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
The Blood & Tissue Center Foundation
Employer identification number
43-1970952
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)
No
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
No
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
No
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
(1)
SOUTH TX BLOOD & TISSUE CTR
237379332
0
Yes
Yes
Yes
577,991
Total
577,991
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.") .
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) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(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 2011 (line 8 column (f) divided by line 13 column (f))
.........
15
16
Public support percentage from 2010 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f))
......
17
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
The Blood & Tissue Center Foundation
Employer identification number
43-1970952
Identifier
Return Reference
Explanation
VOTING MEMBERS OF BOARD OF DIRECTORS NOT INDEPENDENT
FORM 990, PART VI, LINE 1B
TWO MEMBERS OF THE BOARD OF DIRECTORS ARE NOT DEEMED INDEPENDENT. ONE OF THE DIRECTORS RECEIVED COMPENSATION FROM THE SOUTH TEXAS BLOOD & TISSUE CENTER, A RELATED ORGANIZATION, AND THE OTHER DIRECTOR RECEIVED PAYMENTS IN EXCESS OF $10,000 FOR SERVICES RENDERED TO THE SOUTH TEXAS BLOOD & TISSUE CENTER.
PROCESS TO REVIEW THE FORM 990
FORM 990, PART VI, QUESTION 11B
THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE FORM 990. ONCE PREPARED, THE RETURN IS THOROUGHLY REVIEWED BY FINANCIAL MANAGEMENT STAFF FROM THE SOUTH TEXAS BLOOD & TISSUE CENTER, A RELATED ORGANIZATION, PRIOR TO FILING THE RETURN.
DIRECTOR, TRUSTEE, OR KEY EMPLOYEE
FORM 990, PART VI, QUESTION 2
BUSINESS RELATIONSHIPS EXIST BETWEEN DR. JAMES BENEDICT, DR. THOMAS MCNISH AND LAURIE KAPLAN AND BETWEEN PAT FROST, VERNON TORGERSON, JR., RICHARD REYNOLDS AND JAMES FERGUSON, IV. MICHAEL AND LOUISE BELDON, ALLISON AND DANIEL KUSTOFF, AND JENNIFER AND JAMES ROSENBLATT HAVE BOTH BUSINESS AND FAMILY RELATIONSHIPS AMONGST ALL PARTIES. THE FOLLOWING INDIVIDUALS HAVE A FAMILY RELATIONSHIP WITH A FELLOW BOARD MEMBER: DR. ALAINA ADAMS & BRAD ADAMS; ALLISON ALEXANDER & DEAN ALEXANDER; ROSE MARIE BANACK & EMERSON BANACK; CATHY BENEDICT & DR. JAMES BENEDICT; BEVERLY BIRNBAUM & MICHAEL BIRNBAUM; DR. JOHN BOLDT & VERONICA BOLDT; DONNA BRUNI & ROBERT BRUNI; EARLYNE BUCHANAN & WAYMAN BUCHANAN; GRETCHEN BURKHOLDER & DR. GEORGE BURKHOLDER; MARCIA EPNER & MARTIN EPNER; RITA FEIK & JOHN FEIK; STACEY FERGUSON & JOHN FERGUSON IV; VALERIE FINCH & RON FINCH; KIM FISCHER & MICHAEL FISCHER; JEANNIE FRIEDEN & ALVIN FRIEDEN; KELLEY FROST & PAT FROST; DR. FERNANDO GUERRA & BEVERLY GUERRA; SUSAN HALL & WENDELL HALL; ANNE HANDREN & TIM HANDREN; DR. FLOYD W. HARTSELL & JENNY HARTSELL; DR. WILLIAM HENRICH & MARY HENRICH; JANET HOLLIDAY & ROB HOLLIDAY; COLONEL RAYMOND HOLMES & EVELYN HOLMES; DR. LEROY JONES & NEVEN JONES; ANNE KANTER & FRED KANTER; LAURIE KAPLAN & MICHAEL KAPLAN; DR. FERNANDO LOPEZ & MARTHA LOPEZ; DR. THOMAS MCNISH & YONA MCNISH; SYDNEY MUENSTER & GREGG MUENSTER; SAM O'KRENT & MARGIE O'KRENT; SALLY OWENS & CHARLES OWENS; JUDY PALANS & SEYMOUR PALANS; LORETTA PATTERSON & JAMES PATTERSON; MOLLY POTTER & STEVE POTTER; EMILY REYNOLDS & RICHARD REYNOLDS; JOANIE SCHWARTZ & SOL SCHWARTZ; DEEANN SIMPSON & SKINNER SIMPSON; ANNA STAHL & DENNIS STAHL; ARLENE STARR & DAVID STARR; DR. THOMAS URIBE & GLORIA URIBE; COURTNEY WATSON & MARK WATSON, JR.; DR. MATTHEW WINDROW & SHANNON WINDROW: DR. DALE WOOD & MERTIE WOOD; WILLIAM YOUNG & JESSICA YOUNG; MARK WRIGHT & LORENDA WRIGHT; THAD ZIEGLER & ANNA ZIEGLER
ORGANIZATIONAL DOCUMENT CHANGES
FORM 990, PART VI, QUESTION 4
SIGNIFICANT CHANGES TO THE BY-LAWS AS AMENDED ON 12/05/11 ARE AS FOLLOWS: ARTICLE 3, BOARD OF DIRECTORS, SECTION 3.3(D) TERM OF OFFICE; TERM LIMITS, WHICH PREVIOUSLY READ "DIRECTORS SHALL BE ELECTED FOR A TERM OF THREE YEARS, AND MAY SERVE FOR A MAXIMUM OF THREE CONSECUTIVE TERMS, AFTER WHICH THEY MUST REMAIN OFF THE BOARD FOR A MINIMUM OF ONE YEAR BEFORE BEING ELIGIBLE FOR REELECTION. THE BOARD, HOWEVER, MAY GRANT ONCE, AN EXCEPTION TO THIS TERM LIMITATION AND ALLOW THE DIRECTOR TO SERVE ONE ADDITIONAL TERM NOT TO EXCEED THREE YEARS." AMENDED TO READ "DIRECTORS SHALL BE ELECTED FOR A TERM OF THREE YEARS, AND MAY SERVE ADDITIONAL TERMS." ARTICLE 4, EXECUTIVE COMMITTEE, SECTION 4.2 NUMBER, PREVIOUSLY STATED "THE EXECUTIVE COMMITTEE SHALL CONSIST OF SEVEN (7) MEMBERS, OF WHOM FOUR (4) MEMBERS SHALL BE THE FOUNDATION'S FOUR ELECTED OFFICERS AND THREE (3) OF WHOM SHALL BE FOUNDATION DIRECTORS ELECTED BY THE FOUNDATION BOARD. IF THE FOUNDATION BOARD HAS ELECTED CO-CHAIRS AND CO-CHAIR-ELECT, THE NUMBER OF EXECUTIVE COMMITTEE MEMBERS SHALL BE INCREASED ACCORDINGLY." AMENDED TO READ "ELECTED OFFICERS, AND UP TO FOUR (4) MEMBERS AT LARGE." ADDITION MADE TO ARTICLE 5, OFFICERS, SECTION 5.5 IMMEDIATE PAST CHAIR "THE IMMEDIATE PAST CHAIR SHALL ATTEND ALL MEETINGS OF THE FOUNDAITON BOARD AND THE EXECUTIVE COMMITTEE." ADDITION MADE TO ARTICLE 5, OFFICERS, SECTION 5.9 MEMBERS AT LARGE "UP TO FOUR (4) FOUNDATION BOARD DIRECTORS MAY BE SELECTED TO SERVE ON THE EXECUTIVE COMMITTEE. THESE MEMBERS AT LARGE SHOULD BE REPRESENTATIVE OF ACTIVE BOARD DIRECTORS SUCH AS COMMITTEE CHAIRMEN."
CLASSES OF MEMBERS OR STOCKHOLDERS
FORM 990, PART VI, QUESTION 6
AS OF 12/31/11, THE FOUNDATION BOARD WAS COMPRISED OF 116 MEMBERS INCLUDING THE CHAIR OF THE SOUTH TEXAS BLOOD & TISSUE CENTER'S BOARD OF DIRECTORS AND ONE VOTING EX-OFFICIO MEMBER WHO ALSO SERVES AS THE FOUNDATION'S EXECUTIVE DIRECTOR AND THE PRESIDENT/COO OF SOUTH TEXAS BLOOD & TISSUE CENTER. THE FOUNDATION'S MEMBERS ARE AUTHORIZED TO MANAGE THE FOUNDATION AND APPROVE SIGNIFICANT DECISIONS ALTHOUGH SOME MAJOR DECISIONS SUCH AS APPROVAL OF THE ANNUAL BUDGET ARE SUBJECT TO THE APPROVAL OF THE SOUTH TEXAS BLOOD & TISSUE CENTER BOARD AS WELL.
MEMBERS OR STOCKHOLDERS WHO CAN ELECT MEMBERS OF THE GOVERNING BODY
FORM 990, PART VI, QUESTION 7A
ANY DIRECTOR MAY NOTIFY THE FOUNDATION'S OR SOUTH TEXAS BLOOD & TISSUE CENTER'S NOMINATING COMMITTEES OF THE NAMES OF INDIVIDUALS TO BE CONSIDERED FOR ELECTION TO THE FOUNDATION BOARD. THE NOMINATING COMMITTEES RECOMMEND INDIVIDUALS TO THE FOUNDATION BOARD FOR ELECTION TO THE BOARD. THE SOUTH TEXAS BLOOD & TISSUE CENTER'S BOARD CAN APPROVE OR DISAPPROVE ANY ELECTION.
MEMBERS OR STOCKHOLDERS
FORM 990, PART VI, QUESTION 7B
THE SOUTH TEXAS BLOOD & TISSUE CENTER BOARD CAN APPROVE OR DISAPPROVE DECISIONS BY THE GOVERNING BODY.
MAILING ADDRESS
FORM 990, PART VI, QUESTION 9
MARY BETH FISK, 11840 ADKINS, ST. HEDWIG, TX 78152
FORM 990 PROVIDED TO GOVERNING BODY
FORM 990, PART VI, QUESTION 11A
THE 990 IS DISTRIBUTED TO THE EXECUTIVE COMMITTEE OF SOUTH TEXAS BLOOD & TISSUE CENTER PRIOR TO FILING THE RETURN AND IS AVAILABLE TO THE ORGANIZATION'S GOVERNING BODY UPON REQUEST.
PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY
FORM 990, PART VI, QUESTION 12C
A COPY OF THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS PROVIDED ANNUALLY TO ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES. IN ADDITION, QUESTIONNAIRES ARE GIVEN OUT ON AN ANNUAL BASIS TO ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES WHICH COVER BUSINESS AND FAMILY RELATIONSHIPS AND VARIOUS ACTIVITIES THAT HAVE OCCURRED OVER THE COURSE OF THE YEAR. EVERY ATTEMPT IS MADE TO ENSURE THAT ALL FORMS ARE RETURNED TO THE FOUNDATION. INDIVIDUALS WHO FAIL TO RETURN THE REQUESTED FORMS OR PROVIDE INCOMPLETE INFORMATION ARE CONTACTED BY THE ORGANIZATION.
REVIEW OF CEO OR TOP MGMT OFFICIAL COMPENSATION
FORM 990, PART VI, QUESTION 15A
IN DETERMINING THE CEO'S COMPENSATION, THE ORGANIZATION RELIES ON A RELATED ORGANIZATION'S PROCESS THAT USES AN INDEPENDENT COMPENSATION CONSULTING GROUP TO ASSIST IN COMPENSATION DECISIONS. THEIR REVIEW IS BASED ON COMPENSATION SURVEYS, COMPENSATION PACKAGES OFFERED BY SIMILAR ORGANIZATIONS IN OUR PEER GROUP AND MARKET COMPETITIVE ANALYSES. THE INDEPENDENT CONSULTANTS REPORT IS REVIEWED BY THE COMPENSATION COMMITTEE OF THE SOUTH TEXAS BLOOD & TISSUE CENTER BOARD AND SUBMITTED TO THE BOARD FOR APPROVAL.
REVIEW OF OTHER OFFICER OR KEY EMPLOYEE COMPENSATION
FORM 990, PART VI, QUESTION 15B
A PROCESS TO DETERMINE OTHER OFFICER'S COMPENSATION IS IN PLACE BY THE SOUTH TEXAS BLOOD & TISSUE CENTER. THE PROCESS RELIES ON AN INDEPENDENT COMPENSATION CONSULTING GROUP TO ASSIST IN THAT DECISION. THEIR REVIEW IS BASED ON COMPENSATION SURVEYS, COMPENSATION PACKAGES OFFERED BY SIMILAR ORGANIZATIONS IN OUR PEER GROUP, AND MARKET COMPETITIVE ANALYSES.
ORGANIZATION'S MISSION
FORM 990, PART I, LINE 1
THE FOUNDATION HAS BEEN AN INVALUABLE ASSET TO THE SOUTH TEXAS BLOOD & TISSUE CENTER AND THE TEXAS CORD BLOOD BANK (TCBB), A DIVISION OF THE CENTER. IN 2011 THEIR SUPPORT HELPED THE TCBB DELIVER FOR TRANSPLANT 49 LIFE SAVING UNITS OF CORD BLOOD TO TREAT CHILDREN AND ADULTS SUFFERING FROM LIFE THREATENING ILLNESSES.
DOCUMENTS, POLICIES, FINANCIAL STATEMENTS MADE AVAILABLE TO PUBLIC
PART VI, SECTION C, QUESTION 19
UPON REQUEST
HOURS DEVOTED FOR RELATED ORGANIZATION
FORM 990 PART VII
NAME:MARY BETH FISK TITLE:EX-OFFICIO DIRECTOR HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATION
FORM 990 PART VII
NAME:NORMAN D. KALMIN, M.D. TITLE:FORMER EX-OFFICIO DIRECTOR HOURS:50
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.