTLINED IN IRC 170(B)(1)(A) (VI): 1) THE FOUNDATION'S AVERAGE CONTRIBUTIONS FROM PUBLIC SUPPORT BASED ON THE PREVIOUS 5 YEARS WAS 15-20% OF TOTAL INCOME, WHICH MEETS THE REQUIREMENT THAT THE ORGANIZATION MUST NORMALLY RECEIVE AT LEAST 10% OF THEIR TOTAL SUPPORT FROM GOVERNMENTAL BODIES OR PUBLIC SOURCES. NOT ONLY DOES IT MEET THE REQUIREMENT, IT SUBSTANTIALLY EXCEEDS THE PERCENTAGE REQUIRED. 2) THE FOUNDATION HAS AN ANNUAL GOLF TOURNAMENT WHICH DIRECTLY FUNDRAISES FROM THE GENERAL PUBLIC AND WHICH CONTINUES TO ATTRACT COMMUNITY SUPPORT. IN ADDITION TO THIS FUNDRAISER, THE FOUNDATION'S FINANCIAL STATEMENTS INDICATE THAT THE FOUNDATION CONTINUES TO SOLICIT AND ATTRACT MEMBERSHIP FROM THE GENERAL PUBLIC ON A REGULAR AND ONGOING BASIS. THEREFORE, THE FOUNDATION MEETS THE REQUIREMENT THAT THE ORGANIZATION MUST BE ORGANIZED AND OPERATED AS TO ATTRACT NEW AND ADDITIONAL PUBLIC OR GOVERNMENTAL SUPPORT ON A CONTINUOUS BASIS. 3) THERE ARE OVER 50 VOLUNTEER BOARD MEMBERS AS OF THE LAST TAX RETURN FILING, OF WHICH 11 ARE THE OFFICERS OF THE ORGANIZATION. THE FOUNDATION HAS NO PAID BOARD MEMBERS AND THERE WAS SEVERAL CHANGES AND ROTATION IN THE MIX OF THE BOARD AND EXECUTIVE COMMITTEE MEMBERS FROM THE GENERAL PUBLIC. THIS FURTHER SUPPORTS THE FACT THAT THE FOUNDATION IS ORGANIZED AND OPERATED AS TO ATTRACT NEW AND ADDITIONAL PUBLIC SUPPORT ON A CONTINUOUS BASIS. 4) THE REASON THAT THE FOUNDATION'S PUBLIC SUPPORT PERCENTAGE HAS FALLEN BELOW THE 33 1/3 PERCENT THRESHOLD IS DUE TO INVESTMENT INCOME EARNED ON ENDOWMENT FUNDS. THE INTERNAL REVENUE CODE PROVIDES THAT IF SUCH ENDOWMENT FUNDS WERE CONTRIBUTED BY A FEW INDIVIDUALS, OR MEMBERS OF THEIR FAMILY, THIS FACT WILL INCREASE THE BURDEN OF THE ORGANIZATION TO ESTABLISH THAT IT IS "PUBLICLY SUPPORTED" TAKING INTO ACCOUNT ALL PERTINENT FACTS AND CIRCUMSTANCES. THE FOUNDATION CURRENTLY HOLDS INVESTMENTS UNDER SEVEN SEPARATE ENDOWMENT FUNDS AND ONE OTHER INVESTMENT FUND, HOWEVER, ONE OF THE ENDOWMENT FUNDS AND THE OTHER INVESTMENT FUND WERE CONTRIBUTED BY A SINGLE FAMILY. THESE FUNDS HOLD OVER 90% OF THE INVESTMENT ASSETS. THESE FUNDS WERE CONTRIBUTED BY AN INDIVIDUAL'S ESTATE OVER 40 YEARS AFTER THE FOUNDATION WAS FOUNDED AND FAMILY MEMBERS OF THE DECEASED CONTRIBUTOR ARE NOT KNOWN TO BE PERFORMING MANAGEMENT DECISIONS FOR THE FOUNDATION. IRS REGULATION 1.170A-9(F)(6)(II) FURTHER PROVIDES FLEXIBILITY WHERE UNEXPECTED GIFTS MAY OTHERWISE CAUSE AN ORGANIZATION TO BE RECLASSIFIED AS A PRIVATE FOUNDATION. BEQUESTS FROM A DISINTERESTED PARTY ARE SPECIFICALLY LISTED IN THE IRS REGULATIONS AS AN UNUSUAL GRANT WHOSE FACTS SO AS TO PREVENT SUCH BEQUESTS FROM OTHERWISE CAUSING AN ORGANIZATION TO BE RECLASSIFIED AS A PRIVATE FOUNDATION. IT IS CLEAR THAT THESE REGULATIONS ARE MEANT TO PREVENT ORGANIZATIONS, SUCH AS THE FOUNDATION, FROM BEING RECLASSIFIED AS PRIVATE FOUNDATIONS SIMPLY DUE TO A GENEROUS BEQUEST. 5) THE FOUNDATION'S 1 PROGRAM SERVICE IS DEFINED AS PROVIDING SUPPORT TO THE CIVITAN INTERNATIONAL FOUNDATION, WHICH HAS IN TURN, AWARDED A GRANT OF UP TO 1,000,000 A YEAR FOR 20 YEARS TO THE UAB CIVITAN INTERNATIONAL RESEARCH CENTER. CIRC IS DEDICATED TO RESEARCH OF DEVELOPMENTAL DISABILITIES. THIS GRANT REPRESENTS 40-75% OF THE FOUNDATION'S GRANTS EACH OF THE FIVE MOST RECENT YEARS. THIS FACTOR PROVIDES FURTHER EVIDENCE THAT THE FOUNDATION IS "PUBLICLY SUPPORTED" BY ITS SPONSORSHIP OF PROGRAMS BY MEMBERS OF THE PUBLIC HAVING SPECIAL KNOWLEDGE OR EXPERTISE. |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | ORGANIZED TO PROMOTE THE GENERAL WELFARE OF INTELLECTUALLY AND DEVELOPMENTALLY DISABLED CHILDREN. SPECIAL ATTENTION WILL BE GIVEN TO THE EDUCATION OF THESE CITIZENS AND IN RESEARCH TO DETERMINE THE CAUSE OF THEIR MENTAL DISABILITIES. TO ALERT THE GENERAL PUBLIC TO THE URGENT NEEDS FOR SPECIAL FACILITIES AND SERVICES FOR INTELLECTUALLY AND DEVELOPMENTALLY DISABLED CITIZENS. TO PROMOTE PROGRAMS AND EDUCATIONAL PROJECTS FOR THE PREVENTION OF MENTAL AND PHYSICAL DISABILITIES. IN ORDER TO FINANCE THE ACTIVITIES OF THE FOUNDATION, IT WILL CONDUCT FUNCTIONS AND SEEK CONTRIBUTIONS THROUGH ORGANIZED CAMPAIGNS AND OTHER METHODS. |
| FORM 990, PAGE 6, PART VI, LINE 2 | ED COLEMAN YVONNE COLEMAN DIRECTOR DIRECTOR MARRIED ED SENFT ELAINE SENFT DIRECTOR DIRECTOR MARRIED BONNIE HUDGINS MORRIS HUDGINS DIRECTOR IM PAST PRES MARRIED JOE O'TOOLE JO ANN O'TOOLE PAST PRES PAST PRES MARRIED LARRY PAYNE CRYSTAL PAYNE DIRECTOR DIST OFFICER MARRIED BILL MALONE GINGER MALONE 1ST VP DIST OFFICER MARRIED RON KURTZ PATRICIA KURTZ DIRECTOR DIRECTOR MARRIED SHARON O'KEEFE PATRICK O'KEEFE DIRECTOR DIRECTOR MARRIED |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE 990 FORM IS PREPARED BY AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTANT. THE DRAFT 990 IS DISTRIBUTED TO THE BOARD OF DIRECTORS OF THE FOUNDATION FOR REVIEW. ONCE APPROVED, THE PRESIDENT SIGNS THE 990 BEFORE IT IS FILED. |
| FORM 990, PAGE 6, PART VI, LINE 12C | BOARD MEMBERS ARE ASKED TO COMPLETE AND SIGN A CONFIDENTIALITY AND CONFLICT OF INTEREST STATEMENT ANNUALLY. |
| FORM 990, PAGE 6, PART VI, LINE 19 | 990 IS AVAILABLE ON GUIDESTAR AND UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | SPECIAL EVENT EXPENSES SHOWN IN THE EXPENSE SECTION OF FS 828 SPECIAL EVENT EXPENSES SHOWN IN THE EXPENSE SECTION OF FS -828 |
| Software ID: | |
| Software Version: |