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
CHAUTAUQUA INSTITUTION
Employer identification number
16-0758844
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.") .
10,718,994
10,942,367
7,477,400
7,989,093
7,819,152
44,947,006
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......
16,015,532
17,233,730
18,246,615
18,814,084
18,830,813
89,140,774
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.
26,734,526
28,176,097
25,724,015
26,803,177
26,649,965
134,087,780
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
2,769,914
3,812,266
3,065,689
1,294,323
1,769,195
12,711,387
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..
2,769,914
3,812,266
3,065,689
1,294,323
1,769,195
12,711,387
8
Public Support (Subtract line 7c from line 6.)
121,376,393
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...
26,734,526
28,176,097
25,724,015
26,803,177
26,649,965
134,087,780
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
167,119
219,352
121,072
175,880
124,862
808,285
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
167,119
219,352
121,072
175,880
124,862
808,285
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
603,905
4,116
555,838
598,757
600,799
2,363,415
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.).
27,505,550
28,399,565
26,400,925
27,577,814
27,375,626
137,259,480
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
88.430 %
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
87.900 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
0.590 %
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
CHAUTAUQUA INSTITUTION
Employer identification number
16-0758844
Identifier
Return Reference
Explanation
FORM 990, PART VI, SECTION A, LINE 2
LINE 2 EXPLANATION - THOMAS BECKER - BUSINESS RELATIONSHIP - BOARD MEMBER OF LINCOLN INSTITUTE OF LAND POLICY; BOARD MEMBER OF CHAUTAUQUA FOUNDATION AND BOARD CHAIR AND OFFICER OF CHAUTAUQUA HOTEL COMPANY, INC. KATHRYN J. LINCOLN - BUSINESS RELATIONSHIP - BOARD MEMBER AND OFFICER AND CHAIR OF LINCOLN INSTITUTE OF LAND POLICY. GEORGE T. SNYDER - BUSINESS RELATIONSHIP - BOARD MEMBER AND OFFICER OF CHAUTAUQUA HOTEL COMPANY, INC. SEBASTIAN BAGGIANO - BUSINESS RELATIONSHIP - OFFICER OF CHAUTAUQUA HOTEL COMPANY, INC.
FORM 990, PART VI, SECTION A, LINE 6
LINE 6 EXPLANATION - THE MEMBERSHIP CONSISTS OF ALL PERSONS BEING THE OWNERS BY DEED OR BEING LEASEES OF ONE OR MORE LOTS OR SECTIONS OF A LOT ON THE INSTITUTION GROUNDS & PERSONS ELECTED BY THE BOARD OF TRUSTEES
FORM 990, PART VI, SECTION A, LINE 7A
LINE 7A EXPLANATION - THE MEMBERSHIP OF THE BOARD OF TRUSTEES CONSIST OF 24 TRUSTEES, 4 OF WHOM ARE ELECTED BY THE CORPORATION MEMBERSHIP.
FORM 990, PART VI, SECTION B, LINE 11
LINE 11A EXPLANATION - AUTHORITY FOR THE REVIEW AND APPROVAL OF THE FORM 990 IS DELEGATED TO THE AUDIT COMMITTEE WHO REPORTS BACK TO THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION B, LINE 12C
OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST REPORT ANNUALLY. THE GOVERNANCE COMMITTEE SUMMARIZES ANY CONFLICTS AND PROVIDES THE SUMMARY TO THE BOARD SO THAT ANY CONFLICTS CAN BE ADDRESSED. THE SUMMARY IS MAINTAINED BY THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 15
15A. THE PERSONNEL COMMITTEE OF THE BOARD OF TRUSTEES REVIEWS COMPARABLE COMPENSATION DATA, DEVELOPS GOALS, AND EVALUATES PERFORMANCE IN RECOMMENDING ANNUAL COMPENSATION FOR THE PRESIDENT TO THE BOARD OF TRUSTEES. COMPARABLES ARE OBTAINED FROM THE FORM 990'S OF SIMILAR ORGANIZATIONS AND COMPENSATION STUDIES. THE PERSONNEL COMMITTEE CONSISTS OF INDEPENDENT INDIVIDUALS. 15B. COMPENSATION FOR SENIOR STAFF IS REVIEWED AND ESTABLISHED BY THE PRESIDENT. THE PRESIDENT REPORTS TO THE PERSONNEL COMMITTEE OF THE BOARD OF TRUSTEES TO VERIFY THAT PERFORMANCE REVIEWS WERE DONE AND COMPENSATION WAS CONSIDERED.
FORM 990, PART VI, SECTION C, LINE 19
THE BOARD OF TRUSTEES' MEETING MINUTES AND BY-LAWS ARE AVAILABLE ONLINE AT CIWEB.ORG (THE ORGANIZATION WEBSITE). THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART VII, SECTION A, COLUMNS D, E & F
REPORTABLE COMPENSATION INCLUDED IN COLUMNS E AND F INCLUDE AMOUNTS PAID TO INDIVIDUALS WHO SERVE AS MANAGEMENT AND STAFF FOR THE CHAUTAUQUA FOUNDATION. THESE INDIVIDUALS ARE GEORGE FOLLANSBEE, VICE PRESIDENT AND KAREN BLOZIE, DIRECTOR OF CAMPAIGNS. THEIR COMPENSATION IS INCLUDED IN THE W-3 OF THE INSTITUTION AND IS REIMBURSED BY THE CHAUTAUQUA FOUNDATION.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.