2016-08-09T09:45:52-05:00 2015-12-31 476097913 SEIM JOHNSON LLP 18081 BURT STREET SUITE 200 OMAHA NE 680224722 990 2015-01-01 450489204 CHILD SAVING INSTITUTE INC CHIL 4025536000 4545 DODGE STREET OMAHA NE 68132 DONNETTE JANDA BOARD CHAIR 4025536000 2016-08-08 1 BARBARA J FAJEN P00400874 4023302660 2015 2016-12-15 16:53:06Z DONNETTE JANDA 4545 DODGE STREET OMAHA NE 68132 7793314 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. 38 38 199 55 0 0 2875108 3047904 4568314 4515888 1319 837 155645 131343 7600386 7695972 0 0 0 0 5419946 5532768 0 0 436231 2375999 2397424 7795945 7930192 -195559 -234220 5463012 4761245 549083 491780 4913929 4269465 X RESPONDING TO THE CRY OF A CHILD. 0 0 3392436 2302119 THE EARLY CHILDHOOD EDUCATION CENTER SERVED 168 CHILDREN, AGES 6 WEEKS TO 6 YEARS, PROVIDING DEVELOPMENTALLY-BASED PROGRAMMING WITH A FOCUS ON SCHOOL READINESS. 34% OF CHILDREN SERVED WERE FROM LOW INCOME FAMILIES. 78% OF ALL DISCHARGED CHILDREN WERE DEVELOPMENTALLY ON TARGET ATDISCHARGE. THE SPELLMAN CHILD DEVELOPMENT CENTER ON THE COLLEGE OF ST MARY CAMPUS SERVED 141 CHILDREN, AGES 6 WEEKS TO 6 YEARS; 28% OF CHILDREN RECEIVED STATE SUBSIDY. 100% OF ALL DISCHARGED CHILDREN WERE DEVELOPMENTALLY ON TARGET AT DISCHARGE. 919543 1102458 FOSTER CARE PROGRAMMING CONTINUES TO PROVIDE SAFE, NURTURING CARE FOR CHILDREN INVOLVED IN THE CHILD WELFARE SYSTEM DUE TO NEGLECT AND/ORABUSE. CSI STAFF RECRUIT, TRAIN, AND SUPPORT FOSTER PARENTS; FACILITATE CONTACT BETWEEN CHILDREN IN CARE, THEIR FOSTER FAMILIES, AND FAMILIES-OF-ORIGIN; AND ADVOCATE FOR CHILDREN IN CARE TO ACHIEVE PERMANENCY VIA REUNIFICATION, ADOPTION, AND GUARDIANSHIP. CSI SERVED 184 UNDUPLICATED CHILDREN AND TEENS IN 2015, 55 OF WHOME WERE IN KINSHIP PLACEMENTS. ADDITIONALLY, 98% OF THE YOUTH SERVED IN 2015 BY CSI FOSTER PARENTS HAD EITHER ZERO OR NO MORE THAN ONE PLACEMENT DISRUPTION IN THE PRIOR YEAR. 757170 633669 THE EMERGENCY SHELTER PROVIDES SAFE TEMPORARY CARE FOR YOUTH INVOLVED IN THE CHILD WELFARE AND/OR JUVENILE JUSTICE SYSTEMS. WHEN SPACE ALLOWS, PRIVATE RESPITE CARE IS OFFERED TO FAMILIES IN CRISIS AND IN NEED OF A SHORT-TERM PLACEMENT FOR THEIR CHILDREN WHILE THE FAMILY SITUATION IS STABILIZED. THE SHELTER SERVED 95 UNDUPLICATED CLIENTS IN 2015 WITH AN AVERAGE DAILY CENSUS OF 9.22 (THE PROGRAM IS LICENSED TO SERVE UP TO 12 YOUTH AT ANY GIVEN TIME) AND AN AVERAGE LENGTH OF STAYOF 40.7 DAYS. 1649664 477642 OTHER MISCELLANEOUS PROGRAMS 1649664 477642 6718813 1 1 0 1 0 0 0 0 0 1 1 1 0 0 0 1 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 7 0 1 199 1 0 0 0 0 0 1 1 0 0 0 0 X 38 38 0 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 SAM MOSSER TREASURER 1.00 1.00 X X 0 0 0 MELANIE HECKER SECRETARY 1.00 1.00 X X 0 0 0 ANN BORCHERS BOARD MEMBER 1.00 1.00 X 0 0 0 SUSAN COURTNEY BOARD MEMBER 1.00 1.00 X 0 0 0 ELIZABETH DAVIS BOARD MEMBER 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 SUSAN HENRY BOARD MEMBER 1.00 X 0 0 0 DENNIS HILL 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 TASSO SIDERIS BOARD MEMBER 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 JANIS WINTERHOF BOARD MEMBER 1.00 1.00 X 0 0 0 LAURA WORICK BOARD MEMBER 1.00 1.00 X 0 0 0 KIMBERLY CAPPELLANO BOARD MEMBER 1.00 1.00 X 0 0 0 JESSICA COVI 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 ROBERT HOLLINGSWORTH 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 CHRIS RODGERS 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 120629 0 14494 SUSAN BAUMERT CHIEF FINANCIAL OFFICER 40.00 X 90579 0 13837 211208 0 28331 1 0 0 0 CENTER FOR HOLISTIC DEVELOPMENT 6663 SORENSEN PARKWAY OMAHA NE 68152 CONSULTING SERVICES TO AREA CHILD CARE C 120019 HEARTLAND FAMILY SERVICES 2101 S 42ND STREET OMAHA NE 68105 CONSULTING SERVICES TO AREA CHILD CARE C 107543 2 289700 59204 591102 2107898 60436 3047904 EARLY CHILDHOOD EDUCAT 624100 2302119 2302119 FOSTER CARE 624100 1102458 1102458 EMERGENCY SHELTER 624100 633669 633669 CHILD WELFARE 624100 395360 395360 MEAL REVENUE 624100 82282 82282 4515888 837 837 202235 59204 75814 126421 126421 26450 21528 4922 4922 7695972 4515888 0 132180 239539 239539 4056272 3440469 312682 303121 115839 91160 11801 12878 739904 645853 69715 24336 381214 310482 43741 26991 332410 332410 2249 228 2021 48854 48854 232022 215198 2127 14697 18307 10351 208 7748 541733 514815 19801 7117 360947 323769 19442 17736 81146 69200 889 11057 26831 25904 299 628 70180 64661 739 4780 64029 59569 1224 3236 FOSTER CARE PROGRAM EXP 503573 503573 BAD DEBT EXPENSE 60451 60451 MISCELLANEOUS 27518 27167 351 DUES & SUBSCRIPTIONS 27174 23553 1715 1906 7930192 6718813 775148 436231 2989 531 1452188 955661 127695 104849 610405 924162 118544 101656 839990 657654 230150 182336 2890114 2479870 30927 12180 5463012 4761245 549083 491780 549083 491780 X 1483488 1315450 3430441 2954015 4913929 4269465 5463012 4761245 -234220 -410244 0 X X 0 1 X 1 0 X 2577141 2770501 2854557 2875108 3047904 14125211 2577141 2770501 2854557 2875108 3047904 14125211 733073 13392138 3745 1356 1185 1319 837 8442 113201 126136 103390 245552 228685 816964 14950617 23240854 0.89580 0.94780 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. 5778109 -16848 300000 26599 5434662 5394914 10000 399254 26059 5778109 4418454 260000 716460 5394914 3958895 19001 530558 90000 4418454 3795903 190000 -9480 17528 3958895 0.15860 0.53480 0.30660 0 1 1 71101 136588 -65487 500402 446270 54132 268487 74796 193691 182336 BENEFICIAL INTEREST IN CHARITABLE REMAINDER ANNUITY TRUST 2479870 F 2479870 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, 2015 AND 2014, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS ACCRUED. CABARET DINNER 261439 59204 202235 19610 24257 23000 8947 261439 59204 202235 19610 24257 23000 8947 75814 126421 26450 19600 1928 1 0.90000 26450 19600 1928 21528 4922 NE 1 0 1 0 0.20000 0.80000 DAVID STEIN 4545 DODGE STREET OMAHA NE 68132 0 SARA ACHELPOHL 49450 COORDINATES EVENTS THAT INCLUDE RAFFLE ACTIVITIES. THE SALARY SHOWN ABOVE IS HER NORMAL COMPENSATION. SHE IS NOT PAID ADDITIONAL SALARY FOR GAMING ACTIVITIES. 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. X 2 40826 AVERAGE HIGH LOW X RAFFLE PRIZES 4 19610 FAIR MARKET VALUE 0 1 0 FORM 990, PART VI, SECTION B, LINE 11 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 11A, I CHILD SAVING INSTITUTE INC 1 0 0 1 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 CHILD SAVING INSTITUTE FOUNDATION INC C 591102 FMV