OMBNo 15450047

Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue (except black lung benefit trust or private foundation) Departmentof the Treasury InternalRevenue Service A For the 2010 calendar Code • The organizationmay haveto use a copyof this return to sattsfy state reportmgrequrernents. year, or tax year beginning TEACHERS DOing Business As Numberand street(or PObox If mall ISnol deliveredto streetaddr) 72 CHESTER PLACE City,townor country ,2010, INSTITUTE, and ending INC.

2010
Open to Public Inspection

,
0 EmployerIdentificationNumber
22-3068671 number E Telephone (914) 235-0479 435,034. Yes Yes ~NO No

B CheckIf applicable

C Nameof organization COMMUNITY

~M'''~~~' Namechange
Initial return Terminated

I
NY

Room/sude

State ZIP code+ 4 10538

o
I J

Amendedreturn

LARCHMONT TIMOTHY GREEMAN 72 CHESTER AVENUE LARCHMONT 501 (c) (

G Grossreceipts $

Applicationpending F Nameand addressof pnncrpal officer NY 10538 IxlS01(c)(3) n

Tax-exemptstatus Website: • N/A Formof organization

)... (msert no)
Assoctatron

H(a) Is tlus a groupreturnfor affiliates' ~ H(b) Are all affiliatesIncluded' If 'No,'attacha list (seeinstructions) H(c) Groupexemptionnumber •

n

4947(a)(I) or nS27

I Part
G)

K

I
1

I Summary

Ix I Corporation I I Trust I I
the organization's mission

I I Other·
activities

I L Yearof Formation 1989

I M Stateof legatdomicile

NY

Bnefly describe

or most significant

0

_OR~O_R1'QtiI1'l~S_1'Q_

_UB~liN_1'~A_CB~'3..S_

:!!-_!_R_Oll~H _§XtiP_9§!.U_M_§ L _S_E:~!.N_!\B-~,_A~Q _

TO PROVIDE PROFESSIONAL DEVELOPEMENT ----------------------------_S_U~tiE_R _________ 1'!:!~ B~~R_Yl'!:.MJ:~'!:. UNDERPRIVILEDGED ~et ;s~ets,3 4

c: <II c: .... > 0 0
DfI
G)

.J~~T.J1'Q_T_EE =- _TQ _Q_EE!~N_ ~tiD_ !tiP_1,~tiE~1' _P_R9~~~ _T~T _ _§Q~P.9~~ QUALIFIED COMMUNITY TEACHERS FOR SCHOOL DISTRICTS THAT SERVE 2 3 4 5 6 Che~kth~s-b~x-.-

_0E' _H_I§!:!L_Y_
STUDENTS. - - - - - - -3 3 4 3

0- ;fthe-o~g~~z;t;;~
employed (estimate

~s~o~t~~d

rts-ope~at;o~;

o~ dl;p;;-s;d-of

':;;o~e-tha~ 25%~flt~

:! 'S:
~ <

If)

Number of voting members of the governing body (Part VI, line 1a) Number of independent voting members of the governing body (Part VI, line 1b) Total number Total number b Net unrelated of Individuals of volunteers busmess busmess and grants revenue In calendar year 2010 (Part V, line 2a) If necessary) - P"

7a Total unrelated

revenue taxable

from Part VIII, column

« ),
CD

Ilne~b

CE IVe D

,

5 6 7a 7b Prior Year 471 503. 1,015. 472 518. 435,034. 6,083. Current Year 434,966. 68.

Income from Form 990-T, I ne

,- ~--IS-,2

O.

a:

e > G)

:::I

GI

..

8 9 10 11 12 13 14 15

Contnbutrons Program

(Part VIII, line lh) (Part VIII, line 2g)

en eo

service

Investment income (Part VIII, column (A), lines 3, 4, and Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 1 c, an Total revenue Benefits Salanes, - add lines 8 through Grants and Similar amounts other compensation, palo (Part IX, column (Part IX, column employee benefits (A), lines 1-3) (A), line 4)

C) Q~DEN UT
' (A), line 12)

-------- - - - --,---- I~

I AUG o s 2011 10 en

11 (must equal Part VIII, column

paid to or for members

o. o.

O.
190 552.

(Part IX, column

(A), lines 5-10)

348,018.

If)

G)
If)

e

16a Professional fundrarsmq

fees (Part IX, column (Part IX, column

(A), line 11e) 32,266. 155,454. (A), line 25} 503 472. -30,954. Begmnmg of Current Year 53,069. 1591989. 112 -101,626. 233 105. 5,294. End of Year 979. 214,605. 429,740.

II> Q,

~

b Total fundraismq expenses 17 18 19 Other expenses Total expenses Revenue

(D), line 25) •

(Part IX, column Subtract

(A), lines 11a-11 d, llf-24f) line 18 from line 12

Add lines 13-17 (must equal Part IX, column

less expenses

bg

J,ll

• .!

0<

20 21

Total assets (Part X, line 16) Total liabilities (Part X, line 26) Subtract lrne 21 from line 20 Net assets or fund balances

~'g Z,I

I Part

22

II

I Signature

-106,920.

Block

Underpenalues of perjury, I declarethat I haveexaminedtrus return,Includingaccompanying schedules statements,and to the bestof my knowledge belief,It IStrue,correct.and and and complete Declaration preparer(ot thanofficer)ISbasedon all Informahon whichpreparerhasany knowledge of of

Sign Here Paid Preparer Use Only ~~~~~~~~------------~~--~~--------------------------------PnnVT preparer'sname ype DENNIS P. LAVIN Film's EIN •
[Pnone no

Check

PTIN

Film's name ~ LAVIN AND Film's address ~...;:3::;:5'-'--'--6,;::3=--E...,;;..;;"-'T,;::R'-E-=Mc.:.0=--=N-=T:-=:...A~V:.;:;E'-=:;,_+-----------------I BRONX NY shown above? see the separate instructions. 10465-2017
TEEA0101

(718j

863-5500

May the IRS diSCUSS thrs return With the preparer BAA For Paperwork Reduction Act Notice,

(see mstructions)
03/25111

IX]

Yes

0 No

Form 990 (2010)

I Part

Form

990
III

(2010)

I

COMMUNITY

TEACHERS

INSTITUTE,

INC.
10

22-3068671
this Part III

Page 2

Statement of Program Service Accomplishments
Check If Schedule 0 contains a response to any question

0
_ _

Briefly describe the organization's mission YQ_~RQ~~D~_~R~£~~~Q~A~_~~V~~~P~~~NY ~R~O_R1'Q~I1'.!~S_1'Q _UB~~N_ :!~A_CB~~S_ :!IiR_Ol1~H_ .§rl1p_9§!_U_MEL _S~~!_N_!\B~,_A~Q _SJJ~t:!E_R

_?~e_f2r~2~!....P2g_e_?!....P2Q.l!!,_L!!l~
2

L~o.!!t.!E1~es!)

_

Did the organization undertake any significant program services dunnq the year which were not listed on the prior Form 990 or 990-EZ? If 'Yes,' describe these new services on Schedule 0 Did the organization cease conducting, or make Significant changes

0

Yes Yes

~ ~

No No

3 4

10

how It conducts, any program services?

o

If 'Yes,' descnbe these changes on Schedule O. Describe the exempt purpose achievements for each of the organization's three largest program services by expenses. Section 501(c)(3) and 501(c)(4) organizations and section 4947(a) (1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, If any, for each program service reported ) (Expenses $

4a(Code.

46,068.

mcludmq qrants of

$

O.)(Revenue

$

6,083.)

Ji~~o_lil~ _i_!l_~e_si-c:!~n_s:~ _P.F29.r_a~_<!e~1:crn_e.9_~o_ ~~.P2£t_

~~~e'p:!:):_o_n2!._t~~~h~!~

_

4b (Code ____

) (Expenses $

mcludinq grants of $

) (Revenue

$

_

4c (Code

) (Expenses $

_

IOcludlng grants of

$

) (Revenue

$

_

4d Other program services (Describe (Expenses $
4e Total program service expenses

10

Schedule 0 ) 'J1c1ud'ng grants of

) (Revenue $
10/0611 0

~

46,068.
TEEAO102

BAA

Form 990 (2010)

Form 990' (2010)

lPart IV
1

I

COMMUNITY

TEACHERS

INSTITUTE

,

INC

22-3068671

Page 3

Checklist of Required Schedules Yes No
described required In section to complete 501 (c)(3) or 4947(a)(1) Schedule B, Schedule (other than a private of Contributors? activities foundation)? If 'Yes,' complete 1 (see Instructions) to candidates 3 or have a section 501 (h) election X X X X

Is the organization Schedule A Is the organization

2
3

2

Old the organization engage In direct or indirect political for public office? If 'Yes,' complete Schedule C, Part I

campaign

on behalf of or In opposition

4
5

Section 501 (cX3) organizations

Old the organization engage In lobbyrnq activities, In effect dunnq the tax year? If 'Yes, ' complete Schedule C, Part 11

4
5

Is the organization a section 501 (c) (4) , 501 (c)(5), or 501 (c) (6) organization assessments, or similar amounts as defined In Revenue Procedure 98·19?

that receives membership dues, If 'Yes,' complete Schedule C, Part III where donors have the right to If 'Yes,' complete Schedule 0, open space, the If 'Yes,'

6

Old the o~anlzatlon maintain any donor advised funds or any similar funds or accounts provide a vice on the drstnbution or Investment of amounts In such funds or accounts? Part I

6 7

X X X

7

Old the organization receive or hold a conservation easement, Including easements to preserve environment, historic land areas or historic structures? If 'Yes,' complete Schedule 0, Part II Old the organization maintain collections complete Schedule 0, Part III of works of art, histoncal treasures, or other similar

8
9

assets?

8

Old the organization report an amount In Part X, line 21, serve as a custodian for amounts not listed In Part X, or provide credit counseling, debt management, credit repair, or debt negotiation services? If 'Yes,' complete Schedule 0, Part IV Old the orqaruzatron, directly or through 'Yes, ' complete Schedule 0, Part V If the organization's or X as applicable a Old the organization 0, Part VI a related orqaruzatron, questions hold assets In term, permanent, IS 'Yes', then complete Schedule or quasr-endowments? I

9

X X

10 11

10

answer to any of the following report an amount

0, Parts VI, VII, VIII, IX,
Schedule

for land, burldrnqs and equipment

In Part X, line 10? If 'Yes,' complete

11a 11 b 11 c lld 11 e 11f 12a 12b 13 14a 14b 15 16 17 18 19 20

X X X X X X X X X X X X X X X X X

b Old the organization report an amount for Investmentsother securities In Part X, line 12 that IS 5% or more of ItS total assets reported In Part X, line 16? If 'Yes,' complete Schedule 0, Part Vil c Old the organization report an amount for Investmentsprogram related In Part X, line 13 that IS 5% or more of ItS total assets reported In Part X, line 16? If 'Yes,' complete Schedule 0, Part VIII d Old the organization report an amount for other assets In Part X, line 15 that IS 5% or more of ItS total assets reported In Part X, line 16? If 'Yes, ' complete Schedule 0, Part IX e Old the organization report an amount for other liabilities In Part X, line 25? If 'Yes,' complete Schedule 0, Part X

f Old the organization's
the organization's

separate or consolidated financial statements for the tax (,ear Include a footnote that addresses liability for uncertain tax positions under FIN 48 (ASC 740)? f 'Yes,' complete Schedule 0, Part X Independent audited fmancral statements for the tax year? If 'Yes,' complete

12a

Old the or2;?nlzatlon obtain s~arate, Schedule ,Parts XI, XII, an XIII

b Was the organization Included In consolidated, Independent audited fmancral statements for the tax year? If 'Yes,' and If the organization answered 'No' to line 12a, then completing Schedule 0, Parts XI, XII, and XIII IS ootionel

13 14a

Is the organization Old the organization

a school described maintain an office,

In section

170(b)(1 )(A)(II)?

If 'Yes,' complete

Schedule

E

employees,

or agents outside

of the United States?

b Old the organization have aggregate revenues or expenses of more than $10,000 from qrantrnakrnq, fundrarsmq, business, and program service activities outside the United States? If 'Yes, ' complete Schedule F, Parts I and IV

15 16 17 18 19 20

Old the orqaruzatron report on Part IX, column (A), line 3, more than $5,000 of grants or assistance or entity located outside the United States? If 'Yes,' complete Schedule F, Parts II and IV

to any organization to

Old the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance individuals located outside the United States? If 'Yes,' complete Schedule F, Parts III and IV Old the organization report a total of more than $15,000 of expenses for professional column (A), lines 6 and 11e? If 'Yes,' complete Schedule G, Part I (see instructions) Old the organization report more than $15,000 total of fundrarsinq lines 1c and Ba? If 'Yes,' complete Schedule G, Part II Old the organization complete Schedule aOld the organization report more than $15,000 G, Part III operate fundrarsmq services

on Part IX, on Part VIII,

event gross Income and contributions activities H

of gross Income from gaming If 'Yes,' complete

on Part VIII, line 9a? If 'Yes,' .

one or more hospitals?

Schedule

b If 'Yes' to line 20a, d.d the olyanlzauon attach ItS audited financial statements to this return? Note. Some Form 990 filers that operate one or more hospitals must attach audited fmancial statements (see Instructions)

BAA

TEEA0103

12121110

Form 990 (2010)

I Part IV ,I Checklist

Form 990' (2010)

COMMUNITY

TEACHERS

INSTITUTE

of Required Schedules

(continued)
Yes No

"

INC

22-3068671

Page 4

21 Old the organization report more than $5,000 of grants and other assistance to governments and organizations In the
United States on Part IX, column (A), line 1? If 'Yes,' complete
Schedule I, Parts I and II

21
22

X X X X

22

Old the organization report more than $5,000 of grants and other assistance to Individuals In the United States on Part IX, column (A), line 2? If 'Yes,' complete Schedule I, Parts I and III Old the organization answer 'Yes' to Part VII, Section A, line 3, 4, or 5 about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees? If 'Yes,' complete
Schedule J

23

23 24a 24b 24c 24d 25a 25b 26 27

24a Old the organization have a tax-exempt bond Issue with an outstandln~ principal amount of more than $100,000 as of
the last da of the year, and that was Issued after December 31, 2002
complete K If 'No, 'go to Ime

S chedule

25

If 'Yes,' answer Imes 24b through 24d and

.

b Old the organization Invest any proceeds of tax-exempt bonds beyond a temporary period exception? c Old the organization maintain an escrow account other than a refunding escrow at any time dunnq the year to defease any tax-exempt bonds? d Old the organization act as an 'on behalf of' Issuer for bonds outstanding at any time dunno the year?

25a Section 501(cX3) and 501(cX4) organizations.Old the organization engage In an excess benefit transaction with a
disqualified person dunnq the year? If 'Yes, ' complete
Schedule L, Part I

X X X X
-, ,
'f'V _-....

b Is the organization aware that It engaged In an excess benefit transaction with a disqualified person In a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ? If 'Yes,' complete
Schedule L, Part I

26 Was a loan to or by a current or former officer, director, trustee, key emplo~ee, highly compensated employee, or
disqualified person outstanding as of the end of the organization's tax year
If 'Yes,' complete Schedule

L, Part II

27

Old the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an mdivrdual? If 'Yes,' complete
Schedule L, Part III

28 Was the organization a partt to a business transacuon with one of the following parties (see Schedule L, Part IV
instructions for applicable fling thresholds, conditions, and exceptions): a A current or former officer, director, trustee, or key employee? If 'Yes,' complete
Schedule L, Part IV Schedule L, Part IV

:"P:,
28a 28b 28c 29 30 31 32 33
34

"

5-',
"

-~---

-X X X X X X X X X X

...

b A family member of a current or former officer, director, trustee, or key employee? If 'Yes,' complete c An entity of which a current or former officer, director, trustee, or key employee tor a family member thereof) was an officer, director, trustee, or direct or Indirect owner? If 'Yes,' complete Schedule ,Part IV 29 Old the organization receive more than $25,000 In non-cash contributions? If 'Yes,' complete Schedule M

30 Old the organization receive contributions of art, historical treasures, or other Similar assets, or qualified conservation
contributions? If 'Yes,' complete
Schedule

M

31 Old the organization liquidate, terminate, or dissolve and cease operations? 32 Old the or~nlzatlon
Schedule ,Part II

If 'Yes,' complete

Schedule .

N, Part I

sell, exchange, dispose of, or transfer more than 25% of ItS net assets? If 'Yes,' complete

33 Old the or~anlzatlon own 100% of an entity disregarded as separate from the organization under Regulations sections
301,7701line 1

and 301 7701-3? If 'Yes,' complete

Schedule

R, Part I

34 Was the organization related to any tax-exempt or taxable entity? If 'Yes, ' complete

Schedule

R, Parts II, III, IV, and V,

35

Is any related organization a controlled entity Within the meaning of section 512(b)(13)? a Old the organization receive a~~ayment from or engage In an,; transaction With a controlled entity Within the meaning of section 1 (b)(13)7 If 'Yes,' complete Sc edule R, Part V, line 2

35 DYes

IKl No
36

36

Section 501(cX3) organizations.Old the o~anlzatlon make any transfers to an exempt non-charitable related organization? If 'Yes,' complete Schedule ,Part V, Ime 2
treated as a partnership for federal Income tax purposes? If 'Yes,' complete
Schedule R, Part Vi

X X X

37 Old the organization conduct more than 5% of ItS activities through an entity that IS not a related organization and that IS
38

37
38

Old the or~anlzatlon complete Schedule 0 and provide explanations In Schedule 0 for Part VI, lines 11 and 19? Note. All orm 990 filers are required to complete Schedule 0

BAA

Form 990 (2010)

TEEA0104

12121110

I Part

Form 990' (2010)

V

I

COMMUNITY

TEACHERS
a response

INSTITUTE,
to any question

INC.
In this Part V

22-3068671

Page S

Statements Regarding Other IRS Filings and Tax Compliance
Check If Schedule

0 contains

1 a Enter the number reported In Box 3 of Form 1096 Enter -0- If not applicable b Enter the number of Forms W-2G Included In line 1a Enter -0- If not applicable

o o
to vendors and reportable gaming

Yes

No

n

c

Did the organization (gambling) winnings ments,

comply with backup withholding to prize winners?

rules for reportable

payments

2a Enter the number of employees
flied for the calendar b If at least one IS reported

reported on Form W-3, Transmittal of Wage and Tax state-I year ending with or within the year covered by thrs return file all required federal employment

2a

.I

1c 4 2b 3a 3b

X

on line 2a, did the organization business

tax returns?

X
X

Note. If the sum of lines 1a and 2a IS greater than 250, you may be required to e-flle 3a Did the organization
have unrelated b If 'Yes' has It filed a Form 990-T for thrs year? If 'No,' provide an explenetion

(see instructions) Q over, a

gross Income of $1,000 or more dunnq the year?
In Schedule

4a At any time dunnq the calendar year, did the organization
financial account In a foreign country

have an Interest In, or a signature or other authority (such as a bank account, secunties account, or other financial account)? ~ ---------------------------1 for Form TD F 90-22 1, Report of Foreign Bank and Fmancial tax shelter transaction at any time dunnq the tax year? tax shelter transaction? that It was or IS a party to a prohibited file Form 8886-P greater than $100,000, statement Accounts

4a

X

b 'Yes,' enter the name of the foreign country If
See Instructions for filing requirements

Sa Was the organization a party to a prohibited b Did any taxable party notify the organization

Sa Sb Sc

X X

c 6a

If 'Yes,' to line 5a or 5b, did the organization

Does the organization have annual gross receipts that are normally solicit any contributions that were not tax deductible? Include With every solicitation not tax deductible'

and did the organization or gifts were

6a
6b

X

b If 'Yes,' did the oroaruzatron 7

an express

that such contributions

Organizations that may receive deductible contributions under section 170(c).

I----'~--t-and partly for goods and

a

Did the organization receive a payment services provided to the payor? sell, exchange,

In excess of $75 made partly as a contribution

b If 'Yes,' did the organization c Did the organization Form 8282?

notify the donor of the value of the goods or services or otherwise dispose of tangible personal

provided? for which It was required to file 1 contract?

7a 7b 7c 7e 7f 7g
j---.:7:_:h+-_+-_

X

property

X X X

d If 'Yes,' Indicate the number of Forms 8282 filed dunnq the year

!.._I_7:._:d=.JI'--on a personal benefit on a personal benefit contract? file Form 8899 file a

e

Did the organization

receive any funds, directly received a contribution . received a contribution

or Indirectly, directly

to pay premiums or Indirectly, property,

f Did the organization, g If the organization
as required? h If the organization Form 1098-C?

dunnq the year, pay premiums, of qualified

Intellectual

did the organization

of cars, boats, airplanes,

or other vehicles,

did the organization

8 9

supporting organization, or a donor advised holdings at any time dunnq the year? a Did the organization b Did the organization make any taxable make a distribution

Sponsoring organizations maintaining donor advised funds and section S09(aX3) supporting organizations. Did the
fund maintained by a sponsoring organization, have excess busmess

1-.=8-+_-1 9a 9b

__

Sponsoring organizations maintaining donor advised funds.
distributions to a donor, Included under section 4966? donor advisor, or related person?

10

Section SOl(cX7) organizations. Enter
a lrutratron fees and capital contributions on Part VIII, line 12

b Gross receipts, 11

Included

on Form 990, Part VIII, line 12, for public use of club facilities or shareholders due or paid to other sources

110al L._!l_::O.=b:.L., j.......!l...:.l.=a:.j-

-1 -1 -1 !--'1=2-=a+-_-t-l

Section SOl(cXl2) organizations. Enter a Gross Income from members
b Gross Income from other sources (Do not net amounts against amounts due or received from them)

L._!l...:.l.=b:.L., 12a Section 4947(aXl) non.exempt charitable trusts. Is the organization filing Form 990 In lieu of Forrr 1041? b If 'Yes,' enter the amount of tax-exempt Interest received or accrued dunnq the year L-...:.1=2.=b:.L.,I

I

__

13

Section SOl (cX29)
a Is the organization

qualified nonprofit health insurance issuers.
licensed to Issue qualified for additional health plans In more than one state? the organization must report on Schedule by the states In O.

13a

Note. See the instructions

information

b Enter the amount of reserves the organization IS required to maintain which the organization IS licensed to Issue qualified health plans c Enter the amount of reserves on hand

I tss]
13c
In Schedule Q

14a Did the orqaruzatron

receive any payments tor .ndoor tanrunq servrces dunnq the lax year? If 'No,' provide
TEEA01 05

b If 'Yes,' has It flied a Form 720 to report these payments?

an explanatIon

14a 14b

X

BAA

11130110

Form 990 (2010)

Form 996 (2010) COMMUNITY

TEACHERS

INSTITUTE,

INC.

22-3068671

Pa e 6

Part VI

Governance, Management and Disclosure For each 'Yes'response to lmes 2 through 7b below, and for a 'No' response to ltne Ba, Bb, or 1Db below, describe the circumstances, processes, or changes tn Schedule 0. See tnstructtons.
Check If Schedule

Section A. Governing Body and Management Yes
1a Enter the number of voting members of the governing body at the end of the tax year b Enter the number of voting members Included In line 1a, above, who are Independent
officer, director, trustee or key employee?

°

contains a response to any question In this Part VI

No

1 ~ :1
supervrsion

3 3

2 Did any officer, director, trustee, or key employee have a family relationstup or a business relationship with any other 3 Did the organization delegate control over management duties customarily performed by or under the direct 4
of officers, directors or trustees, or key employees to a management company or other person? Did the organization make any Significant changes to ItS governing documents since the pnor Form 990 was filed?

2 3 4 5 6 7a 7b

X X X X X X X

5 Did the organization become aware dunng the year of a Significant diversion of the organization's assets? 6 Does the organization have members or stockholders? 7a Does the organization have members, stockholders, or other persons who may elect one or more members of the
governing body?

b Are any decisrons of the governing body subject to approval by members, stockholders, or other persons? S Did the organization contemporaneously document the meetings held or wntten actions undertaken dunng the year by
the tollowmq

a The governing body? b Each committee with authonty to act on behalf of the governing body?
9 Is there any officer, director or trustee, or key employee listed In Part VII, Section A, who cannot be reached at the organization's mailing address? If 'Yes,' provide the names and addresses tn Schedule 0

Sa Sb
9

X X X

Section B. Policies (Ttus SectionB requestsmtotmstion aboutpoliCiesnot requuedby theInternalRevenue Code.) Yes No
lOa Does the organization have local chapters, branches, or affiliates? b If 'Yes,' does the organization have written pohcies and procedures governing the activities of such chapters, affiliates,
and branches to ensure their operations are consistent With those of the organization?

lOa lOb 11a 12a 12b 12c 13 14

X

11a Has the organization provided a copy of this Form 990 to all members of ItS governing body before filing the form? b Descnbe In Schedule the process, If any, used by the organization to review this Form 990. 12a Does the organization have a wntten conflict of Interest policy? If 'No,' go to Ime 13 b Are officers, directors or trustees, and key employees required to disclose annually Interests that could give nse

°

X X X X X X
I

to conflicts?

.

c Does the organization r"ularly Schedule 0 how im» IS one

and consistently monitor and enforce compliance With the policy? If 'Yes, ' describe m

13 Does the organization have a wntten whistleblower policy? 14 Does the organization have a written document retention and destruction policy? 15 Did the process for determining compensation of the followinq persons Include a review and approval by Independent
persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
oftrcral

a The organization's CEO, Executive Director, or top management b Other officers of key employees of the organization

--15a15b 16a 16b

,

-

X X

If 'Yes' to line 15a or 15b, descnbe the process In Schedule 0. (See instructions)

16a Did the organization Invest In, contnbute assets to, or participate In a JOintventure or Similar arrangement With a
taxable entity dunng the year?

X

b If 'Yes,' has the organization adopted a wntten policy or grocedure requiring the organization to evaluate ItS

participation In JOintventure arrangements under apphca Ie federal tax law, and taken steps to safeguard the organization's exempt status With respect to such arrangements?

Section C. Disclosure
17 List the states With which a copy of this Form 990 IS required to be filed • .?~e_FQr!!l~~!...P..9g_e _§!...L.!...n~ !JJC_P~I!!U~dl _ 1S Section 6104 requires an organization to make ItS Forms 1023 (or 1024 If applicable), 990, and 990·T (501(c)(3)s only) available for public
inspection Indicate how you make these available Check all that apply Own website

D
19

20

Descnbe In Schedule whether (and If so, how) the organization makes ItS governing documents, conflict of Interest POliCY, nd fmancral a statements available to the pubhc State the name, physical address, and telephone number of the person who possesses the books and records of the organization ·Y.!ti0_T.!.l:!':

°

D Another's

website

~

Upon request

co_ ~ ..

_GB~~~B

7_2_~H_E.§:!:~R_f~~C~

__ .!:o~~C.!.l~Q.NY

!:l'f __ 1_0~~1!.

L911)_5_7.§:.6J!~ Form 990 (2010)

TEEA0106

03/25111

I Part VII I Compensation
Check If Schedule

Form 990' (2010)

TEACHERS INSTITUTE, INC. 22-3068671 of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
0 contains
a response required to any question
In this Part VII

COMMUNITY

Page 7

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
, a Complete this table for all persons organization's tax year • List all of the organization's compensation Enter -0- In columns • List all of the organization's to be listed Report compensation for the calendar year ending with or within the regardless of amount of current offlcers{ directors, trustees (whether individuals (D), (E), and (F) If no compensation was paid current key employees, If any. See instructions or organizations),

0

for definition

of 'key employee' who and any of

• List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee) received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the organization related orqaruzatrons. • List all of the organization's former officers, key employees, and highest compensated reportable compensation from the organization and any related organizations employees who received

more than $100,000 of the

• List all of the organization's former directors or trustees that received, In the capacity as a former director organization, more than $10,000 of reportable compensation from the organization and any related organizations

or trustee

o

List persons In the following order individual employees; and former such persons Check thrs box If neither the organization

trustees

or directors,

institutional

trustees;

officers,

key employees; officer,

highest compensated or trustee

nor any related organization (B) Average hours perweek
(descnbe
related Posmon

compensated

any current (0)

director,

(A)
Nameand ntle

(C)
(checkall thai apply)
0 l
"i

(E)
Reportable cornpensanon from relatedO~anlZallOns (W·211 9·MISC)

(F)
amounlof other compensation from the
organization orqaruzauons Esumated

hoursfor

orqaruzabons In
0)

~ cQ t!t.
7.

~~ ~~
e,

::::

" ~
'<

Schedule

" X X X X X X

..

~

"" C ~

" 3

~~ "'" s ~~ :.1; ~
'I :J

Reportable compensallon from the organization (W 211099·MISC)

:t

!=
:J

and related

.~ I

~ ~

CHAIRMAN, BOD ____@_ ~l2.S_!l£:l3.N_ !l~~EB_!.:r,_I _____ FORMER EXEC DIRECTOR _@L~~~~_~O~~~B ________ CHAIRMAN, BOD _~L~~~Q~_!l~8~IB ________ MEMBER, BOD _~L~~RB~~_!l~8~F~liT~ _____ MEMBER, BOD _ ~L Q~~~~ _D_! _~A'y~~ ______ MEMBER, BOD _ @L __________________ _ ~L __________________

_ C!>_ :!:~M.9'!:IiY_ g8~E~li

"

Q.

______

20.00 40.00 10.00 10.00 10.00 10.00

o.
60,000.

o. o. o. o. o. o.

o. o. o. o. o. o.

o. o. o. o.

_0___________________

~~------------------~D___________________
~~-------------------

~~------------------~~------------------~~-------------------

~~------------------i'!)_________________
BAA

--I
1

IIII
TEEA0107

12121110

II

Form 990 (2010)

, INC Form 990 (2010) COMMUNITY TEACHERS INSTITUTE I Part VIII Section A. Officers, Directors Trustees Key Employees
(A)
Name and title

(B)

(c)

Page 22-3068671 and Highest Compensated Employees (cant) (E) (F) (0)
Reportable compensation from the or~nlzatlon 01'1·211 9·MISC) Reportable compensation from related o~anlzatlons 01'1·211 9·MISC) Estimated amount of other compensation from the organization and related organizations

8

Average Position (check all that apply) hours ::>< C1> :r -n ::J per wee~ ::J vo 0 C1> c. '< (describe <: cr c: (; hours for C. 3 C1> c: g related "C !!!. :> 5" C1> 8 orJam'< 3 za Ions 2" !!!. !a. 2 C1> In C1> :J II> Sch 0) C1> co

g §..g. ~ "' ~m 3 ~

"' "'

"
Kl

C1>

co c.

J~L________________________ .
~~L _________________________

J~L________________________ . J~L________________________ . J~L_________________________ J~L_________________________ J~L_________________________ J~L_________________________ J~L_________________________ J~~________________________ . J~L_________________________ J~L_________________________
1 b Sub-total

c
2

Total from continuation Total number

sheets to Part VII. Section A

d Total ~add lines 1 band from the organization

1c~
(including ~ but not limited

~ ~ ~
to those listed above) who received

60 000. 60[000.
more than $100,000

O. O.
In reportable

O. O.
compensation Yes No

of Individuals

3
4

Did the or~anlzatlon list any former officer, director or trustee, on line 1a If 'Yes, ' complete Schedule J for such mdsvidue!

key employee,

or highest compensated

employee

.'

3
<. e;

X
' ':;

For any tndrvidual listed on line 1a, IS the sum of reRortable compensation and other compensation from the organization and related organizations greater t an $150,000? If 'Yes' complete Schedule J for

such mdivuiue'

4 5
of

X X

5

Did any person listed on line 1a receive or accrue compensation from any unrelated organization for services rendered to the organization? If 'Yes,' complete Schedule J for such person

or individual

Section B. Independent
1

Contractors
Independent contractors that received more than $100,000

Complete thrs table for your five highest compensated compensa t Ion f rom t he orqaruza t Ion Name and business

(A)

address

Descnptron

(B)

of services

Compensation

(C)

2
BAA

Total number $100,000

of Independent

contractors

(Including •

but not limited
IEEA0108

to those listed above) who received
12121110

more than Form 990 (2010)

In compensation

from the organization

I Part Villi
I

Form

99Ci (2010)

COMMUNITY

TEACHERS

INSTITUTE

,

INC (A)
Total revenue (B) Related or exempt function revenue

22-3068671
(C)
Unrelated business revenue

Page 9 (0) Revenue excluded from tax under sections 512,513, or 514

Statement of Revenue

I ,
I

I

r:!r:!

1 a Federated b Membership
C Fundraismq

campaigns dues events

1a 1b 1c 1d 1e

:i! 0::
~:E

0

III",

29 366.

to::

a:5
vii
Zill

d Related

organizations

e Government rants (contnbutions) g

Qo::
~j!: 0:0
"'0
Zz

......
8'"

f All other contnbunons,giftS, grants, and
Similar amountsnot Includedabove 9 NoncashcontnbunonsIncludedIn Ins 1a-Ir h Total. Add lines 1a-1 f

1f

405,600.

$
Business Code

... ... ~ ... s ...
::>
Z

~

434,966.

2a b
C

0::

U 0::

-----------------------------------

III

d e

-----------------Add lines 2a-2f

:E
0:: Cl 0::
Q,

'"
0

f 3
4

----------------------------------All other program service revenue
Investment Income (Including other similar amounts) Income Royalties
(0) Real (II) Personal

9 Total.

~
Interest and bond proceeds

dividends,

from Investment

of tax-exempt

5

~ ~ ~

68.

68.

O.

O.

6a Gross Rents b Less: rental expenses c RentalIncomeor (loss) d Net rental Income or (loss) 7 a Grossamountfrom sales of assetsother than Inventory b Less' cost or other basis and sales expenses c Gain or (loss) d Net gain or (loss)
(0) Securttres (II) Other

, ~
-

--

--

:

~

- ---

--

~--

--

...
Z

::>

Sa Gross Income from fundraismq events (not Including $ 29, 366 . of contributions b Less reported on line 1c) a b events See Part IV, line 18 direct expenses c Net Income or (loss) from fundrarsinq 9a Gross Income from gaming See Part IV, line 19 b Less direct expenses actrvrtres

~ 0::

... 0
:II:

...
0::

~

a
b

c Net Income or (loss) from gaming lOa Gross sales of Inventory, and allowances b Less cost of goods sold
Miscellaneous Revenue

activities a b
Busoness Code

~

less returns

c Net Income or (loss) from sales of Inventory 11 a b

~

-----------------c
d All other revenue 112 TOlai revenue. e Total. Add lines lla-lld See Instructions

------------------

-----------------~

~I
TEEA0109

435,034.
10/11110

68.

0.1

O.
Form 990 (2010)

BAA

22-3068671
Section 501(c)(3) and 50 1(c)(4) orgamzat,ons must complete all columns All other orgamzat,ons must complete column (A) but are not requued to complete columns

Pa e

10

(B), (C), and (D)
Fundraismq expenses

00 not include amounts re/;_ortedon lines 6b, 7b, 8b, 9b, and TObof 'art VIII.
1 Grants and other assistance to governments and organizations In the U S See Part IV, line 21 Grants and other assistance to Individuals In the U.S See Part IV, line 22 Grants and other assistance to governments, organizations, and individuals outside the US See Part IV, lines 15 and 16 Benefits paid to or for members Compensation of current officers, trustees, and key employees directors,

Total expenses

(A)

Program service expenses

(8)

(C) Management and general expenses

(D)

6,083. O. O. O.
60_L000.

6,083. O. O. O. O. 30 000. 30 000.

2
3

4

5
6

Compensation not Included above, to disqualified persons (as defined under section 4958(f)(1» and persons descnbed In section 4958(c)(3)(B) Other salanes and wages Pension plan contributrons (Include section 401 (k) and section 403(b) employer contnbutions) Other employee Payroll taxes Fees for services (non-employees) a Management b Legal c Accounting d Lobbyrnq e Professionalundrarsmq f services SeePart IV,hne 17 fees benefits

7

O. 117,167. O. 13,385.

O. 31,800. O. 2,403.

O. 85,367. O. 8,716.

O. O. O. 2,266.

8 9 10
11

10,500.

O.

10,500.

O.

f Investment
9 Other

management and promotion technology

12 13 14 15 16 17
18

Advertrsmq lntorrnatron Royalties Occupancy Travel

Office expenses

150. 106,928. 1,407. 6,298.

O. O. 1,407. O.

150. 106,928. O. 6,298.

O. O. O. O.

14,899. 17,498.

O. 4,375.

14,899. 13,123.

O. O.

Payments of travel or entertainment expenses for any federal, state, or local public otncrals Conferences, Interest Payments to affiliates depletion, and amortization Deprecration, conventions, and meetings

19 20 21
22

1,530. 5,913 .
32_L148.

O. O. O.

1,530. 5,913 . 32,148.

O. O. O.

23 24

Insurance Other expenses Itemize expenses not covered above (List miscellaneous expenses In line 24f If line 24f amount exceeds 10% of line 25, column (A) amount, list line 24f expenses on Schedule 0 ) a Bank b ..?~yr_o1!._s~~~iS~ _f~~~

----------------------

fees

______

c Credi t card fees ---------------------dy~!.e2~~~e _______________ e Taxes ---------------------f All other expenses

25 26

Total functional expenses.Add hnes 1 through24f If following Joint costs. Check here • SOP 98-2 (ASC 958-720) Complete this line only If the organization reported In column (B) JOint costs from a combined educational campaign and fundrarsmq sohcitatron

D

429. 5,391. 2,086. 9,064. 2,174. 16,690. 429,740.

O. O. O. O. O. O. 46,068.

429. 5,391. 2 086. 9,064. 2,174. 16,690. 351,406.

O. O. O. O. O. O. 32,266.

D"" u,..,..

Form 990 (2010)

TEEAOll0

12121110

I Part

Form 990 (2010)

X

I Balance

COMMUNITY

TEACHERS

INSTITUTE

,

INC

22-3068671
(A) Beginning of year

Page 11

Sheet
End 1 2 3 4 5

(Bl year
0

1 2 3 4 5 6

Cash - non-mterest-beannq Savings and temporary cash Investments Pledges and grants receivable, net Accounts receivable, net Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees Complete Part" of Schedule L Receivables from other disqualified persons (as defined under section 4958(f)(1 », persons descnbed In section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c) (9) voluntary employees' beneficiary organizations (see instructions) Notes and loans receivable, net Inventories for sale or use Prepaid expenses and deferred charges lOa lOb

18,170.

93,220.

6,336.

o.

A

5 5 E T 5

7 8 9

6 7 8 9

lOa Land, buildings, and equipment cost or other basis Complete Part VI of Schedule D b Less accumulated depreciatron. 11 Investments - publicly traded securities 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26

71 279. 71,279.

5,913. 14,513.

10c 11

-

-

o.
11,622.

~

L I
A

B I L I T I E 5

Investments - other securities See Part IV, line 11 Investments - program-related See Part IV, line 11 Intangible assets Other assets See Part IV, line 11 Total assets Add lines 1 through 15 (must equal line 34) Accounts payable and accrued expenses Grants payable Deferred revenue Tax-exempt bond liabilities Escrow or custodial account habihty. Complete Part IV of Schedule D Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons, Complete Part" of Schedule L Secured mortgages and notes payable to unrelated third parties Unsecured notes and loans payable to unrelated third parties Other habrhties. Complete Part X of Schedule D Total liabilities. Add lines 17 through 25 Organizations that follow SFAS 117, check here ~ ~ and complete lines 27 through 29 and lines 33 and 34. Unrestricted net assets Temporarily restricted net assets Permanently restricted net assets Organizations that do not follow SFAS 117, check here ~ and complete lines 30 through 34. Capital stock or trust principal, or current funds

12 13 14 8 137. 15 53,069. 16 115,149. 17 18 19 20 21
''

8,137. 112,979. 169,448.

-

-, 22

,

, , 45 157.

44,840.

159

23 24 25 989. 26

214,605.

N E T
A

5 5 E T 5

0 R

27 28 29

-221,584. 114,664.

D

27 28 29

-216

290.

114 664.

u N
D
A A

F

B L

30 31 32 33 34

c

N E 5

Paid-In or capital surplus, or land, buildmq, or equipment fund Retained earnings, endowment, accumulated Income, or other funds Total net assets or fund balances Total liabilities and net assets/fund balances

30 31 32

-106,920. 53,069.

33 34

-101,626. 112,979.
Form 990 (2010)

BAA

TEEAOll1

12121110

I Part

Form 990 (2010)

XI

I

COMMUNITY

TEACHERS

INSTITUTE,

INC.

22-3068671

Page 12

Reconciliation

of Net Assets

Check If Schedule 0 contains a response to any guestlon In this Part XI 1 Total revenue (must equal Part VIII, column (A), line 12) 1

o
2
3 4 5 6

2 Total expenses (must equal Part IX, column (A), line 25)
3 Revenue less expenses Subtract line 2 from line 1 4 Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A» 5 Other changes In net assets or fund balances (explain In Schedule 0) 6 Net assets or fund balances at end of year Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B»

435,034. 429,740. 5,294. -106,920.

I Part XII

I

-101(626.

Fmancial Statements and Reporting
Check If Schedule 0 contains a response to any question In thrs Part XII

0

1 Accounting method used to prepare the Form 990

0 Cash

IKl Accrual

o Other
2a 2b
2c

Yes

No i
I
I

If the organization changed ItS method of accounting from a prior year or checked 'Other,' explain In Schedule 0 2a Were the organization's fmancial statements compiled or reviewed by an Independent accountant? b Were the organization's frnancral statements audited by an Independent accountant? c If 'Yes' to line 2a or 2b, does the organization have a committee that assumes responsibility for oversiqht of the audit, review, or compilation of ItS financial statements and selection of an Independent accountant? If the organization changed either ItS oversrqht process or selection process dunnq the tax year, explain In Schedule O. d If 'Yes' to line 2a or 2b, check a box below to Indicate whether the financial statements for the year were Issued on a separate baSIS,consolidated baSIS,or both Separate baSIS Consolidated baSIS Both consolidated and separate baSIS

X X X

o

0

0

3a As a result of a federal award, was the orqarnzatron Audit Act and OMB Circular A-133?

required to undergo an audit or audits as set forth In the Single

3a

X

b If 'Yes,' did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why In Schedule 0 and describe any steps taken to undergo such audits. BAA

3b Form 990 (2010)

TEEA0112

12121110

------

OMS

No

1545-0047

(Form 990 or 99O-EZ)

SCHEDULE A

Public Charity Status and Public Support
Complete if the organization 4947(aXl) is a section 501 (cX3) organization nonexempt charitable trust. or a section • Attach to Form 990 or Form 99O-EZ. • See separate instructions.

2010
Open to Public Inspection

Department f theTreasury o InternalRevenueService Nameof the organization

I EmployerIdentificatoonnumber

....

",

I Part I I Reason for
The organization 1 2 3 4 5 6 7 8 9 ~ A church, A hospital A medical

COMMUNITY TEACHERS INSTITUTE, INC. 22-3068671 Public Charity Status (All organizations must complete this part.) See mstructions.
IS not a pnvate foundalton convention of churches In section because It IS (For lines 1 through of churches (Attach orqaruzauon In conjunction descnbed E) In section 170(bX1XAXiii). In section by 170(bX1XA)(iii) Enter the hospital's In sectiOn -descrrbed Schedule 11, check only one box) In section 170(bX1XAXi). or association service

A school descnbed research

170(bX1XAXii). operated

or a cooperative

hospital

descnbed

orqaruzatron

with a hospital university-owned

D D A federal,

name, City, and state An organization operated-for benefllof 170(bX1XAXiv). (Complete Part II.)

the

a college-or

or operaied

a governn-ienlal

unit described

D A community trust described D An orqaruzatron that normally D An D An
a e organization organized

IKl An section 170(bX1XAXvi). (Complete organization that normally receives In

state, or local government

or governmental unit descnbed In section 170(bX1XAXv). a substantial part of ItS support from a governmental unit or from the general Part II) 170(bX1XAXvi). (Complete Part II)

public descnbed

In section

receives (1) more than 33-1/3% of ItS support from contnbuuons, membership fees, and gross receipts from activities related to ItS exempt functions - subject to certain exceptions, and (2) no more than 33-1/3% of ItS support from gross Investment Income and unrelated busmess taxable Income (less section 511 tax) from businesses acquired by the organization after June 30, 1975 See section 509(aX2). (Complete Part III ) and operated exclusively to test for public safety See section 509(aX4). organization organized and operated exclusively for the benefit of, to perform the functions of, or carry out the purposes of one or more publicly supported orqarnzatrons descnbed In sectron 509(a)(1) or section 509(a)(2) See section 509(aX3). Check the box that descnbes the type of supporting organization and complete lines 11e through 11h

10 11

D By checking

D Type

I

b

D Type

II

c

D Type

III - Functionally

Integrated

d

D

Type III - Other

this box, I certify that the organization IS not controlled directly or Indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations descnbed In section 509(a)(1) or section 509(a)(2) If the organization check this box received a wntten determination from the IRS that IS a Type I, Type II or Type III supporting any gift or contnbution from any of the following descnbed organization,

D
No

g

Since August (i) (ii) (iii)

17, 2006, has the organization

accepted

persons? Yes

A person who directly or Indirectly controls, below, the governing body of the supported A family member A 35% controlled of a person descnbed

either alone or together organization? In (I) or (II) above?

with persons

In (II) and (III) 11 9 (i) 11 9 (ii) 11 9 (iii)

In (I) above?

entity of a person descnbed (il) EIN

h

P roVI d e th e f o IIowinq In f orma t Ion a b ou t th e suppor t e d orqaruza t Ion () s (i) Nameof supported
orqaruzatron

(iIi) Typeof orqaruzauon (described lines 1-9 on aboveor IRe sechon (seeinstructions»

column(I) listedIn yourgoverning document' Yes No

organization

(iv) Is the
In

(v) Oldyou notify the orqaruzation In column(i) of yoursupport? Yes No

(VI)Is the column(I) organizedm the US? Yes No
orqaruzatron
In

(VII)Amountof support

(A) (B) (C) (0) (E) Total BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 99O-EZ. Schedule A (Form 990 or 990-EZ) 2010

TEEA0401

12123/10

Schedule

A (Form 990 or 990-EZ)

2010

COMMUNITY

TEACHERS

INSTITUTE,

INC.

22-3068671 failed to quahfy under Part III If the

Page 2

IPart II ISupport Schedule for Organizations Described in Sections 170(bXl)(AXiv) and 170(bXl)(A)(vi)
(Complete only If you checked the box on line 5, 7, or 8 of Part I or If the organization organization falls to quahfy under the tests hsted below, please complete Part III )

SeClon A P u enIC S uppo rt f
Calendar year (or fiscal year beginning in) • 1 Gifts, grants, contributions, and membership' fees received not Include 'unusual grants' (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010

(f) Total

)00

378,889.

523,603.

522,732.

471,503.

434,966.

2

331

693.

2

Tax revenues levied for the or~anlzatlon's benefit and eu er paid to It or expended on ItS behalf The value of services or facilities furnished by a governmental Unit to the organization without charge Total. Add hnes 1 through 3 378,889. 523,603. 522,732. 471,503. 434,966. 2,331 693. The portion of total contributions by each person (other than a governmental unit or pubhcly supported organization) Included on hne 1 that exceeds 2% of the amount shown on hne 11, column (1) Public support. from hne 4 Subtract hne 5 786,093.

3

4 5

1,545

600.

6

Sect Ion
7 8

B Ttl oa

S Uppo rt
(a) 2006 378,889. (b) 2007 523,603. (c) 2008 522,732. (d) 2009 471,503. (e) 2010 434,966.

Calendar year (or fiscal year beginning in) • Amounts from hne 4

(f) Total
2,331,693.

Gross Income from rnterest, drvrdends, payments received on secunties loans, rents, royalties and Income from Similar sources Net Income from unrelated business activities, whether or not the business IS regularly earned on Other income Do not Include gam or loss from the sale of capital assets (Explain m Part IV) Total suPg0rt. through 1 Gross receipts Add lines 7 from related activities,

11,884.

479.

1,866.

1,015.

68.

15

312.

9

10

11 12 13

etc (see mstructrons) first, second, third, fourth, or fifth tax year as a section

I

2,347,005. 12

First five years. If the Form 990 IS for the organization's organization, check this box and stop here _ Pubhc support Public support percentage percentage for 2010 (hne 6, column from 2009 Schedule

501 (c) (3)

Section C. Com utation of Public Su
14 15

ort Percenta e
(f) divided by hne 11, column (f) 33.49 44.80% or more, check trns box • or more, check trus box • % A, Part II. hne 14

16a 33-1/3% support test - 2010. If the organization did not check the box on line 13, and the line 14 IS 33-1/3% and stop here. The organization quahfres as a publicly supported organization b 33-1/3% support test - 2009. If the organization did not check a box on line 13 or 16a, and hne 15 IS 33-1/3% and stop here. The organization quahfies as a publicly supported orqaruzatron

rvl
~

0
0

17a 10%·facts·and-circumstances test - 2010. If the organization did not check a box on hne 13, 16a, or 16b, and hne 14 IS 10% or more, and If the organization meets the 'tacts-and-crrcurnstances' test, check this box and stop here. Explain m Part IV how the organization meets the 'facts-and-circumstances' test. The organization quahfles as a publicly supported organization b 1O%-facts-and-circumstances test - 2009. If the organization did not check a box on hne 13, 16a, 16b, or 17a, and hne 15 IS 10% or more, and If the orqaruzation meets the 'tacts-and-circumstances' test, check this box and stop here. Explain In Part IV how the organization meets the 'tacts-and-circurnstances' test The organization qualifies as a pubhcly supported organization 18 BAA Private foundation. If the orqaruzatron did not check a box on hne 13, 16a, 16b, 17a, or 17b, check thrs box and see mstructions Schedule A (Form 990 or 990-EZ)

• • 2010

TEEA0402

1212311 0

I Part III I Support

SChedule"A

(Form 990 or 990-EZ)

2010

COMMUNITY

TEACHERS

INSTITUTE,

INC. failed to qualify

22-3068671 under Part II If the organization

Page 3 fails

Schedule for Organizations Described in Section S09(a)(2)

(Complete only If you checked the box on line 9 of Part I or If the orqaruzauon to qualify under the tests listed below, please complete Part II )

Section A. Public Support
Calendar year (or fiscal yr beginning In) ~ 1 Gifts, grants, contributions and membership fees received. (Do not Include any 'unusual grants ') 2 Gross receipts from adrrussions, merchandise sold or services performed, or tacrhtres 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 busmess under section 513 4 Tax revenues levied for the or~anlzallon's benefit and ert er paid to or expended on ItS behalf 5 The value of services or facrlrtres furnished by a governmental Unit to the organization without charge 6 Total. Add lines 1 through 5 7 a 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 7c from line 6 ) line (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e)_2010 (f) Total

Section B Tota IS upport
Calendar year (or fiscal yr beginning in) ~ 9 Amounts from line 6 lOa Gross Income from Interest, drvrdends, payments received on secuntres loans, rents, royalties and Income from Similar sources b Unrelated busmess taxable Income (less section 511 taxes) from businesses acquired after June 30, 1975 11 c Add lines lOa and lOb Net Incomefrom unrelatedbusiness acnvmesnot IncludedIn line 1Db, whetheror not the businessIS regularlyearned on Other Income Do not Include gain or loss from the sale of capital assets (Explain In Part IV.) Total support. (Add 9, lCk, 11, and Ins 12) first, second, third, fourth, or fifth tax year as a section 501 (c) (3) ~ First five years. If the Form 990 IS for the organization's organization, check this box and stop here Public support Public support Investment Investment percentage percentage for 2010 (line 8, column from 2009 Schedule (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total

12

13 14

n
_

Section C. Com utation of Public Su
15 16 17 18

ort Percenta e
(f) divrded by line 13, column (f)) A, Part III, line 15 (f) divrded by line 13, column (f))

% % % %
~ ~ ~ 2010

Section D. Com utation of Investment Income Percenta e
Income percentage Income percentage for 2010 (line 10c, column from 2009 Schedule A, Part III, line 17

19a 33-113% support tests - 2010. If the orqaruzatron did not check the box on line 14, and line 15 IS more than 33-1/3%, and line 17 IS not more than 33-1/3%, check this box and stop here. The organization qualifies as a publicly supported organization b 33-113% support tests - 2009. If the orqaruzatron did not check a box on line 14 or line 19a, and line 16 IS more than 33-1/3%, line 18 rs not more than 33-1/3%, check this box ana stop here. The organization qualifies as a publicly supported organization 20 BAA Private foundation. If the or aruzatron did not check a box on line 14, 19a, or 19b, check this box and see instructions
TEEA0403

D

aod

12129110

Schedule

A (Form 990 or 990-EZ)

I Part

Schedule A (Form 990 or 990-EZ) 2010

COMMUNITY

TEACHERS

INSTITUTE,

INC_

22-3068671

Page 4

IV,-tl Supplemental Information. Complete this part to provide the explanations required by Part II, hne 10; Part II, line 17a or 17b; and Part III, lme 12. Also complete this part for any additional Information. (See Instructions).

BAA
TEEA0404 09/08/10

Schedule A (Form 990 or 990-EZ) 2010

(Form 990, 990-EZ, or 990-PF)
Department of the Treasury Internal Revenue Service Name 01

Schedule B

OMB No

1545·0047

Schedule of Contributors
.. Attach to Form 990, 99O-EZ, or 990-PF
Employer Idenllfication

2010
number

the organization

COMMUNITY

TEACHERS

INSTITUTE,

INC.

22-3068671

Organization type (check one) Filers of: Form 990 or 990·EZ

Section: 501(c)( 3 ) (enter number) organization 4947(a)(I) nonexempt charitable trust not treated as a private foundation ~ 527 political organization 501(c)(3) exempt private foundation 4947(a)(1) nonexempt charitable trust treated as a private foundallon 501(c)(3) taxable private foundation

Form 990·PF

§

Check If your organization IS covered by the General Rule or a Special Rule. Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule See Instructions. General Rule For an organization filing Form 990, 990·EZ, or 990·PF that received, dunnq the year, $5,000 or more (m money or property) from anyone contributor (Complete Parts I and II )

D

Special Rules ~ For a section 501(c)(3) organization filing Form 990 or 990·EZ, that met the 33· I 13% support test of the regulations under sections 509(a)(1) and 170(b)(1)(A)(VI), and received from anyone contributor, dunnq the year, a contribution of the greater of (1) $5,000 or (2) 2% of the amount on (I) Form 990, Part VIII, lme I h or (II) Form 990·EZ, lme I Complete Parts I and II

D For a section 501(c)(7) , (8), or (10) organization D For a section 501(c)(7) , (8), or (10) organization

filing Form 990 or 990·EZ, that received from anyone contributor, dunnq the year, aggregate contributions of more than $1,000 for use exclustveiy for rehqrous, charitable, SCientific, literary, or educational purposes, or the prevention of cruelty to children or animals Complete Parts I, II, and III filing Form 990 or 990-EZ, that received from anyone contributor, dunnq the year, contributions for use exclustveiy for rehqious. charitable, etc, purposes, but these contributions did not aggregate to more than $1,000. If thrs box IS checked, enter here the total contributions that were received dUring the year for an exclusively rehqrous, charitable, etc, purpose Do not complete any of the parts unless the General Rule applies to this organization because It received nonexclusively rehqrous, charitable, etc, contributions of $5,000 or more dunnq the year ~$

_

Caution: An organization that IS not covered by the General Rule andlor the Special Rules does not file Schedule B (Form 990, 990-EZ, or 990-PF) but It must answer 'No' on Part IV, line 2 of their Form 990, or check the box on line H of ItS Form 990-EZ, or on line 2 of ItS Form 990-PF, to cerllfy that It does not meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990·PF) BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990, 990EZ, or 99O-PF. Schedule B (Form 990, 990·EZ, or 990-PF) (2010)

TEEA070

1

1212811 0

Scheduie B (Form 990, 990-EZ, or 990-PF) (2010)
Name of organizatIon

Page 1

of 1
number

of Part I

Employer idenllficatlon

22-3068671

1 Part I "I Contributors
(a) Number

(see mstructions ) (b) Name, address, and ZIP + 4 (c) Aggregate contributions (d) Type of contribution

1 --

~~~~m~~J~~ily_~~u~~~tj2~ 11 Birchfield Road

__________________
$ _____
~O~L §.O_O__!

Person Payroll Noncash

r------------------------------------Larchmont NY 10358 r------------------------------------(a) Number (b) Name, address, and ZIP + 4

~

(Complete Part II If there IS a noncash contribution) (c) Aggregate contributions (d) Type of contribution

--

r------------------------------------r------------------------------------r------------------------------------$

----------(c) Aggregate contributions

Person Payroll Noncash

~

(Complete Part II If there IS a noncash contribution) (d) Type of contribution

(a) Number

(b) Name, address, and ZIP + 4

--

r------------------------------------r------------------------------------r------------------------------------$

Person Payroll

-----------

Noncash

~

(Complete Part II If there IS a noncash contribution) (d) Type of contribution

(a) Number

(b) Name, address, and ZIP + 4

(c) Aggregate contributions

--

r------------------------------------------------------------------------------------------------------------$ --_--------

Person Payroll Noncash

(Complete Part II If there IS a noncash contribution) (c) Aggregate contributions (d) Type of contribution

B

(a) Number

(b) Name, address, and ZIP + 4

--

------------------------------------------------------------------------------------------------------------$

-----------

Person Payroll Noncash
IS

§
~

(Complete Part II If there a noncash contribution) (d) Type of contribution

(a) Number

(b) Name, address, and ZIP + 4

(c) Aggregate contributions

--

r-------------------------------------

r - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -1
BAA
TEEA0702

r-------------------------------------

$

-----------

Person Payroll Noncash

(Curnpiete Part II If there lis a noncash contribution)

10/26110

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

SCHEDULE D (Form 990)
Department of the Treasury Internal Revenue Service Name of the organization

OMS No 1545·0047

Supplemental Financial Statements
• Complete • Attach

if the or~anization answered 'Yes,' to Form 990, Part IV, lines 6, 7, 8, 9, 10, 11, or 12.
to Form 990. • See separate instructions.

2010
Open to Public Inspection
Employer identification number

I Part I I Organizations
1 2 Total number Aggregate

COMMUNITY TEACHERS INSTITUTE, INC. 22-3068671 Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete If the organization answered 'Yes' to Form 990, Part IV, line 6.
(a) Donor advised at end of year to (during year) contnbuuons funds (b) Funds and other accounts

3 Aggregate 4 Aggregate
5 6

grants from (during year) value at end of year DYes D D

Old the orcamzatron Inform all donors and donor advisors In writing that the assets held In donor advised funds are the organization's property, subject to the orqaruzation's exclusive legal control? Old the organization Inform all grantees, donors, and donor advisors In writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring Impermissible private benefit?

I Part II I Conservation
1 Purpose(s)

Yes

No

Easements. Complete If the organization answered 'Yes' to Form 990, Part IV, line 7.
easements habitat 2d If the organization held a qualified held by the orqarnzatron (check all that apply) D D conservation Preservalton Preservation contribution of an historically of a certified Important land area hrstonc structure easement on the or education)

§

of conservation of natural

Preservation Protection Preservation

of land for pubhc use (e g , recreation of open space

2

Complete lines 2a through last day of the tax year

In the form of a conservation

Held at the End of the Tax Year

a c

Total number Number structure

of conservation

easements easements histone structure Included In (a) after 8/17/06, released, easement on a certified

2a 2b 2c 2d by the organization dunnq the

b Total acreage restricted
of conservation

by conservation easements

d Number of conservation
3

easements Included listed In the National Register easements _ modified,

In (c) acquired transferred,

and not on a hrstonc or terminated _ handling easements

Number of conservation tax year • Number

extinguished, IS located morutonnq, •

4
5

of states where property

subject

to conservation

Does the organization have a written and enforcement of the conservation Staff and volunteer

pohcy regarding the penodic easements It holds? Inspecting,

Inspection,

of Violations,

D Yes

6
7

hours devoted Incurred

to monitoring,

and enforcmq

conservation

during the year

D
D

No

Amount

of expenses

In rnorutormq,

Inspecting,

and enforcrnq

conservation

easements

dunng the year

8 Does each conservation
170(h)(4)(8)(I) 9

.$-------easement reported and section 170(h)(4)(8)(II)? on line 2(d) above satisfy the requirements of section DYes No In ItS revenue and expense statement, and balance sheet, and statements that descnbes the organization's accounting for

I Part III I Organizations

In Part XIV, describe how the organization reports conservation easements Include, If applicable, the text of the footnote to the organization's financial conservation easements

Maintaining Collections of Art, Historical Treasures, or Other Similar Assets. Complete If the organization answered 'Yes' to Form 990, Part IV, line 8.

1 a If the orqaruzatron elected, as permitted under SFAS 116 (ASC 958), not to report In ItS revenue statement and balance sheet works of art, historical treasures, or other Similar assets held for public exhibition, education, or research In furtherance of public service, provide, In Part XIV, the text of the footnote to ItS financial statements that descnbes these Items. b If the organization elected, as permitted under SFAS 116 (ASC 958), to report In ItS revenue statement and balance sheet works of art, historical treasures, or other Similar assets held for public exhibition, education, or research In furtherance of pubhc service, provide the followmq amounts relating to these Items (i) (ii) 2 Revenues Assets Included In Form 990, Part VIII, line 1 Included In Form 990, Part X

.$ .$

_
the followmq

If the organization amounts required a Revenues b Assets Included Included

received or held works of art, historical treasures, or other Similar assets for financial to be reported under SFAS 116 (ASC 958) relating to these Items In Form 990, Part VIII, line 1 Act Notice, see the Instructions for Form 990.
TEEA3301 11115110 In Form 990, Part X

gain, provide

--------

BAA

For Paperwork

Reduction

ScheduJe D (Form 990) 2010

I Part III I Organizations
3 a b c 4 5

ScheduleD(Form990)2010

COMMUNITY

TEACHERS

INSTITUTE,

INC.

22-3068671
that are a significant

Page 2

Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
and other records, d e check any of the tollowmq programs use of ItS collection

USing the organization's acqursrtron, accession. Items (check all that apply) Public exhibition Scholarly research for future generations of the organization's Preservation

§

D Loan or exchange D Other
how they further

Provide a descnption Part XIV

collections

and explain

the organization's

exempt

purpose

In

Dunng the year, did the organization sohcrt or receive donations of art, rustoncal treasures, or other Similar assets to be sold to raise funds rather than to be maintained as part of the organization's collection?

Yes

X

No

Part IV Escrow and Custodial Arrangements. Complete If organization answered 'Yes' to Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1 a Is the organization an agent, trustee, Included on Form 990, Part X? b If 'Yes,' explain c Beginning d Additions f Ending e Drstnbutions the arrangement custodian, or other intermediary for contnbutrons table Amount balance dunng the year dunng the year Include an amount on Form 990, Part X, line 21? balance the arrangement In Part XIV (a) Currentyear 1 a Beginning of year balance b Contnbutrons c Net Investment and losses earnings, gains, (b) Prior year (c) Two years back (d) Threeyears back (e) Four yearsback or other assets not

DYes

In Part XIV and complete

the followrnq

lc ld le
1f

2a Old the organization

DYes

DNo

I Part V I Endowment

b If 'Yes' , explain

Funds. Complete If the organization answered 'Yes' to Form 990, Part IV, line 10.

d Grants or scholarships e Other expenditures and programs for tacrhties

f Administrative
2 Provide

expenses percentage • of the year end balance • held as

9 End of year balance the estimated endowment • a Board desiqnated b Permanent c Term endowment organization (i) unrelated by organizations listed as required on Schedule R? or quasi-endowment

%

% %
of the organization that are held and administered for the

3a Are there endowment

funds not In the possession

Yes
3a(i) 3a(ii\ 3b

No

(ii) related organizations b If 'Yes' to 3a(II), are the related organizations 4 Describe In Part XIV the Intended of Investment uses of the organization's endowment funds

I Part VI I Land, Buildings and Equipment. See Form 990, Part X, line 10.
Descnption 1 a Land

(a) Cost or other baSIS
(Investment)

(b) Cost or other
baSIS (other)

(c) Accumulated

deprecratron

(d) Book value

b BUildings
c Leasehold d Equipment e Other Improvements

5,179. 38 416. 27 684.

O. O. O.

5,179. 38 416. 27,684.

Total. Add lines 1a through 1e (Column (d) must eg_ualForm 990, Part X, column (82, Ime 10(c»

BAA

O. O. O.

o.

Schedule

0 (Form 990) 2010

TEEA3302

12120/10

I Part VII I Investments-Other
(a) Description (Including (1) Financial (3) Other derivatives equrty Interests (2) Closely-held

Schedule

·

D (Form 990) 2010

COMMUNITY

TEACHERS

INSTITUTE

,

INC

Securities. See Form 990, Part X, line 12.
(b) Book value

22-3068671
(c) Method of valuation Cost or end-of-year market value

Page 3

of security or category name of security)

iN

l~__________________________
19 __________________________

~~r_ri_!.~

---------------------J.y~c_h ________________

11,622.

FMV

J~ __________________________ JQ __________________________

l~__________________________ l~__________________________

l~__________________________ l~__________________________ I Part Vllllinvestments-Proaram
(a) Description (1 ) Total. (Column (b) must equal Form 990 Part X. column (B) Ime 12) of Investment type

Related. (See Form 990, Part X, line 131
(b) Book value
(c) Method of valuation Cost or end-of-year market value

..

11,622 .

,

(2)
(3)

(4) (5) (6)
(7)

(8)
(9) (10) Total (Column (b) must eaual Form 990 Part X column (B) Ime 13)

I Part IX I Other
(1) Securi (2) (3) tv

Assets. (See Form 990, Part X, line 15)
(a) Description Deposit

..

(b) Book value

8,137.

(4) (5) (6)
(7)

(8)
(9) (10) Total.

I Part X I Other
(2) (3)

(Column

(b) must equal Form 990, Part X, column (B), Ime 15)

Liabilities. (See Form 990, Part X, line 25)
(a) Description of liability

..

8,137 .

ib) Amount

(1) Federal Income taxes

(4) (5) (6)
(7)

(8)
(9) (10) (11) Total. (Column (b) must equal Form 990, Part X. column (B) Ime 25)

..
to the orqaruzatron's
12120/10

2. FIN 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote orqaruzanon's liability for uncertain tax positions under FIN 48 (ASC 740) BAA
TEEA3303

financial

statements

that reports the Schedule D (Form 990) 2010

Schedule 0 (Form 990) 2010 , 2 3 4 5 6 7 8 9

COMMUNITY

TEACHERS

INSTITUTE,

INC

22-3068671

Page 4

LPart XI I Reconciliation Changein Net Assets of from Form990to AuditedFinancialStatements
Total revenue (Form 990, Part VIII,column (A), line 12) Total expenses (Form 990, Part IX, column (A), line 25) Excess or (deficit) for the year Subtract line 2 from line 1 Net unrealized gains (losses) on Investments Donated services and use of tacihtres Investment expenses Pnor penod adjustments Other (Describe In Part XIV) Total adjustments (net) Add lines 4 through 8 '0 Excess or (deficit) for the year per audited financial statements Combine lines 3 and 9 , 2 Total revenue, gains, and other support per audited financial statements Amounts Included on line 1 but not on Form 990, Part VIII, line 12: a Net unrealized gains on Investments b Donated services and use of facilities c Recoveries of prior year grants d Other (Describe In Part XIV) e Add lines 2a through 2d

I Part XII'I Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
i--'-'-il---------

2e

3 4

I Part XIII I Reconci iation of Expenses per Audited Financial Statements With Expenses per Return
, 2 Total expenses and losses per audited financial statements Amounts Included on line 1 but not on Form 990, Part IX, line 25 a Donated services and use of facilities b Prior year adjustments c Other losses d Other (Describe In Part XIV) e Add lines 2a through 2d 3 Subtract line 2e from line'

Subtract line 2e from line' Amounts Included on Form 990, Part VIII, line 12, but not on line' a Investments expenses not Included on Form 990, Part VIII, line 7b b Other (Describe In Part XIV) c Add lines 4a and 4b 5 Total revenue Add lines 3 and 4c. (This must equal Form 990, Part I, Ime 12)

3

1 ::1

4c 5

1--''"""--1--------

2e

4

Amounts Included on Form 990, Part IX, line 25, but not on line': a Investments expenses not Included on Form 990, Part VIII, line 7b 1--44-=-ab=1I---------1 b Other (Describe In Part XIV) '--..:...::.J.L-c Add lines 4a and 4b 5 Total expenses Add lines 3 and 4c. (Ttus must equal Form 990, Part I, Ime 18)

II

3

I 4c 5

I Part XIV I Supplemental

Information

Complete thrs part to provide the descriptions required for Part II, lines 3,5, and 9; Part III, lines 1a and 4, Part IV, lines 1b and 2b, Part V, line 4, Part X, line 2, Part XI, line 8, Part XII, lines 2d and 4b, and Part XIII, lines 2d and 4b Also complete thrs part to provide any additional mtorrnanon

_y~ _I_Il_~i.!l~

_4

~~e_ ~Jg)_lE!!a_tj.Ql!. i1!~a_c!l~<!.

_

BAA

IEEA3304

02111111

Schedule 0 (Form 990) 2010

I Part XIV

Scheduie 0 (Form 990) 2010

I Supplemental Information

COMMUNITY

TEACHERS

INSTITUTE,

INC.

22-3068671

Page 5

(contmued)

BAA

TEEA3305

07/1611 0

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SCHEDULE

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Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees ~ Complete if the organization answered 'Yes' to Form 990, Part IV, line 23. ~ Attach to Form 990. ~ See separate instructions.

OMS No

1545-0047

2010
____ ln~~cJion'
s,

Department of the Treasury Internal Revenue Service Name of the organization

O~il'to Public'

1

COMMUNITY TEACHERS INSTITUTE INC. lPart II Questions Regarding Compensation

I22-3068671

Employer identification

number

Yes 1 a Check the appropriate box(es) If the organization provided any of the following to or for a person listed In Form 990, Par VII, Section A, line Ia, Complete Part III to provide any relevant Information regarding these Items First-class or charter travel Travel for companions Tax indemnification and gross-up payments Discretionary spending account Housing allowance or resrdence for personal use Payments for business use of personal residence Health or social club dues or initiation fees Personal services (e 9 , maid, chauffeur, chef)
~

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~

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b If any of the boxes on line 1a are checked, did the organization follow a written pohcy regarding payment or reimbursement or provrsion of all of the expenses described above? If 'No,' complete Part III to explam 2 Old the organization require substantiatron prior to rerrnbursmq or allowmq expenses Incurred by all officers, directors, trustees, and the CEO/Executive Director, regarding the Items checked In line 1a? Indicate whrch, If any, of the followmq the organization uses to establish the compensation of the organization's CEO/Executive Director Check all that apply Compensation committee Independent compensation consultant Form 990 of other organizations

0

lb
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3

§
4

§

Written employment contract Compensation surveyor study Approval by the board or compensation committee

DUring theJear, did any person listed In Form 990, Part VII, Section A, line 1a with respect to the filing organization or a relate orqaruzatron a Receive a severance payment or change-of-control payment from the organization or a related organization? b Participate In, or receive payment from, a supplemental nonquahfred retirement plan? c Participate In, or receive payment from, an equity-based compensation arrangement? If 'Yes' to any of lines 4a-c, list the persons and provide the applicable amounts for each Item In Part III Only section 501 (cX3) and 501 (cX4) organizations must complete lines 5-9.

4a 4b 4c

x x x

5

For persons listed In Form 990, Part VII, Section A, line la, did the organization payor accrue any compensation contingent on the revenues of a The organization? b Any related orqaruzatron? If 'Yes' to line 5a or 5b, describe
In

Sa 5b

x x
,

Part III ;-

6

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In

6a 6b

X X

Part III 7 8

7 8 9

For persons listed In Form 990, Part VII, Section A, line la, did the organization provide any non-fixed payments not described In lines 5 and 6? If 'Yes,' describe In Part III Were any amounts reported In Form 990, Part VII, paid or accrued pursuant to a contract that was subject to the Initial contract exception described In Regulations section 534958-4(a)(3)? If 'Yes,' describe In Part III If 'Yes' to line 8, did the organization also follow the rebuttable presumption procedure described In Regulations section 534958-6(c)?

X X

BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990.

9 Schedule J (Form 990) 2010

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(Fbrm 990 or 990-EZ)

SCHEDULE 0

Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions Form 990 or 99Q-EZ or to provide any additional information. • AHach to Form 990 or 99Q-EZ. on

OMS No 1545·0047

2010
Ope·n' to 'P~'blic" ~ Inspe~i~~ .

Department of the Treasury Internal Revenue Service Name of the organization

COMMUNITY

TEACHERS

INSTITUTE

INC.

I22-3068671

Employer IdentificatIon number

_!'.!: _V_I~~, _!.j,I_!_e_1~~ ~~M_E:.e _~D_!)~~Sl'~~ _F.9~_B.9~l3.D_.9~_Dl~~CY.9l3.S _ _A_NQ

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TEEA4901

10/2611 0

Schedule 0 (Form 990 or 990-EZ) 2010

990-EZ, 990, 990- T and 990-PF Information Worksheet
Part I - Identifying Information Employer Identification Number Name DOing Business As Address City Foreign Country Telephone Number Fax 22-3068671 COMMUNITY 72 CHESTER LARCHMONT (914) (914)

2010

TEACHERS PLACE

INSTITUTE,

INC. Room/SUite NY ZIP Code

State 235-0479 235-0480 Extension E-Mail Address

10538

D

Eligible for hurricane tax relief legislation

benefits, check here

Part II - Type of Return Form Form Form Form 990-EZ only 990 only 990-PF only 990-T only Form Form Form Form 990-EZ with Form 990-T 990 with Form 990-T 990-PF with Form 990-T 990-N (gross receipts $50,000 or less) for Electronic Filing only

D

QuickBooks Import Users & 990 to 99O-EZ Data Transfer Option: Check If you're filing the EZ & want 990 Imported data copied to the EZ OR for those not Importing from Ouicklsooks who transferred from prior year 990 and now qualify to file the EZ this year, check thrs box to transfer 990 data to the EZ IMPORTANT

Before transferring data from Form 990 to Form 990-EZ , refer to "How to transfer data from filing Form 990 to 990-EZ" listed above In the Most Common Support Questions or Tax Help for this line Part III - Type of Organization 501(c) Corporation/Association 501(c) Trust 4947(a)(1) Trust 408(e) Trust 401 (a) Trust Other (describe) __ 3 (subsection number) (subsection number) 220(e) Trust 408A Trust 529(a) Corporation 529(a) Trust 530(a) Trust 527 Organization 501(c) Association

Part IV - Tax Year and Filing Information Calendar year Fiscal year Short year -

o
D

Ending month Beginning date

Ending date

Check this box If the organization IS enrolled In the Electronic Federal Tax Payment System (EFTPS)

Part V - 2010 Estimated Taxes Paid Check this box If the organization IS a private foundation Form 990-T Form 990-PF

Amount of 2009 overpayment credited to 2010 estimated tax Form 990-T Due Date 04/15/10 06/15/10 09/15/10 12/15/10 Date Paid Amount Paid Date Paid Form 990-PF Amount Paid

Payment Quarters 1st Quarter Payment 2nd Quarter Payment 3rd Quarter Payment 4th Quarter Payment Additional Additional Additional Additional Payment Payment Payment Payment 1 2 3 4

------------------------------------------------------------------------------------

-

-

-

COMMUNITY TEACHERS INSTITUTE, INC.
Part VI - Electronic Filing Information

22-3068671

Page 2

IMPORTANT: Do not use the Miscellaneous Statement or Additional Information If filing Form 990 or Form 990-EZ. These statements will not be transmitted with the return. Use Schedule 0 or the applicable Supplemental Information for the appropriate Schedule Electronic

Practitioner

o o D
o

Filing:

File the federal return electronically
PIN program:

Sign this return electronically usmq the Practitioner PIN ERO entered PIN Officer's PIN (enter any 5 numbers) Date PIN entered
Filing of Extensions:

Electronic

Check this box to file Form 8868 (application for extension of time to file return) electronically
required for Electronic Filing:

Information

Officer's Name
Electronic

TIMOTHY GREEMAN
Return:

o
Yes

Filing of Amended

Check this box to file amended return electronically Funds Withdrawal Information

Part VII - Electronic

(Form 990PF filers only)

§§
Payment

No

Use electronic funds withdrawal of Use electronic funds withdrawal of Use electronic funds withdrawal of If any options selected above, enter information

federal balance due (EF only)? Form 8868 balance due (EF only)? amended return balance due (EF only)? information for accuracy)

below, (Review transferred

Bank Information

Name of Financial Institution (optional) Check the appropriate box Routing number Account number
Information

o

Checking

0

Savings

Enter the payment date to withdraw tax payment Balance due amount from this return Enter an amount to withdraw tax payment If partial payment IS made, the remaining balance due Part VIII - Information for Client Letter Form 990-EZ or Form 990 Extended Due Date Letter Salutation

Form 990-PF

Form 990-T

Part IX - Return Preparer Enter preparer code from Flrm/Preparer Info (See Help) to Flrm/Preparer Info to to to to to Form Form Form Form Form 990-EZ, Pages 1 through 4 990, Page 1 990-PF, Page 1 990-T, Page 1 990-N, e-PostCard

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• COMMUNITY TEACHERS

INSTITUTE,

INC.

22-3068671

Schedule 0 (Form 990), Supplemental Information to Form 990
Form 990, Page 2, Part III, Line 1 (continued)

Bnefly descnbe the organization's mission:
INSTITUTES. QUALI FlED TO DESIGN AND IMPLEMENT PROGRAMS THAT SUPPORT THE RECRUITMENT OF HIGHLY STUDENTS_ COMMUNITY TEACHERS FOR SCHOOL DISTRICTS THAT SERVE UNDERPRIVILEDGED

Schedule 0 (Form 990) Supplemental Information to Form 990
Form 990, Page 6, Line 9 (continued) Name Address City St ZIP

JAMES COLEMAN TIMOTHY GREEMAN MIRKO CHARDIN

24 BRONSON AVENUE 72 CHESTER PLACE 26 BELDOL STREET

SCARSDALE LARCHMONT DORCHESTER

NY NY MA

10583 10538 02125

Schedule 0 (Form 990), Supplemental Information to Form 990
Form 990, Page 6, Line 17 (continued)

Maryland New York

COMMUNITY TEACHERS

INSTITUTE,

INC.

22-3068671

2

Supporting

Statement of:

Form

990 p II/Line

1, column Description

(B) Amount 82£931. 2£ 453. 4£305. 3£531. 93£220.

Unrestricted oEerating account Restricted oEerating account Payroll account Merrill Lynch
Total

. COMMUNITY TEACHERS Form 990

INSTITUTE, INC. of Officers etc.

22-3068671

P 7: Part VII Compensation
Smart Worksheet

for Officers, Directors, Trustees, Key Employees and Highest Compensated Employees

Note: Enter all the information below for Part VII, Section A. The first 17 entries Will be placed on the appropriate lines on page 7 ,The next 12 entries will be placed on the appropriate lines on page 8 If more than 29 Items are entered, the remainder will be placed on continuation sheets for Part VII.

(A)
Name and Title Cklf

(8)

B
u s
I

n e s s (1) (2) (3) (4) (5) (6) (7) TIMOTHY GREEMAN CHAIRMANl BOD RUSHERN BAKER II I
FORMER EXEC DIRECTOR

Avg hrs/wk (desc hrs for related orgs In SchO)

C1 C2 C3 C4

Position (Ck ali that apply) - lndiv trustee or drr - Institutional trustee - Officer - Key employee C5 . Highest compensated employee - Former C4 C5 C6

(D) Reportable compn from the orqaruzation (yV-21 1099-MISC)

(E)

(F)
Est amt of oth compn from org and related orgs

~

C6

C1 C2 C3

Reportable compn from related orgs (yV-211 099-MISC)

JAMES COLEMAN CHAIRMANl BOD MIRKO CHARDIN BOD MEMBERl PERRY CHARI FRANTZ BOD MEMBERl DARAYL D. DAVIS MEMBER, BOD

o o o o o o

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20.00 40.00 10.00 10.00 10.00 10.00

[K] D D D D D [K] D D D D D [K] D D D D D [K] D D D D D [K] D D D D D [K] D D D D D

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(10)

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· COMMUNITY TEACHERS

INSTITUTE, INC.

22-3068671

Sch D, page 4: Part XI, XII, XIII and XIV Supplemental Information Smart Worksheet

Information specific to Parts II, lines 3,5, & 9; Part III, lines 1 a & 4, Part IV, lines 1 b & 2b; Part V, line 4; Part X; Part XI, line 8, Part XII, lines 2d & 4b; and Part XIII, lines 2d & 4b are entered here Choose a specific line number from the Line Number pickhst and enter an explanation The line number references and explanations entered here are automatically Included In the lines below the Smart Worksheet and Schedule D, page 5 If needed. Pt Pt

Line Number III Line la III Line 4

Explanation
To design 2rograms that See eX21anation attached. sU220rt gualified teachers

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Line Number

Explanation

Sch D, page 5 (Copy No.1):

Part XIV Supplemental

Information

Supplemental
Description of this copy of Schedule

Information Smart Worksheet
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COMMUNITY TEACHERS INSTITUTE. INC Schedule 0 Supplemental Information to Form 990

22-3068671

Supplementallnfonnation
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supplemental

Form 990-EZ. Part I. Line S Form 990-EZ. Part I. Line 10 Form 990-EZ. Part I. line 16 Form 990-EZ. Part I. Line 20 Form 990-EZ. Part II. Line 24 Form 990-EZ. Part II. Line 26 Note: Enter information specific to any of the following Form 990-EZ. Part III. Line 31 (Description Form 990-EZ. Part V. Line 33 (Response Form 990-EZ. Part V. Line 34 (Response Form 990-EZ. Part V. Line 44d (Response Specific Note: The following If information supplemental is required overflow

QUlckZoom to Part I. Line S QUlckZoom to Part I. Line 10 QUlckZoom to Part I. line 16 QUlckZoom to Part I. Line 20 QUlckZoom to Part II. Line 24 QUlckZoom to Part II. Line 26 lines below: 01 other program services) to Yes lor Question 33) to Yes lor Question 34) did not report unrelated busrness Income) to No lor Question 44d) for Form 990, Parts III, V, VI, VII, IX. XI and XII overflow statement. on the appropriate QUlckZoom to Part III. line 4d 9 QUlckZoom to Part VI. line 9 QUlckZoom to Part VI. Line 17 QUlckZoom to Line 241 Stmt below:

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Form 990-EZ. Part V. Line 35 0Nhy organization

Information

lines for 990 have their own supplemental statement:

for these lines, enter the Information

Form 990. Page 2. Part III. Line 4d Form 990. Page 6. Part VI. Section A. line Form 990. Page 10. Part IX. Line 24f Note: Enter information specific to any of the following 3 Form 990. Page 2. Part III. Line 2. or line Form 990. Page 6. Part VI. Section C. Line 17

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Form 990. Page 5. Part V. Line 3b. 13a or 14b Form 990. Page 6. Part VI. Section A. Lines l a, 2-7b. Sa. or Sb Form 990. Page 6. Part VI. Section B. lines

roe. na.

12c or 15

Form 990. Page 6. Part VI, Section C, Line 1S, or 19 Form 990, Page 7. Part VII, Column (E) or Column (F) Form 990. Page 12. Part XI Form 990. Page 12. Part XII, Line 1. 2c or 3b Choose a specrnc line number Irom the Line Number prcklrst and enter an explanation number references Smart Worksheet Line Number Pt Pt Pt Pt VI-B, VI-B, VI-C, VI-B, Ll.ne Ll.ne Ll.ne Ll.ne lla 15 19 12c NAMES
PROCESS

The line

and explanations

entered here are automatically

Included In the lines below the Explanation

and Schedule 0 page 2 II needed AND
rOR

ADDRESSES
GOVERNING

FOR BOARD

OF

DIRECTORS
THE BOARD Or' DIRECTORS ANNUALLY DETI!:RMINE COMPENS'-'TION Fa

D!T!RJ"IINING

COMPENSATION

FOR EXECUTIVE

DIRECTOR

THE ORGANIZATIONS

DOCU'KENTS ARE MAD AVAIJ...\BLE

TO THE PUBLIC

BY WRITTEN

REQU!ST

TO THE ORGANIZATION

OR BY ONS

Offl.cers

and

ke~

emplo~ees

must

Sl.9n

confll.ct

of

l.nterest

letters

annuall~_

Note Enter the line number and explanation relerences Worksheet

lor lines not mentioned

above here The line number

and explanations entered here are automatically and Schedule O. page 2 II needed

Included In the lines below the Smart Explanation

Line Number

· COMMUNITY TEACHERS

INSTITUTE, INC.

22-3068671

Sch. B, page 2 (Copy 1): Contnbutors General Information Smart Worksheet A Description for this copy of Schedule B, Part I Copy 1

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