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
BETHLEN HOME OF THE HUNGARIAN REFORMED FEDERATION OF AMERICA
Employer identification number
25-0981135
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.") ....
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..
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.
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..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
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).
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
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
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.") .
120,445
54,859
42,768
24,558
38,396
281,026
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......
10,214,566
10,968,148
11,701,110
12,349,518
12,604,958
57,838,300
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.
10,335,011
11,023,007
11,743,878
12,374,076
12,643,354
58,119,326
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
0
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.
0
c
Add lines 7a and 7b..
0
8
Public Support (Subtract line 7c from line 6.)
58,119,326
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...
10,335,011
11,023,007
11,743,878
12,374,076
12,643,354
58,119,326
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
144,650
175,722
167,839
150,226
141,253
779,690
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
144,650
175,722
167,839
150,226
141,253
779,690
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.)
34,736
40,479
27,942
46,562
75,003
224,722
13
Total support (Add lines 9, 10c, 11 and 12.).
10,514,397
11,239,208
11,939,659
12,570,864
12,859,610
59,123,738
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
98.300 %
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
98.380 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
1.320 %
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
1.310 %
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
BETHLEN HOME OF THE HUNGARIAN REFORMED FEDERATION OF AMERICA
Employer identification number
25-0981135
Identifier
Return Reference
Explanation
FORM 990, PART VI, SECTION A, LINE 6
THE MEMBERS OF BETHLEN HOME CONSIST OF THE FOLLOWING ENTITIES: THE HUNGARIAN REFORMED FEDERATION OF AMERICA; THE CALVIN SYNOD CONFERENCE OF THE UNITED CHURCH OF CHRIST AND THE HUNGARIAN REFORMED CHURCH IN AMERICA.
FORM 990, PART VI, SECTION A, LINE 7A
THE BOARD OF DIRECTORS CONSISTS OF 15 MEMBERS WHO ARE ELECTED FOR A TERM OF FOUR YEARS. SEVEN MEMBERS ARE ELECTED BY DELEGATES REPRESENTING THE HUNGARIAN REFORMED FEDERATION OF AMERICA, TWO MEMBERS ARE ELECTED BY DELEGATES REPRESENTING THE CALVIN SYNOD CONFERENCE OF THE UNITED CHURCH OF CHRIST, TWO MEMBERS ARE ELECTED BY THE DELEGATES REPRESENTING THE HUNGARIAN REFORMED CHURCH IN AMERICA, AND FOUR MEMBERS ARE ELECTED BY ALL DELEGATES, TWO MUST BE FROM THE AMERICAN-HUNGARIAN COMMUNITY AND TWO MUST BE FROM THE GREATER LIGONIER, PENNSYLVANIA COMMUNITY.
FORM 990, PART VI, SECTION A, LINE 7B
NO ACTION OF THE BOARD OF DIRECTORS OR THE EXECUTIVE COMMITTEE SHALL BE LEGALLY VALID UNLESS SUCH ACTION IS THE RESULT OF THE MAJORITY VOTE OF THE MEMBERS PRESENT OF THE RESPECTIVE BODIES. ANY RESOLUTION TO DISSOLVE THE BETHLEN HOME SHALL REQUIRE AT LEAST TWO-THIRDS (2/3) VOTE OF THE MEMBERSHIP.
FORM 990, PART VI, SECTION B, LINE 11
BETHLEN HOME HAS A CPA FIRM PREPARE ITS FORM 990. THE RETURN IS COMPLETED IN DRAFT FORM AND REVIEWED BY MANAGEMENT OF THE ORGANIZATION. THE FORM 990 IS THEN PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12C
ALL EMPLOYEES, OFFICERS, DIRECTORS AND ADVISORS TO THE BOARD MUST SIGN A CERTIFICATION OF COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY AT NEW HIRE ORIENTATION, UPON ELECTION TO A SEAT ON THE BOARD OF DIRECTORS OR WHEN SELECTED TO SERVE IN A SUPERVISORY CAPACITY TO THE BOARD. THE CORPORATE COMPLIANCE COMMITTEE WILL PERIODICALLY, AND NO LESS THAN ANNUALLY, REVIEW THE CERTIFICATES OF COMPLIANCE.
FORM 990, PART VI, SECTION B, LINE 15
THE BOARD OF DIRECTORS EXECUTIVE COMMITTEE IS GIVEN THE NECESSARY INFORMATION TO REVIEW THE SALARIES OF THE EXECUTIVE DIRECTOR AND EACH ADMINISTRATOR ANNUALLY. THE COMMITTEE SOLICITS INFORMATION FROM OUTSIDE THE ORGANIZATION TO DETERMINE IF COMPENSATION IS IN LINE WITH OTHER COMPARABLE ORGANIZATIONS. THE EXECUTIVE DIRECTOR PROVIDES THE EXECUTIVE COMMITTEE WITH AN ANNUAL PERFORMANCE ASSESSMENT REVIEW OF EACH ADMINISTRATOR. THE COMMITTEE MAY THEN, AT ITS DISCRETION, INTERVIEW ADMINISTRATORS. THE EXECUTIVE COMMITTEE PERFORMS AN ANNUAL WRITTEN EVALUATION OF THE EXECUTIVE DIRECTOR'S PERFORMANCE. THE EXECUTIVE COMMITTEE WILL THEN MAKE RECOMMENDATIONS AS TO SALARY LEVELS AND ADJUSTMENTS. THE COMMITTEE THEN SUBMITS ITS FINDINGS TO THE FULL BOARD FOR APPROVAL.
FORM 990, PART VI, SECTION C, LINE 18
BETHLEN HOME MAKES ITS FORM 990 AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19
AT THIS TIME, BETHLEN HOME DOES NOT MAKE ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE GENERAL PUBLIC.
CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 5:
NET UNREALIZED GAINS ON INVESTMENTS: 28,064. TEMPORARILY RESTRICTED CONTRIBUTIONS 5,291. TOTAL TO FORM 990, PART XI, LINE 5: 33,355.
FORM 990, PART XI, LINE 2C:
THE ORGANIZATION HAS AN AUDIT COMMITTEE THAT IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT AUDITORS. THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.