2011-11-15T16:26:28-06:00 2010-12-31 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1700 BELLEVUE WA 98004 990 2010-01-01 910567261 WELLSPRING FAMILY SERVICES WELL 2068263050 1900 RAINIER AVENUE SOUTH SEATTLE WA 98144 SUSAN SHANNON 2068263050 2011-11-14 1 SARA ELIZABETH J HYRE 4254544919 2010 2016-02-24 21:20:13Z RUTHANN HOWELL 1900 RAINIER AVENUE SOUTH SEATTLE WA 98144 12849408 0 X WWW.WELLSPRINGFS.ORG X 1892 WA TO BUILD EMOTIONALLY HEALTHY SELF-SUFFICIENT FAMILIES AND A NON-VIOLENT COMMUNITY IN WHICH THEY CAN THRIVE. 24 24 155 659 0 0 9409981 5015728 7921797 7715702 53984 9768 -39496 26582 17346266 12767780 794706 1556110 0 0 7020684 7646495 6202 0 446701 4343851 4164830 12165443 13367435 5180823 -599655 20992599 20359495 7367471 7312973 13625128 13046522 X TO BUILD EMOTIONALLY HEALTHY SELF-SUFFICIENT FAMILIES & A NON-VIOLENT COMMUNITY IN WHICH THEY CAN THRIVE. 0 0 4863862 1269363 SERVICES FOR HOMELESS AND AT-RISK FAMILIES INCLUDING SPECIALIZED CHILDCARE, CLOTHING AND OTHER ESSENTIAL ITEMS FOR HOMELESS CHILDREN. SUPPORTIVE SERVICES, INCLUDING CASE MANAGEMENT, COUNSELING AND ASSISTANCE WITH BASIC NEEDS TO ASSIST THE HOMELESS IN MOVING FROM DEPENDENCY TO SELF-SUFFICIENCY. SERVED 2,357 FAMILIES IN 2010. 2863958 3507874 EMPLOYEE ASSISTANCE PROGRAM PROVIDES EMPLOYEE ASSESSMENT, COUNSELING, WORK-LIFE BALANCE SERVICES, WORKPLACE SEMINARS AND CONSULTATION. SERVED 131,341 CLIENTS IN 2010. 3363278 286747 3982602 PROFESSIONAL COUNSELING, EDUCATION AND SUPPORT FOR FAMILIES AND PARENTS OF NEWBORNS AND INDIVIDUALS FROM A VARIETY OF CULTURES WITH RELATIONSHIP, JOB/CAREER AND EMOTIONAL/BEHAVIORAL PROBLEMS. SERVED 2,357 CLIENTS IN 2010. 329074 225226 DOMESTIC VIOLENCE INTERVENTION AND PREVENTION SERVICES PROVIDE STATE CERTIFIED DOMESTIC VIOLENCE INTERVENTION FOR BATTERERS AND RESPECTFUL PARENTING SKILLS TRAINING. SERVED 140 CLIENTS IN 2010. 329074 225226 11420172 1 1 0 0 0 0 0 0 1 1 0 1 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 1 544 0 1 155 1 0 0 0 0 0 1 1 0 0 0 0 X 24 24 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WA X TINA DRAUGHON 2068263041 1900 RAINIER AVENUE SOUTH SEATTLE WA 98144 PAMELA CONE 2.00 X X 0 0 0 RICHARD WAGNER 2.00 X X 0 0 0 BRAD MCKEOWN 2.00 X X 0 0 0 WILLIAM WEIGAND 2.00 X X 0 0 0 CHRIS AGGERHOLM 2.00 X X 0 0 0 KEVIN OSBORNE 2.00 X X 0 0 0 BRIAN BUCKLEY 2.00 X 0 0 0 JESSICA CANTLIN 2.00 X 0 0 0 JEFF CORDICK 2.00 X 0 0 0 KEVIN FISHER 2.00 X 0 0 0 FAITH HAVICK 2.00 X 0 0 0 SUSANNA HURLEY 2.00 X 0 0 0 STEVEN LOSLEBEN 2.00 X 0 0 0 KATHY LOWER 2.00 X 0 0 0 JILL MACKIE 2.00 X 0 0 0 TRACY MCPHEE 2.00 X 0 0 0 GEOFFREY MELROSE 2.00 X 0 0 0 MARK METCALF 2.00 X 0 0 0 ANNE NIELSEN 2.00 X 0 0 0 JONATHAN PERRINO 2.00 X 0 0 0 BETH PEARSON 2.00 X 0 0 0 LYNNETTE RICHMANN 2.00 X 0 0 0 CHRISTIAN SCHILLER 2.00 X 0 0 0 SCOTT SHAPIRO 2.00 X 0 0 0 RUSSELL YOUNG 2.00 X 0 0 0 RUTHANN HOWELL 50.00 X 129360 0 13319 SUSAN SHANNON 40.00 X 38465 0 6851 LAUREN THOMAS 40.00 X 43111 0 9006 RICHARD KEITH MYERS 40.00 X 100547 0 11878 311483 0 41054 2 0 0 0 SOUND OPTIONS INC 3518 6TH AVENUE SUITE 300 TACOMA WA 98406 EMPLOYEE ASSISTANCE 216012 1 846599 437482 2656113 1075534 195139 5015728 COUNSELING SERVICES 621300 3982602 3982602 EMPLOYEE ASSISTANCE 624100 3507874 3507874 DOM VIOLENCE INTER/PRE 621300 225226 225226 7715702 7155 7155 2613 2613 2613 2613 15000 437482 81628 -66628 -66628 INTER-AGENCY RECEIPTS 900099 53745 53745 TRAINING REVENUE 900099 33159 33159 MISCELLANEOUS REVENUE 900099 6306 6306 93210 12767780 7715702 0 36350 1556110 1556110 240112 240112 6028254 5133918 633056 261280 211572 185048 14492 12032 654253 584108 56053 14092 512304 430547 60042 21715 110097 110097 55272 55272 1722845 1710084 12761 100397 53618 44239 2540 400781 324727 60823 15231 126800 108846 16491 1463 536378 480352 56026 1247 1247 562288 414296 130977 17015 263223 190981 52444 19798 EQUIPMENT MAINTENANCE 146982 72714 43811 30457 VOLUNTEER AND DONOR EXP 73837 2548 20211 51078 EMPLOYEE RECRUIT/RECOG 64683 5659 59024 13367435 11420172 1500562 446701 1200409 1430667 462261 1647396 1243886 1404700 902227 395380 443706 17154016 1527996 16118668 15626020 226046 250728 20992599 20359495 885487 1018156 6481984 6294817 7367471 7312973 X 12140276 12109302 1442352 894720 42500 42500 13625128 13046522 20992599 20359495 X -599655 21049 X 0 1 1 X 1 1 X 4289710 6009164 5880704 9409981 5015728 30605287 17400 14400 14400 14400 14400 75000 4307110 6023564 5895104 9424381 5030128 30680287 1280735 29399552 82322 46434 53984 7155 189895 34565 28119 93210 155894 31026076 35734598 0.94760 0.94140 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 42500 42500 32250 10250 42500 5750 26500 32250 0.00000 1.00000 0.00000 0 0 2456349 2456349 13588083 672367 12915716 422232 330953 91279 687352 524676 162676 15626020 12767780 13367435 -599655 21049 21049 -578606 13017275 21049 146818 167867 12849408 -81628 -81628 12767780 13595881 146818 81628 228446 13367435 0 13367435 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: ENDOWMENT FUNDS WERE ESTABLISHED UNDER THE CAPITAL CAMPAIGN AND THE FUNDS ARE TO BE USED FOR CREATING A FUTURE FUNDING SOURCE FOR THE ORGANIZATION AND THE PROGRAMS THAT SERVE CLIENTS. PART XII, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES -81,628. PART XIII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 81,628. LUNCHEON 452482 437482 15000 46936 34692 452482 437482 15000 46936 34692 81628 -66628 1 HOUSING ASSISTANCE 377 1235088 FAIR MARKET VALUE HOUSING ASSISTANCE, INCLUDING PAYMENTS FOR RENT, UTILITIES, GROCERY DEBIT CARDS, OR IDENTIFICATION REPLACEMENT ON BEHALF OF CLIENTS DOMESTIC VIOLENCE INTERVENTION AND PREVENTION 140 321022 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: ALL GRANTS TO INDIVIDUALS ARE AWARDED AND DOCUMENTED THROUGH A PROCESS THAT IS MANAGED BY AGENCY CASE WORKERS. ONCE APPROVED, FUNDS ARE DISBURSED IN ACCORDANCE WITH AUTHORIZED DOCUMENTATION. EXAMPLES INCLUDE PAYMENT OF RENT ON BEHALF OF CLIENTS, PAYMENTS TO GOVERNMENT OFFICES FOR REPLACEMENT OF LEGAL IDENTIFICATION OR GIFT CARDS FOR PURCHASE OF FOOD. GRANTS ARE BUDGETED AT THE FUNDING SOURCE AND PROGRAM LEVEL TO ENSURE THAT OVERALL GRANT EXPENDITURES MEET THE REQUIREMENTS OF THE FUNDING SOURCES AS WELL AS THE FINANCIAL RESOURCES OF THE AGENCY. X 195139 FAIR MARKET VALUE 0 0 1 0 FORM 990, PART I, LINE 6: NUMBER OF VOLUNTEERS THE NUMBER OF VOLUNTEERS IS TRACKED BY THE HOUSING PROGRAM, BABY BOUTIQUE AND FUND DEVELOPMENT PROGRAMS. 22% VOLUNTEER IN HOUSING SERVICES, ASSISTING FAMILIES IN THE PREVENTION AND INTERVENTION HOUSING PROGRAMS. 63% VOLUNTEER IN BABY BOUTIQUE, SETTING UP AND STORING THE DONATIONS FOR FAMILIES TO GET FREE BABY SUPPLIES, CLOTHES AND TOYS. 15% HELP WITH THE ANNUAL LUNCHEON. FORM 990, PART VI, SECTION A, LINE 4 DURING THE YEAR THE FOLLOWING AMENDMENTS WERE MADE TO THE BYLAWS: 1. REVISED BYLAWS STATE WHO IS RESPONSIBLE FOR ESTABLISHING THE BOARD MEETING CALENDAR. 2. REVISED BYLAWS REFLECT CURRENT PRACTICE AND CLARIFY HOW COMMITTEE MEMBERS ARE SELECTED AND CONFIRMED. 3. REVISED BYLAWS REPLACE THE CURRENT "RESOURCE DEVELOPMENT COMMITTEE," WHICH WAS A PLACEHOLDER STATEMENT, WITH A DESCRIPTION OF THE NEW STEWARDSHIP COMMITTEE. 4. REVISED BYLAWS INCREASE THE SIZE LIMIT FOR THE BOARD DEVELOPMENT COMMITTEE TO MATCH OTHER COMMITTEES. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PREPARED BY THE OUTSIDE CPA FIRM. BOARD MEMBERS ARE PROVIDED COPIES OF THE FORM 990 PRIOR TO FILING WITH THE IRS. IN ADDITION, THE FORM 990 IS REVIEWED AND APPROVED BY THE FINANCE COMMITTEE, WHO THEN PRESENT IT TO THE FULL BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY AND DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST ANNUALLY. THE POLICY IS MONITORED AND ENFORCED AS A PART OF THE FISCAL AUDIT PROCESS. THE AUDIT COMMITTEE ADDRESSES ANY FINDINGS IF THERE ARE ANY. IF A CONFLICT ARISES, THE BOARD MEMBER RECUSES HIM/HERSELF FROM VOTING AND DISCUSSIONS ON THE RELEVANT MATTER WITH THE AUDIT COMMITTEE. FORM 990, PART VI, SECTION B, LINE 15 ANNUALLY, IF THERE IS A SALARY INCREASE, THE BOARD EXECUTIVE COMMITTEE REVIEWS AND APPROVES THE SALARIES OF THE CEO AND SENIOR EXECUTIVES. THE APPROVAL INCLUDES VERIFICATION BY THE APPROVING MEMBERS THAT THEY ARE INDEPENDENT AND UNRELATED TO THE EXECUTIVES. COMPENSATION MARKET DATA IS USED TO MAKE THE DECISION. THE LAST REVIEW WAS DONE IN DECEMBER 2009. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FAMILY SERVICES PROPERTY LLC 1900 RAINIER AVENUE SOUTH SEATTLE WA 98144 260217889 OWNERSHIP OF FACILITY USED BY WELLSPRING FAMILY SERVICES WA 440000 15658694 N/A 1