2013-08-06T16:17:47-05:00 2012-12-31 476097913 SEIM JOHNSON LLP 18081 BURT STREET SUITE 200 OMAHA NE 680224722 990 2012-01-01 450489204 CHILD SAVING INSTITUTE INC CHIL 4025536000 4545 DODGE STREET OMAHA NE 68132 CINDY HEIDER 4025536000 2013-07-30 1 JULIE M GERKEN P00400882 4023302660 2012 2016-02-24 21:20:13Z CINDY HEIDER 4545 DODGE STREET OMAHA NE 68132 8021994 0 X WWW.CHILDSAVING.ORG X 2002 NE CHILD SAVING INSTITUTE, INC. (CSI) EXISTS TO HELP CHILDREN AND FAMILIES. CSI'S MISSION IS TO PREVENT AND TREAT CHILD ABUSE AND NEGLECT. CSI PROVIDES EMERGENCY SERVICES TO CHILDREN AND TEENS IN CRISIS. ADDITIONALLY, CSI IS A COMMUNITY LEADER IN PREVENTIVE FAMILY EDUCATION, PRESERVATION, AND CHILDCARE. 34 34 200 60 0 0 2577141 2770501 4132581 5104841 3745 10700 11587 49446 6725054 7935488 757000 598826 0 0 4401784 5238953 0 0 543578 2002739 1942292 7161523 7780071 -436469 155417 4202821 4673924 500317 526392 3702504 4147532 X RESPONDING TO THE CRY OF A CHILD. 0 0 1099487 598826 1266219 FOSTER CARE PROGRAMMING CONTINUES TO PROVIDE SAFE, NURTURING CARE FOR CHILDREN INVOLVED IN THE CHILD WELFARE SYSTEM DUE TO NEGLECT AND/OR ABUSE. 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 OR GUARDIANSHIP. CSI SERVED 160 UNDUPLICATED CHILDREN AND TEENS IN 2012. ADDITIONALLY, 100% OF THE YOUTH SERVED IN 2012 BY CSI FOSTER PARENTS HAD EITHER NONE OR NO MORE THAN 1 PLACEMENT DISRUPTION. 755124 759417 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 99 UNDUPLICATED CLIENTS IN 2012 WITH AN AVERAGE DAILY CENSUS OF 11.25 (THE PROGRAM IS LICENSED TO SERVE UP TO 12 YOUTH AT ANY GIVEN TIME) AND AN AVERAGE LENGTH OF STAY OF 42.1 DAYS. 2365135 2246948 THE EARLY CHILDHOOD EDUCATION CENTER SERVED 178 CHILDREN, AGES 6 WEEKS TO 6 YEARS, PROVIDING DEVELOPMENTALLY BASED PROGRAMMING WITH A FOCUS ON SCHOOL READINESS. 25% OF CHILDREN SERVED WERE FROM LOW INCOME FAMILIES. 93% OF ALL DISCHARGED CHILDREN WERE DEVELOPMENTALLY ON TARGET AT DISCHARGE, AND 100% OF CHILDREN DISCHARGED DUE TO THE SCHOOL ENROLLMENT DEMONSTRATED APPROPRIATE SCHOOL READINESS SKILLS. THE SPELLMAN CHILD DEVELOPMENT CENTER ON THE COLLEGE OF SAINT MARY CAMPUS SERVED 182 CHILDREN, AGES 6 WEEKS TO 6 YEARS; 28% OF CHILDREN RECEIVED STATE SUBSIDY. 90% OF ALL DISCHARGED CHILDREN WERE DEVELOPMENTALLY ON TARGET AT DISCHARGE, AND 100% OF CHILDREN DISCHARGED DUED TO THE SCHOOL ENROLLMENT DEMONSTRATED APPROPRIATE SCHOOL READINESS SKILLS. 2202863 832257 OTHER MISCELLANEOUS PROGRAMS 2202863 832257 6422609 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 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 10 1 1 200 1 0 0 0 0 0 1 1 0 0 0 0 X 34 34 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 JOEL RUSSELL 1.00 1.00 X X 0 0 0 CINDY HEIDIER 1.00 1.00 X X 0 0 0 DONNETTE JANDA 1.00 1.00 X X 0 0 0 MIKE MCMILLAN 1.00 1.00 X X 0 0 0 KIMBERLY CAMERON 1.00 X 0 0 0 ANN BORCHERS 1.00 X 0 0 0 LAURA CROSBY 1.00 X 0 0 0 MARY DAUGHERTY 1.00 X 0 0 0 SHIREEN DEEDS 1.00 X 0 0 0 SUSAN ELLIS 1.00 X 0 0 0 JOHN EWING 1.00 X 0 0 0 JILL GOLDSTEIN 1.00 X 0 0 0 RENEE CAMPBELL 1.00 X 0 0 0 ROBERT HOLLINGSWORTH 1.00 X 0 0 0 NANCY HORNSTEIN 1.00 X 0 0 0 SHANNON HOY 1.00 X 0 0 0 KRISTOPHER COVI 1.00 X 0 0 0 AMY KNOTT 1.00 X 0 0 0 AMALA DUGGIRALA 1.00 X 0 0 0 SHANE GRAEVE 1.00 X 0 0 0 MELANIE HECKER 1.00 X 0 0 0 BRIAN MCDONALD 1.00 X 0 0 0 WENDY MOORE 1.00 X 0 0 0 SUSAN HENRY 1.00 X 0 0 0 CHRISTINE NIKUNEN 1.00 X 0 0 0 DERRICK HILL 1.00 X 0 0 0 RICK JENSEN 1.00 X 0 0 0 GREG VAN DYKE 1.00 X 0 0 0 NICK VONDRAK 1.00 X 0 0 0 JUDY WICKERSHAM 1.00 X 0 0 0 PAUL OLSON 1.00 X 0 0 0 RICH SCHRAGER 1.00 X 0 0 0 TASSO SIDERIS 1.00 X 0 0 0 BECKI WIECHMAN 1.00 0.00 X 0 0 0 PEGGY HARRIOTT 40.00 1.00 X 112772 0 10897 NA 0.00 X 0 0 0 SUSAN BAUMERT 40.00 1.00 X 81992 0 10627 194764 0 21524 1 0 0 0 0 321339 220060 419972 18188 1790942 88041 2770501 PROGRAM SERVICE REVENU 624100 5024075 5024075 MEAL REVENUE 624100 76871 76871 OTHER INCOME 624100 3895 3895 5104841 1356 1356 19160 9816 9344 9344 9344 93741 220060 61752 31989 31989 32395 14938 17457 17457 7935488 5104841 0 60146 598826 598826 216288 216288 3954596 3298208 388250 268138 116793 73884 30656 12253 553984 486939 47745 19300 397292 318644 53693 24955 461610 461608 2 7629 4587 18 3024 28015 24390 93 3532 100577 81394 1426 17757 37288 15731 539 21018 477044 348003 47030 82011 417279 373125 24380 19774 98410 85176 710 12524 37004 34881 45 2078 86858 79756 817 6285 65648 56143 1211 8294 MISCELLANEOUS 90971 52057 286 38628 DUES & SUBSCRIPTIONS 33959 29257 697 4005 7780071 6422609 813884 543578 4144 3110 819920 1373689 120669 120669 1204009 841186 190976 180344 740927 474994 256572 265933 1599382 1888993 7149 0 4202821 4673924 500317 521876 0 4516 500317 526392 X 1607397 1745685 2095107 2401847 3702504 4147532 4202821 4673924 X 155417 289611 X X 0 1 X 1 0 X 2205099 2656728 2264517 2577141 2770501 12473986 2205099 2656728 2264517 2577141 2770501 12473986 590377 11883609 27178 6676 4760 3745 1356 43715 12517701 25719196 0.94930 0.95950 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 4000 4000 0 EXPLANATION OF LOBBYING ACTIVITIES: 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. 3958895 19001 530558 90000 4418454 3795903 190000 -9480 17528 3958895 3007329 557618 305631 74675 3795903 1370307 1595766 110141 68885 3007329 1384151 12712 13444 40000 1370307 0.16410 0.65550 0.18040 0 1 1 93306 74335 18971 462307 340313 121994 185314 60346 124968 265933 BENEFICIAL INTEREST IN CHARITABLE REMAINDER ANNUITY TRUST 1888993 F 1888993 DUE TO A RELATED ORGANIZATION 4516 4516 X 8507707 205918 366301 572219 7935488 0 7935488 8062679 205918 76690 282608 7780071 0 7780071 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE INTENDED USES OF CHILD SAVING INSTITUTE, INC.'S ENDOWMENT FUNDS IS TO FUND SALARY OF A STAFF POSITION CREATED BY FUNDING FROM THE BOARD DESIGNATED FUNDS. IN 2011, THE CSI FOUNDATION WILL GRANT FUNDS TO CSI, INC FOR PURPOSES OF FUNDING THIS POSITION, RATHER THAN USING THE BOARD DESIGNATED FUNDS HELD WITHIN CSI, INC. THE ENDOWMENT FUNDS OF CHILD SAVING INSTITUTE FOUNDATION, INC. WILL NOT BE EXPENDED UNTIL THE FUND REACHES AT LEAST $5,000,000. AT SUCH TIME THE FUND REACHES THAT SUM AND THE BOARD DECIDES TO DISTRIBUTE EARNINGS, THE PROCEEDS WILL BE MADE AS GIFTS TO CSI, INC, FOR USES IT SEES FIT. GIFTED FUNDS MAY BE USED FOR OPERATING EXPENSES, AS WELL AS SPECIAL PROJECTS OR PROGRAMS. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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 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, 2012 AND 2011, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS ACCRUED. WITH FEW EXCEPTIONS, THE ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS ENDED PRIOR TO DECEMBER 31, 2009. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF CHARITABLE REMAINDER TRUST 289,611. FUNDRAISING & GAMING EXPENSES 76,690. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING & GAMING EXPENSES 76,690. CABARET DINNER 313801 220060 93741 22679 14070 25003 313801 220060 93741 22679 14070 25003 61752 31989 32395 12585 2353 0 0.90000 32395 12585 2353 14938 17457 NE 1 0 1 0 0.20000 0.80000 DAVID STEIN 4545 DODGE STREET OMAHA NE 68132 0 SARA ACHELPOH 44279 COORDINATES EVENTS THAT INCLUDE RAFFLE ACTIVITIES. THE SALARY SHOWN ABOVE IS HER REGULAR SALARY. SHE IS NOT PAID ADDITIONAL SALARY FOR GAMING ACTIVITIES. X 0 1 FOSTER CARE PAYMENTS 161 598825 SCHEDULE I, PART II FOSTER CARE PAYMENTS ARE MADE TO FOSTER PARENTS FOR THE CARE AND SUPPORT OF THE FOSTER CHILDREN. THE FOSTER CARE PROGRAM IS CLOSELY MONITORED. X 3 75456 AVERAGE HIGH LOW X RAFFLE PRIZES 12585 FAIR MARKET VALUE 0 1 0 FORM 990, PART VI, SECTION A, LINE 2 JILL GOLDSTEIN AND NANCY HORNSTEIN, BOTH BOARD MEMBERS, HAVE A FAMILY RELATIONSHIP. 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 ANNUAL 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 SENT. THE BOARD WILL THEN BE ASKED TO APPROVE THE FORM AT THE NEXT BOARD MEETING. ON SUCH OCCASION THE BOARD IS NOT ABLE TO MEET PRIOR TO THE FILING DEADLINE, INDICATION OF APPROVAL MAY BE MADE VIA EMAIL, PHONE CALL OR OTHER WRITTEN AND VERBAL MEANS. UPON GAINING BOARD APPROVAL, THE BOARD CHAIR WILL SIGN THE FORM 990, SIGNIFYING BOARD REVEIW AND APPROVAL THEREUPON. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY AND PROCEDURES ARE REVIEWD WITH TDOKE'S EACH YEAR AT ORIENTATION TO THE ORGANIZATION. ANNUALLY, CONFLICT OF INTEREST POLICY AND PROCEDURES ARE DISTRIBUTED TO TDOKE'S AT THE FIRST BOARD MEETING OF EVERY YEAR (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 OTHER AGENCIES SIMILAR TO CSI. BEGINNING IN MARCH 2012, SALARY INCREASES WERE BASED ON A MERIT PAY SYSTEM OF UP TO 4% INCREASES. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST, THE BOARD OF DIRECTORS SHALL MAKE AVAILABLE TOF PUBLIC INSPECTION, THE FOLLOWING DOCUMENTS: 1) IRS FORM 1023 2) IRS FORM 990 INCLUDING ONLY SUCH PORTION OF THE FORM AND ACCOMPANYING SCHEDULE REQUIRED TO BE MADE AVAILABLE FOR PULIC INSPECTION. SCHEDULE B - SCHEDULE OF CONTRIBUTORS IS SPECIFICALLY EXCLUDED. 3) AUDIT FINANCIAL STATEMENTS. ACCOMPANYING INFORMATION MAY NOT BE MADE AVAILABLE. 4) CONFLICT OF INTEREST POLICY. NEITHER BOARD NOR STAFF CONFLICT OF INTEREST FORMS SHALL BE MADE AVAILABLE. REQUESTS WILL BE RESPONDED TO 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF CHARITABLE REMAINDER TRUST 289,611. 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 HOLDING ASSETS NE 501(C)(3) 7 N/A 0 0 0 1 0 0 0 0 0 0 0 1 1 0 1 1 0 0 1 1 CHILD SAVINGS INSTITUTE FOUNDATION INC C 419972 ACTUAL AMOUNT RECEIVED CHILD SAVINGS INSTITUTE FOUNDATION INC K 324534 RENTAL AGREEMENT