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 | |||||
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Total |
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Calendar year
(or fiscal year beginning in)
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(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 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)
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(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (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) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (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) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (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 on 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 0.015 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 0.035 | 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 | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2021 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2021 |
(iii) Distributable Amount for 2021 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2021 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2021: | ||||
| a From 2016....... | ||||
| b From 2017....... | ||||
| c From 2018....... | ||||
| d From 2019....... | ||||
| e From 2020....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2021 distributable amount | ||||
|
i
Carryover from 2016 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2021 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2021 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2021, 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 2021. 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 2022. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2017..... | ||||
| b Excess from 2018..... | ||||
| c Excess from 2019..... | ||||
| d Excess from 2020..... | ||||
| e Excess from 2021..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Return Reference | Explanation |
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| SCHEDULE E, PART I, LINE 3 | SEE SUPPLEMENTAL PAGE |
| SCHEDULE E QUESTION 3 | THE CREEKSIDE SCHOOL DISPLAYS A NOTICE OF ITS RACIALLY NONDISCRIMINATORY POLICY ON ITS PRIMARY PUBLICLY ACCESSIBLE INTERNET WEBPAGE AT ALL TIMES DURING ITS TAX YEAR IN A MANNER REASONABLY EXPECTED TO BE NOTICED BY VISITORS TO THE SCHOOL WEBSITE. HTTPS://WWW.CREEKSIDESCHOOL.ORG/WAIT-LIST-POLICY |
| 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 1 - ORGANIZATION'S MISSION | ATTACHMENT 1 THE PRIMARY MISSION OF THE CREEKSIDE SCHOOL IS THE PRESENTATION OF FORMAL INSTRUCTION TO CHILDREN WITH CHALLENGES RELATING TO THE WORLD AROUND THEM, MOST COMMONLY FOUND IN AUTISM AND RELATED SPECIAL NEEDS. THEIR MAIN OBJECTIVE IS TO BUILD A UNIQUE, RELATIONSHIP-BASED, INDIVIDUALIZED PROGRAM IN WHICH THE STUDENT'S LEARNING STYLE IS THE DRIVING FACTOR FOR THE EDUCATIONAL AND SOCIAL ENVIRONMENT. |
| FORM 990, PART III, PROGRAM SERVICES, LINE 4A | ATTACHMENT 2 THE CORPORATION OPERATES THE CREEKSIDE SCHOOL IN SAN JOSE, CALIFORNIA AS AN INDEPENDENT SCHOOL COMMITTED TO MEETING THE EDUCATIONAL NEEDS OF AUTISTIC CHILDREN IN A FLEXIBLE AND INNOVATIVE FORMAT. THE SCHOOL CURRENTLY HAS TWENTY FOUR STUDENTS, AS REPORTED IN TIME MAGAZINE, MAY 15, 2016, EDUCATION FOR AUTISTIC STUDENTS IN THE UNITED STATES GENERALLY FOLLOWS ONE OF TWO APPROACHES - THE APPLIED BEHAVIOR ANALYSIS "ABA" APPROACH DERIVED FROM THE WORK OF PSYCHOLOGIST B.F. SKINNER, AND THE DEVELOPMENTAL INDIVIDUAL DIFFERENCE "DIR" APPROACH BASED ON THE WORK OF CHILD PSYCHIATRIST STANLEY GREENSPAN. THE CORPORATION'S SCHOOL IS BASED ON THE DIR APPROACH. IN SANTA CLARA COUNTY, CALIFORNIA, WHERE THE CORPORATION OPERATES ITS SCHOOL, THERE IS ONLY ONE OTHER SCHOOL FOR AUTISTIC STUDENTS USING THE DIR APPROACH TO EDUCATION. THIS APPROACH EMPHASIZES "FLOORTIME," WHICH INCLUDE ONE-ON-ONE CHILD AND STAFF INTERACTION DESIGNED TO EQUIP THE CHILD TO FUNCTION IN THE OUTSIDE WORLD, ENABLING THEM TO REACT TO DYNAMIC SITUATIONS, TO SOLVE PROBLEMS, AND TO ENGAGE SOCIALLY. STAFF TO STUDENT RATIOS ARE EXPECTED TO APPROACH 1 TO 2. THIS IS AN INTENSIVE EDUCATIONAL PROGRAM FOR WHICH THE PUBLIC SCHOOLS LACK THE EXPERTISE AND RESOURCES. THE CORPORATION'S PROGRAM IS DESIGNED TO PROVIDE EDUCATION AT THE LEVEL NEEDED BY ITS STUDENTS, BASED ON A SPECIFIC CURRICULUM. |
| FORM 990, PART VI, SECTION A, LINE 2 | MR. DAVID DRUMMOND, PRESIDENT, AND MS. ELENA BERK, BOARD MEMBER WERE FORMERLY HUSBAND AND WIFE. |
| FORM 990, PART VI, SECTION A, LINE 6 | ALL MEMBERS ARE LISTED ON PART VII. |
| FORM 990, PART VI, SECTION A, LINE 8B | THE SCHOOL'S GOVERNING BODY CONSISTS A BOARD OF DIRECTORS WHO HAVE THE RIGHT TO PARTICIPATE IN THE SCHOOL'S GOVERNANCE. ALL DIRECTORS HAVE THE SAME VOTING RIGHTS. THE FULL BOARD OF DIRECTORS MUST VOTE ON THE REMOVAL OF DIRECTORS OR THE HIRING OR FORING OF KEY THE CREEKSIDE SCHOOL 26-0727819 EMPLOYERS OR DISSOLUTION OF THE SCHOOL THE FULL BOARD APPROVES SIGNIFICANT DECISIONS OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 WAS PERPARED BY THE SCHOOL'S ACCOUNTANT AND REVIEWED BY THE PRESIDENT. AT THIS TIME, THE FORM 990 WAS REVIEWED IN DETAIL AND APPROVED FOR SUBMISSION TO THE INTERNAL REVENUE SERVICE. PRIOR TO THE FINAL FORM BEING SUBMITTED TO THE INTERNAL REVENUE SERVICE, A COPY WAS PROVIDED TO ALL THE MEMBERS OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CREEKSIDE SCHOOL MAINTAINS A WRITTEN CONFLICT OF INTEREST POLICY THAT IS INCLUDED IN THE SCHOOL'S POLICIES AND PROCEDURES MANUAL WHICH IS UPDATED AND DISSEMINATED TO ALL EMPLOYEES AND BOARD OF DIRECTORS ANNUALLY. AT THE START OF EACH FISCAL YEAR, THE PRESIDENT OF THE SCHOOL REQUIRES THAT EACH SCHOOL ADMINISTRATOR AND DIRECTOR COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM. ANY CONFLICTS IDENTIFIED BY THE CONFLICT OF INTEREST DISCLOSURE FROM ARE SUMMARIZED IN A REPORT TO THE PRESIDENT OF THE BOARD OF DIRECTORS AND THE CHAIR OF THE BOARD OF DIRECTORS & GOVERNANCE COMMITTEE, THE BOARD OF DIRECTORS IS NOTIFIED OF ANY CONFLICTS AND ACTION, IF NECESSARY, IS TAKEN BY THE BOARD OF DIRECTORS. AT THE CONCLUSION OF THE FISCAL YEAR, PRIOR TO THE SUBMISSION OF THE FORM 990, A GOVERNING BODY MEMBER ANNUAL QUESTIONNAIRE IS PROVIDED TO EACH BOARD OF DIRECTORS, OFFICER AND/OR KEY EMPLOYEE. THIS QUESTIONNAIRE REQUIRES THE DISCLOSURE OF ANY CONFLICTS OF INTEREST THAT MAY HAVE EXISTED DURING THE PRIOR FISCAL YEAR. |
| FORM 990, PART VI, SECTION B, LINE 15B | THE BOARD OF DIRECTORS IS RESPONSIBLE FOR ADMINISTRATING THE COMPENSATION OF KEY EMPLOYEES. THE BOARD OF DIRECTORS MEETS APPROXIMATELY FOUR TIMES A YEAR TO: 1. SET GOALS FOR KEY EMPLOYEES 2. DETERMINE WHAT, IF ANY, RESOURCES ARE NECESSARY TO SET APPROPRIATE COMPENSATION IN THAT YEAR 3. HIRE ANY OUTSIDE CONSULTANTS 4. REVIEW AND SET COMPENSATION BY A REVIEW OF COMPARABLE OUTSIDE DATA INCLUDING 990 AND PEER SCHOOL INFORMATION 5. REVIEW KEY EMPLOYEES' PERFORMANCE 6. AMEND, IF NECESSARY, THE KEY EMPLOYEES' EMPLOYMENT CONTRACT 7. SET COMPENSATION FOR KEY EMPLOYEES 8. REVIEW AND APPROVE THE MINUTES OF THE MEETINGS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE SCHOOL'S GOVERNING BODY CONSISTS OF BOARD OF DIRECTORS WHO HAVE THE RIGHT TO PARTICIPATE IN THE SCHOOL'S GOVERNANCE. ALL DIRECTORS HAVE THE SAME VOTING RIGHTS. THE FULL BOARD OF DIRECTORS MUST VOTE ON THE REMOVAL OF DIRECTORS OR THE HIRING OR FIRING OF KEY EMPLOYEES OR DISSOLUTION OF THE SCHOOL. THE FULL BOARD APPROVES SIGNIFICANT DECISIONS OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE CREEKSIDE SCHOOL MAKES AVAILABLE TO THE PUBLIC UPON REQUEST THE FOLLOWING GOVERNING DOCUMENTS: - INTERNAL REVENUE SERVICE TAX DETERMINATION LETTER - BY LAWS - FILED FORM 990 FOR THE TWO MOST RECENT FISCAL YEARS |
| FORM 990, PART IX, LINE 24E | CUSTODIAL SERVICES: PROGRAM SERVICE EXPENSES 55,312. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 55,312. PROPERTY TAX: PROGRAM SERVICE EXPENSES 53,299. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 53,299. SCHOOL SUPPLIES: PROGRAM SERVICE EXPENSES 32,505. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,505. OTHER EXPENSES: PROGRAM SERVICE EXPENSES 24,530. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,530. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 23,400. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,400. PAYROLL PROCESSING: PROGRAM SERVICE EXPENSES 16,983. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,983. UTILTITES: PROGRAM SERVICE EXPENSES 15,441. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,441. SECURITY: PROGRAM SERVICE EXPENSES 12,659. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,659. CURRICULUM EXPENSE: PROGRAM SERVICE EXPENSES 12,268. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,268. PROFESSIONAL DEVELOPMENT: PROGRAM SERVICE EXPENSES 7,410. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,410. WASTE & RECYCLING: PROGRAM SERVICE EXPENSES 6,978. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,978. TELEPHONE EXPENSE: PROGRAM SERVICE EXPENSES 4,570. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,570. INTERNET & TV EXPENSES: PROGRAM SERVICE EXPENSES 4,498. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,498. TAXES AND LICENSES: PROGRAM SERVICE EXPENSES 4,043. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,043. FUEL: PROGRAM SERVICE EXPENSES 3,236. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,236. EMPLOYEE REIMBURSEMENTS: PROGRAM SERVICE EXPENSES 2,837. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,837. STAFF APPRECIATION EVENT: PROGRAM SERVICE EXPENSES 2,680. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,680. LEASED EQUIPMENT: PROGRAM SERVICE EXPENSES 2,018. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,018. DUES & SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 1,404. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,404. MEALS AND ENTERTAINMENT: PROGRAM SERVICE EXPENSES 459. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 459. BANK FEES: PROGRAM SERVICE EXPENSES 453. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 453. FUNDRAISING EXPENSE: PROGRAM SERVICE EXPENSES 123. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 123. POSTAGE / FREIGHT: PROGRAM SERVICE EXPENSES 60. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 60. MISCELLANEOUS EXPENSE: PROGRAM SERVICE EXPENSES 6. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6. |
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