2017-08-29T16:31:25-05:00 2016-12-31 476097913 SEIM JOHNSON LLP 18081 BURT STREET SUITE 200 OMAHA NE 680224722 990 2016-01-01 450489204 CHILD SAVING INSTITUTE INC CHIL 4025536000 4545 DODGE STREET OMAHA NE 68132 PAUL OLSON BOARD CHAIR 4025536000 2017-08-17 1 BARBARA J FAJEN P00400874 4023302660 209.34.201.180 2017-08-17 10:25:46 CD P 283418A69B405FF99BFD473E52D2AE202F92D27A 65388208DCFA65E525EA74C56D427093C621CF4A 2016 2021-01-29 14:40:06Z PAUL OLSON 4545 DODGE STREET OMAHA NE 68132 8876297 0 X WWW.CHILDSAVING.ORG X 2002 NE SIGNIFICANT PROGRAM ACTIVITIES INCLUDE SERVICES PROVIDED TO CHILDREN AND FAMILIES INVOLVED IN THE CHILD WELFARE SYSTEM, INCLUDING EMERGENCY SHELTER CARE, FOSTER CARE, IN-HOME EDUCATION AND SUPPORT, INDEPENDENT LIVING PROGRAMMING, AND RELINQUISHMENT COUNSELING. CSI ACTS AS THE COORDINATING AGENCY AND FISCAL AGENT FOR KIDSQUAD, A MULTI-AGENCY COLLABORATIVE PROVIDING CONSULTATION TO COMMUNITY CHILD CARE CENTERS SERVING LOW INCOME CHILDREN. 36 36 108 55 0 0 3047904 3721937 4515888 4951303 837 635 131343 137036 7695972 8810911 0 3023703 0 0 5532768 5945474 0 0 399506 2397424 2383422 7930192 11352599 -234220 -2541688 4761245 3311867 491780 1040257 4269465 2271610 X RESPONDING TO THE CRY OF A CHILD. 0 0 3541065 2497756 CHILD SAVING INSTITUTE OPERATES TWO EARLY CHILDHOOD EDUCATION PROGRAMS, THE EARLY CHILDHOOD EDUCATION CENTER (ECEC) ON THE MAIN CAMPUS AT 4545 DODGE STREET AND THE SPELLMAN CHILD DEVELOPMENT CENTER (SCDC) AT THE COLLEGE OF SAINT MARY. BOTH CENTERS SERVE CHILDREN 6 MONTHS TO 6 YEARS OF AGE. IN 2016, THERE WERE 145 TOTAL CHILDREN SERVED AT ECEC AND 151 AT SCDC. OF THE CHILDREN SERVED AT SCDC, 30% (N=46) RECEIVED TITLE XX, A FORM OF LOW INCOME SUBSIDY. IN ECEC, 28% (N=41) WERE FROM FAMILIES WHO QUALIFIED FOR A LOW INCOME SUBSIDY. 86% OF THOSE DISCHARGING FROM ECEC AND 91% DISCHARGING FROM SCDC AFTER AT LEAST SIX MONTHS OF SERVICE WERE DEVELOPMENTALLY ON TARGET. 895340 1086748 FOSTER CARE PROGRAMMING CONTINUES TO PROVIDE SAFE, NURTURING CARE FOR CHILDREN INVOLVED IN THE CHILD WELFARE SYSTEM DUE TO ABUSE AND/OR NEGLECT. CHILD SAVING INSTITUTE STAFF RECRUIT, TRAIN, AND SUPPORT FOSTER PARENTS; MONITOR FOSTER PLACEMENTS; AND ADVOCATE FOR CHILDREN IN CARE TO ACHIEVE PERMANENCY VIA REUNIFICATION, ADOPTION OR GUARDIANSHIP. THERE ARE ALSO A GROWING NUMBER OF CHILDREN PLACED IN KINSHIP HOMES, WITH FAMILIES WHO ARE RELATED OR OTHERWISE KNOWN TO THEM, AND CSI FOSTER CARE SPECIALISTS SUPERVISE THESE PLACEMENTS AS WELL. IN 2016, CSI SERVED A TOTAL OF 157 CHILDREN IN THE FOSTER CARE SYSTEM. 92 (59%) OF THESE CHILDREN WERE PLACED IN TRADITIONAL FOSTER HOMES AND 65 (41%) WERE IN KINSHIP CARE. 91% WERE STABLE IN THEIR FOSTER OR KINSHIP PLACEMENT AND SERVED WITHOUT DISRUPTION. 816729 683822 THE EMERGENCY SHELTER PROVIDES 24/7 AWAKE STAFF TO UP TO 12 YOUTH IN NEED OF TEMPORARY PLACEMENT EACH DAY. YOUTH ARE GENERALLY REFERRED BY THE CHILD WELFARE OR JUVENILE JUSTICE SYSTEMS. IN 2016, 100 YOUTH WERE SERVED WITH AN THE DAILY CENSUS AVERAGED 9.25 YOUTH AND AN AVERAGE LENGTH OF STAY OF 38.1 DAYS. WHILE IN THE SHELTER, YOUTHS ATTEND THEIR HOME SCHOOLS, PARTICIPATE IN RECREATIONAL ACTIVITIES, AND MAINTAIN RELATIONSHIPS WITH FAMILY MEMBERS AS APPROPRIATE. IN 2016, 75% OF THE YOUTH WERE SERVED WITH NO INCIDENTS OF VIOLENCE OR AGGRESSION AND 93% HAD NO INCIDENTS OF SELF-HARMING BEHAVIOR. 4978417 3023703 682977 OTHER MISCELLANEOUS PROGRAMS 4978417 3023703 682977 10231551 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 11 0 1 108 1 0 0 0 0 0 1 1 0 0 0 0 X 36 36 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X SUSAN BAUMERT CFO 4025036000 4545 DODGE STREET OMAHA NE 68132 DONNETTE JANDA CHAIR 1.00 1.00 X X 0 0 0 PAUL OLSON VICE CHAIR 1.00 1.00 X X 0 0 0 DENNIS HILL TREASURER 1.00 1.00 X X 0 0 0 MELANIE HECKER SECRETARY 1.00 1.00 X X 0 0 0 KIMBERLY CAPPELLANO BOARD MEMBER 1.00 1.00 X 0 0 0 SUSAN COURTNEY BOARD MEMBER 1.00 1.00 X 0 0 0 MIKE GEPPERT BOARD MEMBER 1.00 1.00 X 0 0 0 ERIC EWING BOARD MEMBER 1.00 X 0 0 0 ADDRIENNE FEY BOARD MEMBER 1.00 X 0 0 0 DEBBIE FERRARA BOARD MEMBER 1.00 X 0 0 0 MOSAH FERNANDEZ GOODMAN BOARD MEMBER 1.00 X 0 0 0 POLLY HAIAR BOARD MEMBER 1.00 X 0 0 0 BERT HANCOCK BOARD MEMBER 1.00 X 0 0 0 CARRIE JENKINS BOARD MEMBER 1.00 X 0 0 0 TRAVIS JUSTICE BOARD MEMBER 1.00 X 0 0 0 KARI KIRCHOEFER BOARD MEMBER 1.00 X 0 0 0 SUE NEMER-HADDIX BOARD MEMBER 1.00 X 0 0 0 LAURA ROGGE BOARD MEMBER 1.00 X 0 0 0 JOSHUA SAWYER BOARD MEMBER 1.00 X 0 0 0 TASSO SIDERIS BOARD MEMBER 1.00 X 0 0 0 BRANDY SMITH BOARD MEMBER (THROUGH 3/16) 1.00 X 0 0 0 JOHN SOVA BOARD MEMBER 1.00 X 0 0 0 JOANNA SWANSON BOARD MEMBER 1.00 X 0 0 0 SHIELA TRUEBLOOD BOARD MEMBER 1.00 X 0 0 0 JOEL VASLOW BOARD MEMBER 1.00 X 0 0 0 NICK VONDRAK BOARD MEMBER 1.00 X 0 0 0 DAVID WEILL BOARD MEMBER 1.00 1.00 X 0 0 0 LAURA WORICK BOARD MEMBER 1.00 1.00 X 0 0 0 SHANE GRAEVE BOARD MEMBER 1.00 X 0 0 0 KEN HANSEN BOARD MEMBER 1.00 X 0 0 0 ADDIE HOLLINGSWORTH BOARD MEMBER 1.00 1.00 X 0 0 0 ROBERT HOLLINGSWORTH BOARD MEMBER 1.00 X 0 0 0 WILLIAM HONKE BOARD MEMBER 1.00 X 0 0 0 ANDREA MARSHALL BOARD MEMBER 1.00 X 0 0 0 SCOTT NEWBERRY BOARD MEMBER 1.00 X 0 0 0 LOUIS POL BOARD MEMBER 1.00 X 0 0 0 JEFF SCHAFFART BOARD MEMBER 1.00 X 0 0 0 PEGGY HARRIOTT PRESIDENT/CHIEF EXECUTIVE 40.00 X 124900 0 14300 SUSAN BAUMERT CHIEF FINANCIAL OFFICER 40.00 X 95222 0 14400 220122 0 28700 1 0 0 0 CENTER FOR HOLISTIC DEVELOPMENT 6663 SORENSEN PARKWAY OMAHA NE 68152 CONSULTING SERVICES TO AREA CHILD CARE C 115904 LUTHERAN FAMILY SERVICES 124 SOUTH 24TH STREET STE 230 OMAHA NE 68102 CONSULTING SERVICES TO AREA CHILD CARE C 100288 2 230537 73975 590389 2827036 83389 3721937 EARLY CHILDHOOD EDUCAT 624100 2497756 2497756 FOSTER CARE 624100 1086748 1086748 EMERGENCY SHELTER 624100 683822 683822 CHILD WELFARE 624100 586937 586937 MEAL REVENUE 624100 96040 96040 4951303 635 635 172972 73975 52713 120259 120259 29450 12673 16777 16777 8810911 4951303 0 137671 3023703 3023703 248821 248821 4472874 3941430 266180 265264 81739 61901 9370 10468 723666 637341 57813 28512 418374 346187 47629 24558 273812 273812 9529 9529 56405 56405 229214 215486 1287 12441 33051 18945 735 13371 565124 542504 6940 15680 364368 337391 11209 15768 71307 63541 1639 6127 23449 21884 760 805 75169 72802 511 1856 64773 60520 1207 3046 FOSTER CARE PROGRAM EXP 507506 507506 MISCELLANEOUS 42889 41589 829 471 BAD DEBT EXPENSE 37458 37458 DUES & SUBSCRIPTIONS 29368 27551 678 1139 11352599 10231551 721542 399506 531 21145 955661 1290386 104849 105200 924162 712311 101656 95871 910776 732822 182336 177954 2479870 909000 12180 0 4761245 3311867 491780 527046 506433 0 6778 491780 1040257 X 1315450 1204358 2954015 1067252 4269465 2271610 4761245 3311867 -2541688 543833 0 X X 0 1 X 1 0 X 2770501 2854557 2875108 3047904 3721937 15270007 2770501 2854557 2875108 3047904 3721937 15270007 1379608 13890399 1356 1185 1319 837 635 5332 126136 103390 245552 228685 202422 906185 16181524 24057320 0.85840 0.89580 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 4000 4000 0 PART II-B, LINE 1: CSI IS A MEMBER OF CHILDREN AND FAMILIES COALITION OF NEBRASKA (CAFCON), WHICH IS A LOBBYIST GROUP FOR CHILD WELFARE ISSUES. EXPENSES PAID ARE FOR ANNUAL MEMBERSHIP DUES. 5434662 2926452 451381 200000 21715 8590780 5778109 -16848 300000 26599 5434662 5394914 10000 399254 26059 5778109 4418454 260000 716460 5394914 3958895 19001 530558 90000 4418454 0.42460 0.33860 0.23680 0 1 1 76585 47650 28935 559499 490061 69438 274692 195111 79581 177954 BENEFICIAL INTEREST IN CHARITABLE REMAINDER ANNUITY TRUST 909000 F 909000 DUE TO A RELATED ORGANIZATION 6778 6778 X PART V, LINE 4: THE INTENDED USES OF CHILD SAVING INSTITUTE, INC.'S ENDOWMENT FUND IS TO PROVIDE A SAFETY NET FOR NORMAL OPERATIONS SHOULD ADDITIONAL FUNDS BE NEEDED AND TO FUND SPECIAL PROJECTS DESIGNATED BY THE BOARD. PART X, LINE 2: CHILD SAVING INSTITUTE, INC. AND CHILD SAVING INSTITUTE FOUNDATION, INC. ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE INTERNAL REVENUE SERVICE HAS ESTABLISHED STANDARDS TO BE MET TO MAINTAIN THE ORGANIZATION'S TAX EXEMPT STATUS. THE ORGANIZATION ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN FASB ASC TOPIC 740, INCOME TAXES. THE ORGANIZATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT DECEMBER 31, 2016 AND 2015, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS ACCRUED. CABARET DINNER 246947 73975 172972 7000 24311 14500 6902 246947 73975 172972 7000 24311 14500 6902 52713 120259 29450 7000 2330 3343 1 0.90000 29450 7000 2330 3343 12673 16777 NE 1 0 1 0 0.05000 0.95000 DAVID STEIN 4545 DODGE STREET OMAHA NE 68132 0 MARY SENFFANNA WILLEY 40254 COORDINATES EVENTS THAT INCLUDE RAFFLE ACTIVITIES. THE SALARY SHOWN ABOVE IS NORMAL COMPENSATION. THEY ARE NOT PAID ADDITIONAL SALARY FOR GAMING ACTIVITIES. MARY LEFT THE AGENCY IN AUG 2016 AND WAS REPLACED BY ANNA IN SEPT 2016. X 0 PART III, LINE 17: THE STATE OF NEBRASKA DOES NOT REQUIRE AN ORGANIZATION TO MAKE CHARITABLE DISTRIBUTIONS FROM GAMING PROCEEDS TO RETAIN THE STATE GAMING LICENSE. HOWEVER, PROCEEDS MUST BE SPENT FOR CHARITABLE OR COMMUNITY BETTERMENT PURPOSES INCLUDING ANY ACTIVITY WHICH BENEFITS AND IS CONDUCTED BY THE ORGANIZATION. THE ORGANIZATION WAS IN COMPLIANCE WITH THIS REQUIREMENT. 1 CHILD SAVING INSTITUTE FOUNDATION INC 4545 DODGE STREET OMAHA NE 68132 201862135 501(C)(3) 3023703 TO PROVIDE FUNDING FOR THE ESTABLISHMENT OF A QUASI-ENDOWMENT AND OPERATIONS OF THE CSI FOUNDATION. 1 PART I, LINE 2: THE CSI FOUNDATION IS A SUPPORTING ORGANIZATION OF CHILD SAVING INSTITUTE, INC. MANAGEMENT REGULARLY MONITORS USE OF FUNDS BY THE CSI FOUNDATION. X 1 81059 AVERAGE HIGH LOW X RAFFLE PRIZES 3 2330 FAIR MARKET VALUE 0 1 0 FORM 990, PART VI, SECTION A, LINE 2 ADDIE HOLLINGSWORTH AND ROBERT HOLLINGSWORTH HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS SHALL HAVE THE OPPORTUNITY TO REVIEW THE IRS FORM 990 EACH YEAR BEFORE IT IS FILED. UPON COMPLETION OF THE FINAL DRAFT OF THE FORM 990, A COPY OF THE REPORT WILL BE SENT VIA EMAIL TO ALL BOARD MEMBERS. IN THE EVENT A BOARD MEMBER DOES NOT HAVE ACCESS TO EMAIL, A HARD COPY WILL BE MAILED. THE BOARD WILL THEN BE ASKED TO APPROVE THE FORM AT THE NEXT BOARD MEETING. IF THE BOARD DOES NOT MEET PRIOR TO THE FILING DEADLINE, INDICATION OF APPROVAL MAY BE MADE VIA EMAIL, PHONE CALL OR OTHER WRITTEN OR VERBAL MEANS. UPON GAINING BOARD APPROVAL, THE BOARD CHAIR WILL SIGN THE FORM 990, SIGNIFYING BOARD REVIEW AND APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY AND PROCEDURES ARE REVIEWED WITH THE DIRECTORS AND OFFICERS EACH YEAR AT ORIENTATION TO THE ORGANIZATION. ANNUALLY, CONFLICT OF INTEREST POLICY AND PROCEDURES ARE DISTRIBUTED TO DIRECTORS AND OFFICERS AT THE FIRST BOARD MEETING OF EVERY YEAR, WHICH IS HELD IN JANUARY. FORM 990, PART VI, SECTION B, LINE 15 THE PRESIDENT/CEO IS HIRED BY THE BOARD. THE PROCESS IS LED BY THE BOARD CHAIR AND VICE CHAIR AND IS APPROVED BY THE BOARD BEFORE EMPLOYMENT BEGINS. FOR ALL EMPLOYEES, INCLUDING THE CEO, AN ANNUAL SURVEY IS COMPLETED TO ENSURE COMPENSATION IS COMPARABLE TO THOSE OF OTHER SIMILAR AGENCIES. SALARY INCREASES ARE BASED ON A MERIT PAY SYSTEM WHICH PROVIDES UP TO 4% INCREASES ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST, THE BOARD OF DIRECTORS SHALL MAKE AVAILABLE FOR PUBLIC INSPECTION THE FOLLOWING DOCUMENTS: 1) IRS FORM 1023 2) IRS FORM 990 INCLUDING ONLY SUCH PORTION OF THE FORM AND ACCOMPANYING SCHEDULES REQUIRED TO BE MADE AVAILABLE FOR PUBLIC INSPECTION. SCHEDULE B, SCHEDULE OF CONTRIBUTORS, IS SPECIFICALLY EXCLUDED. 3) AUDITED FINANCIAL STATEMENTS. ACCOMPANYING INFORMATION MAY NOT BE MADE AVAILABLE. 4) CONFLICT OF INTEREST POLICY. NEITHER BOARD NOR STAFF CONFLICT OF INTEREST FORMS ARE MADE AVAILABLE. DOCUMENTS WILL BE PROVIDED VIA EMAIL WHEN POSSIBLE, OR HARD COPIES MAY BE PROVIDED. IN THE EVENT HARD COPIES OF DOCUMENTS ARE PROVIDED, CSI IS PERMITTED TO OBTAIN REASONABLE REIMBURSEMENT FROM THE REQUESTING PARTY FOR THE COST OF REPRODUCTION. AT SUCH TIME CSI IS ABLE TO PROVIDE THE AFORMENTIONED ITEMS VIA ITS WEBSITE, SUCH METHOD WILL BE UTILIZED AS WELL. FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS FOR CHILD SAVING INSTITUTE, INC. ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. CHILD SAVING INSTITUTE FOUNDATION INC 4545 DODGE STREET OMAHA NE 68132 201862135 REAL ESTATE AND INVESTMENT MANAGEMENT NE 501(C)(3) LINE 12A, I CHILD SAVING INSTITUTE INC 1 0 1 1 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 CHILD SAVING INSTITUTE FOUNDATION INC C 590389 FMV CHILD SAVING INSTITUTE FOUNDATION INC B 3023703 FMV