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.") .. | 29,277 | 29,277 | ||||
| 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 | 29,277 | 29,277 | ||||
| 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. | 29,277 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 29,277 | 29,277 | ||||
| 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 | 29,277 | |||||
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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| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
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| SCHEDULE E, PART I, LINE 3 | PUBLICIZED ON ORGANIZATIONS WEBSITE AND ON EDUCATIONAL INFORMATIONAL DOCUMENTS |
| SCHEDULE E, PART I, LINE 6 | ANCILLARY SERVICE PROJECT GRANT THROUGH PA DEPT OF ED, COVID RELIEF GRANTS (GEER II, ESSER) |
| 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 VI, SECTION A, LINE 1A | THE EXECUTIVE COMMITTEE SHALL HAVE THE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE THE DAY SCHOOL DURING THE PERIOD BETWEEN THE MEETINGS OF THE BOARD OF DIRECTORS, SUBJECT TO ANY PRIOR LIMITATIONS IMPOSED BY THE MEMBER OR BOARD OF DIRECTORS AND WITH THE UNDERSTANDING THAT ALL MATTERS OF MAJOR IMPORTANCE WILL BE REFERRED TO THE BOARD OF DIRECTORS FOR APPROVAL, SUBJECT TO THE RESERVED POWERS OF THE MEMBER. MINUTES OF THE EXECUTIVE COMMITTEE MEETINGS AND REPORTS OF ITS ACTIONS SHALL BE SUBMITTED TO THE BOARD OF DIRECTORS AND ITS ACTIONS SHALL BE SUBJECT TO RATIFICATION AT THE NEXT REGULAR BOARD MEETING. |
| FORM 990, PART VI, SECTION A, LINE 2 | BUSINESS RELATIONSHIPS: URMI ASHAR, MARSHALL L. BALK, M.D., GREGORY B. BENCKART, SUSAN L. BOYLE, F. DANIEL CASTE, TINA CHEKAN, KATE DEWEY, THOMAS DORAN, BRETT J FUELSDAY, ANTHONY GABBINELLI, ROBERT I. GLIMCHER, MICHAEL J. HANNON, STEFFANIE J JASPER, BRIAN M. MCINERNEY, LIDIA C TURZAI, JASON R. WILBURN, JANIS BURLEY WILSON, JAY KATARINCIC, WENDY A. PARDEE, PHD, LISA C. FAGAN, JONATHAN M. KAMIN, HENRY STAFFORD, ROMAYNE L. BOTTI, PAMELA W. GOLDEN, JOHN JUBAS. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF THE DAY SCHOOL IS THE CHILDREN'S INSTITUTE PARENT COMPANY. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE PARENT COMPANY SHALL APPOINT AND REMOVE DIRECTORS OF THE DAY SCHOOL, WITH OR WITHOUT CAUSE. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE FOLLOWING ARE RESERVED POWERS OF THE SOLE MEMBER, THE PARENT COMPANY: -ADOPT, AMEND, MODIFY OR RESTATE THE ARTICLES OF INCORPORATION AND BYLAWS OF THE DAY SCHOOL IN WHOLE OR IN PART; -APPOINT AND REMOVE DIRECTORS OF THE DAY SCHOOL, WITH OR WITHOUT CAUSE; -APPOINT AND REMOVE THE PRESIDENT OF THE BOARD; -APPOINT AND REMOVE THE CHAIRPERSON AND OTHER OFFICERS OF THE BOARD; -APPROVE THE STRATEGIC PLAN OF THE DAY SCHOOL; -APPROVE THE OPERATING AND CAPITAL BUDGETS OF THE DAY SCHOOL; -APPOINT AND REMOVE THE INDEPENDENT FISCAL AUDITOR OF THE DAY SCHOOL; -APPROVE ANY MERGER, CONSOLIDATION, TRANSFER OR RELINQUISHMENT OF MEMBERSHIP RIGHTS, OR THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE OPERATING ASSETS OF THE DAY SCHOOL; -APPROVE ANY DISSOLUTION, WINDING UP OR ABANDONMENT OF OPERATIONS, LIQUIDATION, FILING OF ACTION IN BANKRUPTCY, RECEIVERSHIP OR SIMILAR ACTION AFFECTING THE DAY SCHOOL; -APPROVE ANY FORMATION OR DISSOLUTION OF SUBSIDIARIES, PARTNERSHIPS, ANDOTHER JOINT VENTURES INVOLVING THE DAY SCHOOL; -APPROVE ANY PLEDGE OR ENCUMBRANCE OF ASSETS WHETHER PURSUANT TO A SALE, CAPITAL LEASE, MORTGAGE, DISPOSITION, HYPOTHECATION, OR OTHER SIMILAR TRANSACTION; -APPROVE ANY CHANGE TO THE STRUCTURE OR OPERATION OF THE DAY SCHOOL WHICH WOULDAFFECT ITS STATUS AS A NONPROFIT ENTITY THAT IS EXEMPT FROM TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; AND -APPROVE ALL OTHER MATTERS AND TAKE ALL OTHER ACTIONS RESERVED TO MEMBERS OF NONPROFIT CORPORATIONS BY THE LAWS OF THE COMMONWEALTH OF PENNSYLVANIA. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE DAY SCHOOL RECOGNIZES THAT AS PART OF THE BOARD OF DIRECTORS' GOVERNANCE ROLE, THEY SHOULD REVIEW THE IRS FORM 990. THE AFOREMENTIONED REVIEW HAS BEEN DELEGATED BY THE BOARD TO THE PARENT COMPANY'S AUDIT COMMITTEE. THE DAY SCHOOL (DS) ALONG WITH DS'S CERTIFIED PUBLIC ACCOUNTING FIRM ARE RESPONSIBLE FOR THE TIMELY PREPARATION OF FORM 990. THE AUDIT COMMITTEE OF THE PARENT COMPANY REVIEWED THE COMPLETED FORM 990 IN ADVANCE OF AN AUDIT COMMITTEE MEETING TO ENABLE A DETAILED CONSCIENTIOUS REVIEW BY COMMITTEE MEMBERS. THE APPROPRIATE REPRESENTATIVES OF THE CERTIFIED PUBLIC ACCOUNTING FIRM AND DS'S CHIEF FINANCIAL OFFICER ADDRESSED QUESTIONS AND CONCERNS OF THE AUDIT COMMITTEE. AFTER INPUT FROM THE AUDIT COMMITTEE WAS APPROPRIATELY ADDRESSED, A COMPLETE COPY OF THE RETURN WAS PROVIDED TO EACH MEMBER OF THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE DAY SCHOOL HAS A CONFLICT OF INTEREST POLICY THAT IS INCLUDED IN THE CODE OF CONDUCT. THIS POLICY PROVIDES INFORMATION TO ALL DIRECTORS, OFFICERS, EMPLOYEES, PHYSICIANS AND VOLUNTEERS REGARDING REQUIREMENTS FOR DISCLOSURE AND THE SUBSEQUENT CORPORATE ACTION REQUIRED REGARDING SUCH TRANSACTIONS. DS, THROUGH ITS BOARD OF DIRECTORS, BELIEVES IT IS ESSENTIAL THAT ALL SUCH INDIVIDUALS FULLY AND COMPLETELY UNDERSTAND THE RESPONSIBILITIES THE INDIVIDUAL HAS REGARDING POTENTIAL CONFLICTS OF INTEREST. DS ALSO BELIEVES THAT IT IS VERY IMPORTANT THAT ALL SUCH INDIVIDUALS UNDERSTAND THE PROCEDURES UTILIZED BY DS IN DEALING WITH POTENTIAL CONFLICTS OF INTEREST. THIS POLICY IS INTENDED TO SUPPLEMENT BUT NOT REPLACE APPLICABLE PENNSYLVANIA STATE LAW GOVERNING CONFLICTS OF INTEREST APPLICABLE TO NONPROFIT AND CHARITABLE CORPORATIONS. TO THE EXTENT THAT THIS POLICY CONFLICTS WITH THE PROVISIONS OF APPLICABLE PENNSYLVANIA LAW GOVERNING CONFLICTS OF INTERESTS, THE APPLICABLE PROVISIONS OF PENNSYLVANIA LAW SHALL GOVERN AND CONTROL. EACH MEMBER OF THE GOVERNING BODY, EMPLOYEE AND VOLUNTEER HAS AN OBLIGATION TO EARN THE TRUST AND CONFIDENCE OF THE ORGANIZATION'S CLIENTS, THE COMMUNITY AND COLLEAGUES. ADHERENCE TO THE PRINCIPLES SET FORTH IN THIS POLICY AND THE RELATED DOCUMENTS REFERENCED HEREIN SHALL ASSIST EACH IN DOING SO. MEMBERS OF THE GOVERNING BODY, EMPLOYEES, AND VOLUNTEERS SHALL AVOID ALL CONFLICTS OF INTEREST AND THE APPEARANCE OF ANY CONFLICT OF INTEREST. A CONFLICT OF INTEREST OCCURS IN ANY SITUATION IN WHICH ONE IS POTENTIALLY NOT ABLE TO REMAIN IMPARTIAL OR MAINTAIN OBJECTIVITY IN CHOOSING BETWEEN THE INTERESTS OF THE ORGANIZATION AND ONE'S PERSONAL INTERESTS OR THE INTERESTS OF THIRD PARTIES." |
| FORM 990, PART VI, SECTION C, LINE 19 | THE FORM 1023, APPLICATION FOR RECOGNITION OF EXEMPTION, IRS DETERMINATION LETTER AND FORM 990 ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE DAY SCHOOL PREPARES AN ANNUAL REPORT THAT CONTAINS ITS SUMMARY FINANCIALS FOR PUBLIC DISTRIBUTION. THE AUDITED FINANCIAL STATEMENTS OF THE AFFILIATED GROUP WILL BE PROVIDED UPON REQUEST. THE ORGANIZATION'S GOVERNING DOCUMENTS, INCLUDING THE BYLAWS, ARTICLES OF INCORPORATION AND CONFLICT OF INTEREST POLICIES, ARE NOT PUBLICLY AVAILABLE BUT ARE AVAILABLE UPON REQUEST. |
| FORM 990 PART XII, FINANCIAL STATEMENTS AND REPORTING: | THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AUDITED BY AN INDEPENDENT ACCOUNTING FIRM. IN ADDITION, THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND ITS SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
| Software ID: | |
| Software Version: |