Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
LAWRENCEBURG PUBLIC LIBRARY SERVICES & RESOURCES FOUNDATION
Employer identification number
35-2091421
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking 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 described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization?
................
11g(i)
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of support?
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
135,553
128,680
114,624
138,782
121,077
638,716
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3..
135,553
128,680
114,624
138,782
121,077
638,716
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public Support. Subtract line 5 from line 4.
638,716
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
7
Amounts from line 4..
135,553
128,680
114,624
138,782
121,077
638,716
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
49,782
70,275
37,101
30,416
34,226
221,800
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11
Total support (Add lines 7 through 10).
860,516
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
74.220 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
73.000 %
16a
33 1/3% support test—2010.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2009.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2009.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities 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 business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
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 line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13
Total support (Add lines 9, 10c, 11 and 12.).
14
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f))
.........
15
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2010.
If the organization 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 1/3% support tests—2009.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2010
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
LAWRENCEBURG PUBLIC LIBRARY SERVICES & RESOURCES FOUNDATION
Employer identification number
35-2091421
Identifier
Return Reference
Explanation
FORM 990, PART VI, SECTION A, LINE 6
THE ORGANIZATION HAS BOARD MEMBERS WHO COLLECTIVELY ACT AS THE GOVERNING BODY THROUGH A BOARD OF DIRECTORS TO GIVE OVERSIGHT TO THE FOUNDATION. THEY OCCASIONALLY ELECT NEW MEMBERS TO REPLACE THE OLD MEMBERS WHO HAVE RESIGNED IN THEIR CAPACITY TO GOVERN THE FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 7A
MEMBERS OF THE BOARD OF DIRECTORS OF LAWRENCEBURG PUBLIC LIBRARY FOUNDATION PROVIDE GOVERNANCE TO THE ENTITY AND THE MEMBERS CURRENTLY SERVING HAVE VOTING POWERS, EXCEPT ONE MEMBER, TO ELECT ANY MEMBER OF THE BOARD OF DIRECTORS RESIGNING THEIR POSITION ON THE BOARD OF DIRECTORS OF THE ENTITY.
FORM 990, PART VI, SECTION A, LINE 7B
VARIOUS COMMITTEES COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS MAY DECIDE MATTERS RELATED TO THE ORGANIZATION. HOWEVER, THE ENTIRE BOARD PRESENT AT A PARTICULAR MEETING OF THE BOARD GIVE APPROVAL TO ALL DECISIONS.
FORM 990, PART VI, SECTION B, LINE 11
ALL BOARD MEMBERS ARE PROVIDED ACCESS TO THE TAX RETURN FORM 990 BEFORE THE FORM IS FILED WITH THE IRS. IT IS THE RESPONSIBILITY OF EACH MEMBER ON THE BOARD OF DIRECTORS OF THE LAWRENCEBURG PUBLIC LIBRARY FOUNDATION TO REVIEW THE TAX RETURN BEFORE IT IS SUBMITTED TO THE INTERNAL REVENUE SERVICE. THIS REVIEW OF THE TAX RETURN SHOULD HAPPEN BEFORE THE DUE DATE OF NOVEMBER 15, 2011.
FORM 990, PART VI, SECTION B, LINE 12C
THE BOARD OF DIRECTORS REVIEWS ANY SPECIFIC CONFLICT WHEN NECESSARY. THE POLICY IS REVIEWED ON AN ANNUAL BASIS AND A DETERMINATION IS MADE IF FURTHER ACTION IS NECESSARY TO COMPLY WITH THE POLICY IN FORCE AT THAT TIME.
FORM 990, PART VI, SECTION C, LINE 18
DURING NORMAL BUSINESS HOURS, THE ORGANIZATION MAKES AVAILABLE ITS FORM 990 TO THE PUBLIC, UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19
DURING NORMAL BUSINESS HOURS, THE ORGANIZATION MAKES AVAILABLE ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC
FORM 990, PART VII
LINDA LYNESS - 3478 N. DEARBORN RD, WEST HARRISON , IN 47060. ANDREA MILLSPAUGH - 1153 MARIE ST., LAWRENCEBURG, IN 47025. JULIA DICKEY - 55 OAKLEY AVE., LAWRENCEBURG, IN 47025. DAN TOON - 6957 BONNELL ROAD, GUILFORD, IN 47022. DONALD SIEMERS - 808 TANNER AVE., LAWRENCEBURG, IN 47025. MARITA CIZEK - 20 DECKER AVE, LAWRENCEBURG, IN 47025. PATRICIA RITZMANN - 19813 LAKEVIEW DRIVE, LAWRENCEBURG, IN 47025. MARGIE KLEIER - 150 MARY STREET, LAWRENCEBURG, IN 47025.
CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 5:
NET UNREALIZED GAINS ON INVESTMENTS: 38,183. ACCOUNTS RECEIVABLE-EOY $14119), PORTFOLIO ADJUST $79 14,198. ACCOUNTS PAYABLE- EOY $17115) ACCOUNTS RECEIVABLE-BOY $15653) -32,768. TOTAL TO FORM 990, PART XI, LINE 5: 19,613.
THE LAWRENCEBURG LIBRARY FOUNDATION WAS REQUIRED TO HAVE A MANDATORY AUDIT PER THE STATE OF INDIANA FOR BOTH THE 2009 AND 2010 AS A BIENNIAL AUDIT, AND EVERY TWO YEARS THEREAFTER. THIS NECESSITATED THE CREATION OF A COMMITTEE OF THE BOARD OF DIRECTORS TO OVERSEE THE COMPLETION OF THE MANDATORY AUDIT BY THE AUDITORS BEGINNING WITH THE 990 REPORTING YEAR OF 2010.
FORM 990, PAGE 1, PART 1, LINES 20 AND 22- COLUMN A FORM 990, PAGE 11, PART X- "BALANCE SHEET"- COLUMN A THE 2009 AMOUNTS ORIGINALLY REPORTED UNDER THE CASH BASIS OF ACCOUNTING WERE ADJUSTED TO THE ACCRUAL BASIS OF ACCOUNTING. THE FOLLOWING ADJUSTMENTS WERE NEEDED TO ADJUST THE ORIGINAL CASH BASIS AMOUNTS TO THE ACCRUAL BASIS AMOUNTS FOR 12/31/09. CASH IN BANK 12/31/09-CASH BASIS $358474 CASH IN BANK 12/31/09-ACCRUAL BASIS $358474 DIFFERENCE- NONE. ACCOUNTS RECEIVABLE 12/31/09- CASH BASIS $0 CASH IN BANK 12/31/09 ACCRUAL BASIS $15653 DIFFERENCE= $15653 (A) INVESTMENTS 12/31/09-CASH BASIS $967864 INVESTMENTS 12/31/09-ACCRUAL BASIS $914367 DIFFERENCE $(53497) (B) INVESTMENT-DEARBORN CO. FOUNDATION-CASH BASIS $50000 INVESTMENT-DEARBORN CO. FOUNDATION-ACCRUAL BASIS $-0- DIFFERENCE $(50000) (C) TOTAL ASSETS-CASH BASIS $1376338 TOTAL ASSETS-ACCRUAL BASIS $1288494 DIFFERENCE $(87844) (D) NO LIABILITIES UNDER CASH BASIS FINANCIAL STATEMENTS OR ACCRUAL BASIS FINANCIAL STATEMENTS FOR 12/31/09. TOTAL ACCUMULATED FUNDS 12/31/09-CASH BASIS $1376338 TOTAL ACCUMULATED FUNDS 12/31/09-ACCRUAL BASIS $1288494 DIFFERENCE= $(87844) (D). (A)- CASH BASIS STATEMENTS AT 12-31-09 ADJUSTED FOR UNRECORDED RECEIVABLE ON ORIGINAL CASH BASIS FINANCIAL STATEMENTS RECORDING RECEIVABLE TO PROPERLY REFLECT ACCRUAL FINANCIAL STATEMENTS AT 12-31-09. (B)- CASH BASIS STATEMENTS AT 12-31-09 ADJUSTED TO REDUCTION IN FAIR VALUE OF INVESTMENTS HELD. THIS ADJUSTMENT OF $(53497) WAS FOR ACCRUAL BASIS FINANCIAL STATEMENTS AT 12-31-10. (C)- CASH BASIS STATEMENTS AS ORIGINALLY PRESENTED FOR 2009 FORM 990 INCORRECTLY REFLECTED AN INVESTMENT OF $50000 WITH DEARBORN COMMUNITY FOUNDATION. THIS WAS REMOVED AS AN ASSET ON THE ACCRUAL FINANCIAL STATEMENTS AT 12-31-09. (D)- THE NET CHANGES DESCRIBED IN (A-C) PROVIDE A REDUCTION IN "TOTAL ASSETS" AND "ACCUMULATED FUNDS" IN THE AMOUNT OF $(87844).
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.