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
LANE COUNTY HISTORICAL SOCIETY
Employer identification number
93-0911191
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.") ....
16,011
35,559
23,506
22,375
28,650
126,101
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
204,401
194,721
210,851
182,161
201,418
993,552
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3..
220,412
230,280
234,357
204,536
230,068
1,119,653
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.
1,119,653
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..
220,412
230,280
234,357
204,536
230,068
1,119,653
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
20,165
15,806
4,647
952
1,115
42,685
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).
1,162,338
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
171,879
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
96.330 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
95.550 %
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
LANE COUNTY HISTORICAL SOCIETY
Employer identification number
93-0911191
Identifier
Return Reference
Explanation
NEW PROGRAM SERVICES
FORM 990, PART III, LINE 2
INSTITUTED A PROGRAM TO DIGITIZE HISTORICAL PHOTOGRAPHS, NEGATIVES AND IMAGES RELATED TO LANE COUNTY HISTORY IN ORDER TO PRESERVE THEM FOR THE FUTURE.
FORM 990, PART VI, SECTION A, LINE 3
THE BOARD OF DIRECTORS HAS AUTHORIZED THE CREATION OF AN EXECUTIVE COMMITTEE CONSISTING OF THE SOCIETY'S PRESIDENT, VICE-PRESIDENT, SECRETARY AND TREASURER TO ACT ON ITS BEHALF DURING THE PERIOD BETWEEN REGULARLY SCHEDULED BOARD OF DIRECTORS MEETINGS. THIS COMMITTEE IS AUTHORIZED TO ACT ON BEHALF OF THE BOARD OF DIRECTORS IN ALL WAYS EXCEPT THAT IT MAY NOT APPROVE OR RECOMMEND TO MEMBERS A DISSOLUTION, MERGER, SALE, PLEDGE OR TRANSFER OF SUBSTANTIALLY ALL OF THE CORPORATIONS ASSETS; IT MAY NOT ELECT, APPOINT OR REMOVE DIRECTORS NOR FILL VACANCIES ON THE BOARD OF ANY OF IT'S COMMITTEES; IT MAY NOT ADOPT, AMEND OR REPEAL THE ARTICLES OR BYLAWS OF THE ORGANIZATION. SHOULD THE EXECUTIVE COMMITTEE MEET, MINUTES ARE TAKEN AND THOSE MINUTES AND ANY DECISIONS MADE BY THE EXECUTIVE COMMITTEE ARE REVIEWED BY THE BOARD OF DIRECTORS AT IT'S NEXT REGULARLY SCHEDULED MEETING. DECISIONS MADE BY THE EXECUTIVE COMMITTEE MAY BE REVERSED BY THE BOARD OF DIRECTORS AT ITS DISCRETION. ALL CURRENT MEMBERS OF THE EXECUTIVE COMMITTEE ARE ALSO VOTING MEMBERS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 6
THE SOCIETY HAS MEMBERS. MEMBERSHIP IN THE SOCIETY IS NOT RESTRICTED AND IS OPEN TO ANY INDIVIDUAL OR ORGANIZATION WHO APPLIES AND PAYS THE REQUIRED ANNUAL MEMBERSHIP FEE.
FORM 990, PART VI, SECTION A, LINE 7A
MEMBERS ELECT THE BOARD OF DIRECTORS AND OFFICERS OF THE SOCIETY AT AN ANNUAL MEMBERSHIP MEETING CALLED BY THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS OF MEMBERS EQUALLING 5% OR MORE OF THE ACTIVE MEMBERS MAY ALSO CALL A SPECIAL MEETING OF THE MEMBERSHIP BY DEMAND DESCRIBING THE PURPOSE FOR THE METTING WHICH IS DATED AND SIGNED BY THE MEMBERS AND DELIVERED TO THE SECRETARY.
FORM 990, PART VI, SECTION A, LINE 7B
MEMBERS HALL VOTE ON AMENDMENTS OF THE ARTICLES OR BYLAWS OF THE ORGANIZATION, THE SELLING OR MORTGAGING ALL OR SUBSTANTIALLY ALL THE ASSETS OF THE ORGANIZATION OR THE DISSOLUTION OR MERGER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11
A COPY OF THE FORM 990 WAS PRESENTED TO THE EXECUTIVE DIRECTOR AND THE BOARD OF DIRECTORS AT IT'S REGULARLY SCHEDULED MARCH 15, 2012 BOARD MEETING. THE RETURN WAS PRESENTED BY THE TREASURER AND A COPY PROVIDED TO EACH MEMBER PRESENT WHO REVIEWED THE RETURN IN CONJUCTION WITH THE TREASURER'S PRESENTATION. QUESTIONS BY THE DIRECTORS WERE ADDRESSED TO AND ANSWERED BY THE TREASURER. DIRECTORS ATTENDING THE MEETING WERE A.J. GUISTINA, DIANE DANN, ELIZABETH REANIER, OLIVER FRASER, DOROTHY VELASCO, RAY WILEY, ALICE PARMAN AND BILL MCLEARY. COPIES OF THE RETURN WERE MAILED FOR REVIEW TO ALL DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12
WHILE NO WRITTEN CONFLICT OF INTEREST POLICY EXISTS, THE BOARD OF DIRECTORS AND EXECUTIVE DIRECTOR CONSISTENTLY REVIEWS AND EVALUATES POTENTIAL CONFLICTS OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15A
THE EXECUTIVE DIRECTOR IS REVIEWED ON AN ANNUAL BASIS BY THE SOCIETY'S BOARD OF DIRECTORS. THE EXECUTIVE DIRECTOR RECUSES HIMSELF FROM THESE DELIBERATIONS EXCEPT TO THE EXTENT THAT THE BOARD CALLS UPON HIM TO RESPOND TO QUESTIONS. THE BOARD WILL USE COMPARATIVE COMPENSATION DATA ON A PERIODIC BASIS AND ALL DELIBERATIONS ARE DOCUMENTED IN THE BOARD'S MINUTES AND IN WRITTEN EVALUATIONS PREFORMED BY BOARD MEMBERS. RECOMMENDATIONS ARE ALSO REQUESTED FROM THE VARIOUS OPERATING COMMITTEE'S OF THE ORGANIZATION TO MORE FULLY EVALUATE THE EXECUTIVE DIRECTOR'S PERFORMANCE. DELIBERATIONS MADE BY ANY OF THESE COMMITTEES ON THIS MATTER ARE ALSO DOCUMENTED IN THAT COMMITTEE'S MINUTES AND WRITTEN RECOMMENDATIONS.
FORM 990, PART VI, SECTION C, LINE 19
THE BYLAWS AND ORGANIZING DOCUMENTS OF THE SOCIETY ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 5:
NET UNREALIZED GAINS ON INVESTMENTS: 6,215.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.