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.") .. | 1,364,767 | 1,323,847 | 1,249,368 | 1,618,985 | 1,313,256 | 6,870,223 |
| 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.. | 52,560 | 52,560 | ||||
| 4 | Total. Add lines 1 through 3 | 1,364,767 | 1,323,847 | 1,301,928 | 1,618,985 | 1,313,256 | 6,922,783 |
| 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. | 6,922,783 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 1,364,767 | 1,323,847 | 1,301,928 | 1,618,985 | 1,313,256 | 6,922,783 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 215 | 364 | 560 | 290 | 188 | 1,617 |
| 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.).. | 11,389 | 11,389 | ||||
| 11 | Total support. Add lines 7 through 10 | 6,935,789 | |||||
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) |
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| 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 |
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| Return Reference | Explanation |
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| 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, PART III, LINE 4A | PARENT TRAINING AND INFORMATION (PTI) CENTER (FUNDED THROUGH A GRANT FROM THE DEPARTMENT OF EDUCATION SINCE 1981) WORKS TO HELP PARENTS, YOUTH, AND PROFESSIONALS UNDERSTAND AND ADVOCATE FOR INDIVIDUALS WITH DISABILITIES IN THE PUBLIC EDUCATION SYSTEM IN WASHINGTON STATE. THE PTI'S CURRENT 5 YEAR GRANT CYCLE WAS AWARDED IN 2020. PTI HAS A RICH HISTORY OF SERVING PARENTS, YOUTH, COMMUNITY MEMBERS AND PROFESSIONALS. FOR OVER 40 YEARS, WA PTI HAS SUPPORTED INDIVIDUAL AND SYSTEMIC EFFORTS TO IMPROVE THE OUTCOMES OF CHILDREN WITH DISABILITIES BY PROVIDING INFORMATION, RESOURCES, TRAINING, AND INDIVIDUALIZED ASSISTANCE TO FAMILIES, YOUTHS, COMMUNITY MEMBERS, AND PROFESSIONALS ON SPECIAL EDUCATION LAW, SECTION 504, COMMUNICATION STRATEGIES, HIGH EXPECTATIONS, ACCESS TO GENERAL EDUCATION CURRICULUM, AND RELATED EVIDENCE-BASED RESEARCH. PTI ADAPTED DURING THE PANDEMIC BY INCREASING PROFESSIONAL DEVELOPMENT, INCREASING ACCESSIBILITY FOR VIRTUAL TRAINING, INCREASED HOME OFFICE SUPPLIES, AND TECHNICAL ASSISTANCE WITH THE ZOOM AND MICROSOFT 365 (TEAMS) PLATFORM. IN COLLABORATION WITH PARTNERS, PTI WAS ABLE TO DELIVER TRAINING TO FAMILIES, AS WELL AS CONDUCT ONE-TO-ONE ZOOM SESSIONS. PTI ALSO WAS ABLE TO PROVIDE TECHNICAL ASSISTANCE AT SCHOOL MEETINGS CONDUCTED VIA ZOOM AT THE REQUEST OF FAMILIES SEEKING SUPPORT AT EVALUATION, IEP, AND SECTION 504 MEETINGS. PTI ALSO ATTENDED NUMEROUS SYSTEMS MEETINGS VIA ZOOM WITH PARTNERS SUCH AS OFFICE OF THE SUPERINTENDENT OF PUBLIC INSTRUCTION (OSPI), DEPARTMENT OF CHILDREN, YOUTH AND FAMILIES (DCYF), DEVELOPMENTAL DISABILITIES ADMINISTRATION (DDA), DEPARTMENT OF VOCATIONAL REHABILITATION (DVR), DEPARTMENT OF SERVICES FOR THE BLIND (DSB), EARLY INTERVENTION PROVIDERS, SCHOOL DISTRICTS, AND NUMEROUS COMMUNITY PARTNERS. PTI HAS BEEN ACTIVELY INVOLVED IN SUPPORTING FAMILIES, YOUTH, AND COMMUNITY MEMBERS TO NAVIGATE THESE CHALLENGING TIMES. PTI HAS INCREASED COLLABORATIVE EFFORTS WITH SYSTEMS PARTNERS TO ADDRESS THE BARRIERS AND TO IMPROVE COMMUNICATIONS AND ACCESS TO EDUCATION AND RELATED SERVICES. MORE THAN EVER, PTI SERVICES, COLLABORATIVE EFFORTS, AND PARTNERSHIPS ARE NEEDED TO SUPPORT THE FAMILIES, CHILDREN AND YOUTH EXPERIENCING THE MOST INEQUITY AND LACK OF ACCESS. |
| FORM 990, PART III, LINE 4B | PIERCE COUNTY PARENT TO PARENT (P2P) (FUNDED BY PIERCE COUNTY HUMAN SERVICES AND THE ARC OF WA/STATE P2P) PROVIDES EMOTIONAL SUPPORT AND INFORMATION ON COMMUNITY RESOURCES FOR PARENTS WHO HAVE A CHILD WITH A DISABILITY OR CHRONIC HEALTH NEED. HELPING PARENT VOLUNTEERS AND STAFF ASSIST FAMILIES IN COPING WITH MANY CHALLENGING EXPERIENCES AND FEELINGS AND CAN CONTACT FAMILIES BY PHONE, HOME VISITS, OR HOSPITAL VISITS. P2P HAD 7,897 ATTENDEES AMONG ALL EVENTS FROM PARENT GROUPS, FAMILY EVENTS, AND COMMUNITY/PUBLIC/CIVIC EVENTS. A RANGE OF PRESENTATIONS AND TRAININGS HIGHLIGHT THE YEAR FROM PARENT PANELS TO YOUTH FOCUSED, PIERCE COUNTY ABILITIES PARADE BY CAR DURING COVID. ONE FAMILY WAS ESPECIALLY EXCITED TO ATTEND WITH THEIR TWO-YEAR-OLD SON WHOSE MEDICAL CONDITIONS MEANT THE ENTIRE FAMILY HAD BEEN STAYING HOME AND AWAY FROM OTHERS AS MUCH AS POSSIBLE OVER THE LAST FEW MONTHS. MOM SAW THIS NO-CONTACT PARADE ON FACEBOOK AND KNEW IT WAS AN ACTIVITY THEIR WHOLE FAMILY COULD PARTICIPATE IN WITHOUT JEOPARDIZING THEIR YOUNG SON'S HEALTH! |
| FORM 990, PART III, LINE 4C | LIFESPAN RESPITE (FUNDED BY DSHS) RESPITE A "FAMILY CAREGIVER" CAN BE ANYONE WHO GIVES REGULAR HELP AND SUPPORT TO A CHILD OR ADULT WHO HAS A CHRONIC CONDITION OR DISABILITY. THEY ARE OFTEN THE PRIMARY CAREGIVER FOR THE PERSON THEY HELP AND THEY MAY SPEND LARGE AMOUNTS OF TIME GIVING THAT CARE. RESPITE IS WHEN A FAMILY CAREGIVER CAN GET A SHORT BREAK. SOMETIMES FAMILY AND FRIENDS OR OTHER VOLUNTEERS CAN STEP IN. SOMETIMES, FAMILY CAREGIVERS TURN TO SERVICES AND PROGRAMS WHERE PAID CAREGIVERS PROVIDE THE BREAK. IT CAN BE DIFFICULT IN THE MIDDLE OF CAREGIVING RESPONSIBILITIES TO FIND RESPITE SERVICES, ESPECIALLY RESPITE SERVICES A FAMILY CAN AFFORD. LIFESPAN RESPITE WA OFFERS INFORMATION ON SOURCES OF RESPITE CARE AND PROGRAMS THAT PAY FOR RESPITE CARE (INCLUDING A VOUCHER PROGRAM WHERE UNPAID, UNSERVED FAMILY CAREGIVERS CAN APPLY FOR A MINI-GRANT TO USE FOR SHORT-TERM RESPITE) AS WELL AS NON-RESPITE CAREGIVER SUPPORT. |
| FORM 990, PART VI, SECTION A, LINE 1 | THE BOARD OF DIRECTORS, BY RESOLUTION ADOPTED BY A MAJORITY OF THE DIRECTORS IN OFFICE, MAY DESIGNATE AND APPOINT ONE OR MORE COMMITTEES, EACH CONSISTING OF ONE OR MORE DIRECTORS, WHICH COMMITTEES SHALL HAVE AND EXERCISE THE AUTHORITY OF THE BOARD OF DIRECTORS IN THE GOVERNANCE OF THE CORPORATION. HOWEVER, NO COMMITTEE SHALL HAVE THE AUTHORITY TO AMEND OR REPEAL THESE BYLAWS; ELECT OR REMOVE ANY OFFICER OR DIRECTOR; ADOPT A PLAN OF MERGER; OR AUTHORIZE THE VOLUNTARY DISSOLUTION OF THE CORPORATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE INTERNAL AFFAIRS COMMITTEE CHAIRED BY THE TREASURER/SECRETARY REVIEWS THE AUDIT AND 990 WITH THE AUDIT FIRM HIRED BY THE BOARD AND MANAGEMENT. THE DRAFT AUDIT AND 990 ARE PRESENTED BY THE AUDIT FIRM AT A BOARD OF DIRECTORS MEETING FOR FINAL REVIEW AND APPROVAL. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD AND KEY STAFF MEMBERS SIGN THE CONFLICT OF INTEREST POLICY ANNUALLY. NEW STAFF AT HIRE. UPON COMPLETION OF THE PAPERWORK BOARD LEADERSHIP AND EXECUTIVE DIRECOR REVIEWS BOARD RESPONSES AND EXECUTIVE DIRECTOR REVIEWS KEY STAFF RESPONSES. AS NEEDED, THE EXECUTIVE DIRECTOR CAN REVIEW STAFF RESPONSES WITH BOARD LEADERSHIP. THE BOARD COLLECTIVELY OBTAINS CLARIFYING INFORMATION AND/OR NOTING AREAS OF CONFLICT TO ASSURE RECUSAL FROM DISCUSSIONS AND VOTES FOR BOARD MEMBERS. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE EXECUTIVE COMMITTEE OF THE BOARD APPROVES CHANGES IN EXECUTIVE DIRECTOR COMPENSATION AND WITH THE EXECUTIVE DIRECTOR UTILIZES INDEPENDENT WAGE AND SALARY COMPARISONS AS PRODUCED BY REPUTABLE ENTITIES IN OUR NOT-FOR-PROFIT FIELD, SUCH AS VIA THE NATIONAL NONPROFIT COUNCIL, UNITED WAY OF KING COUNTY, WA NONPROFIT CENTER, ETC. IF NEEDED, ADDITIONAL INSIGHTS FROM INDEPENDENT CONSULTANTS IN THE FIELD, HR, AND OTHER ASSOCIATIONS ARE UTILIZED. THE FISCAL MANAGER POSITION COMPENSATION WAS REVIEWED BY BOTH OF PAVE'S INDEPENDENT CPAS AS WELL AS WITH THE HIRING AGENCY UTILIZED. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AND SENT ELECTRONICALLY AND PASSWORD PROTECTED AS NEEDED. |
| FORM 990, PART XII, LINE 2C | THE PROCESS FOR SELECTION OF THE INDEPENDENT AUDITORS HAS NOT CHANGED. |
| Software ID: | |
| Software Version: |