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
2011
Open to Public Inspection
Name of the organization
COMMON GROUND
Employer identification number
91-1128864
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) 2011
Schedule A (Form 990 or 990-EZ) 2011
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) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(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) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(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—2011.
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—2010.
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—2011.
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—2010.
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) 2011
Schedule A (Form 990 or 990-EZ) 2011
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) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
100,548
178,365
174,025
289,043
106,744
848,725
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......
2,392,681
2,646,027
2,359,581
2,016,830
1,712,102
11,127,221
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.
2,493,229
2,824,392
2,533,606
2,305,873
1,818,846
11,975,946
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
6,475
7,300
4,373
18,148
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.
35,000
80,000
118,000
36,067
22,287
291,354
c
Add lines 7a and 7b..
41,475
87,300
122,373
36,067
22,287
309,502
8
Public Support (Subtract line 7c from line 6.)
11,666,444
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
9
Amounts from line 6...
2,493,229
2,824,392
2,533,606
2,305,873
1,818,846
11,975,946
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
24,179
8,473
5,242
3,474
1,218
42,586
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
24,179
8,473
5,242
3,474
1,218
42,586
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.)
2,667
4,800
48,848
56,315
13
Total support (Add lines 9, 10c, 11 and 12.).
2,517,408
2,835,532
2,543,648
2,358,195
1,820,064
12,074,847
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 2011 (line 8 column (f) divided by line 13 column (f))
.........
15
96.620 %
16
Public support percentage from 2010 Schedule A, Part III, line 15
...............
16
96.650 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f))
......
17
0 %
18
Investment income percentage from 2010 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2011.
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—2010.
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) 2011
Schedule A (Form 990 or 990-EZ) 2011
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) 2011
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
2011
Open to Public Inspection
Name of the organization
COMMON GROUND
Employer identification number
91-1128864
Identifier
Return Reference
Explanation
DOCUMENTATION BY COMMITTEE
FORM 990, PAGE 6, PART VI, LINE 8B
EXECUTIVE COMMITTEE AND FUNDRAISING COMMITTEE MEETING ARE NOT REQUIRED TO TAKE FORMAL MINUTES, BUT THE RESULTS OF ALL MEETING ARE REPORTED AT THE FOLLOWING BOARD MEETING AND DECISIONS ARE DOCUMENTED IN BOARD MINUTES. NO COMMITTEE IS AUTHORIZED TO ACT FOR THE BOARD.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
AN ELECTRONIC VERSION OF THE FORM 990 IS EMAILED TO ALL BOARD MEMBERS WITH A REQUEST FOR REVIEW, COMMENT AND QUESTIONS. ALL COMMENTS AND QUESTIONS ARE ADDRESSED BEFORE THE FORM 990 IS FILED WITH THE IRS. THE TREASURER OF THE BOARD SPECIFICALLY AUTHORIZES SUBMISSION OF THE FORM 990. THE CHAIR OF THE BOARD SIGNS THE FORM 990 FOR SUBMISSION TO THE IRS.
ENFORCEMENT OF CONFLICTS POLICY
FORM 990, PAGE 6, PART VI, LINE 12C
COMMON GROUNDS' CONFLICT OF INTEREST POLICY CALLS FOR AN INITIAL DISCLOSURE BY EACH BOARD MEMBER UPON JOINING THE BOARD, AN ANNUAL UPDATE OF THE DISCLOSURE FORM, AND CIRCULATION OF A LIST OF THE DISCLOSED POTENTIAL CONFLICTS AT EACH BOARD MEETING. THESE THREE STEPS ASSURE THAT POTENTIAL CONFLICTS ARE FULLY DISCLOSED, ARE KEPT UP TO DATE AND REMAIN IN THE AWARENESS OF THE ORGANIZATION'S DECISION MAKERS.
COMPENSATION PROCESS FOR TOP OFFICIAL
FORM 990, PAGE 6, PART VI, LINE 15A
THE ONLY OFFICER OR KEY EMPLOYEE COMPENSATED BY THE ORGANIZATION IS THE EXECUTIVE DIRECTOR. HIS OR HER COMPENSATION IS DETERMINED INDEPENDENTLY BY THE BOARD. MOST BOARD MEMBERS ARE EXECUTIVES OF UNRELATED ORGANIZATIONS FAMILIAR WITH APPROPRIATE COMPENSATION LEVELS FOR SIMILAR NONPROFIT ORGANIZATIONS IN OUR AREA. IN ADDITION, THE BOARD IS PROVIDED RELEVANT SALARY SURVEY INFORMATION FOR NONPROFITS IN OUR REGION. THE BOARD THEN CONSIDERS THE EXECUTIVE'S PAST PERFORMANCE AND THE BOARD'S EXPECTATIONS FOR THE COMING YEAR AND DETERMINES THE APPROPRIATE SALARY LEVEL.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
ALL PUBLIC DOCUMENTS ARE AVAILABLE UPON REQUEST. THIS IS IMPLEMENTED WITH A STATEMENT ON OUR WEBSITE PROVIDING A LINK THROUGH WHICH THE USER CAN EMAIL A REQUEST FOR THE DOCUMENT(S).
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.