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
RONALD MCDONALD HOUSE CHARITIES OF GREATER LAS VEGAS INC
Employer identification number
94-3108570
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.") ....
1,206,331
848,709
1,261,114
1,111,383
1,118,767
5,546,304
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..
1,206,331
848,709
1,261,114
1,111,383
1,118,767
5,546,304
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)..
651,216
6
Public Support. Subtract line 5 from line 4.
4,895,088
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..
1,206,331
848,709
1,261,114
1,111,383
1,118,767
5,546,304
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
70,617
59,220
44,251
40,469
40,579
255,136
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..
3,136
1,247
494
2,648
7,525
11
Total support (Add lines 7 through 10).
5,808,965
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
166,153
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
84.270 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
84.250 %
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
RONALD MCDONALD HOUSE CHARITIES OF GREATER LAS VEGAS INC
Employer identification number
94-3108570
Identifier
Return Reference
Explanation
ORGANIZATION'S MISSION
FORM 990 - ORGANIZATION'S MISSION
RONALD MCDONALD HOUSE CHARITIES OF GREATER LAS VEGAS SEEKS, SUPPORTS, AND CREATES PROGRAMS THAT BENEFIT THE HEALTH, WELFARE AND EDUCATION OF CHILDREN AND FAMILIES IN OUR COMMUNITY. THE RONALD MCDONALD HOUSE OF GREATER LAS VEGAS SERVES AS A HOME AWAY FROM HOME FOR FAMILIES WHO TRAVEL TO LAS VEGAS FOR CRITICAL MEDICAL TREATMENT FOR THEIR CHILDREN. THE ORGANIZATION SUPPORTS THE WELL-BEING OF CHILDREN, INCLUDING (A) PROVIDING TEMPORARY LODGING PRIMARILY FOR SERIOUSLY ILL CHILDREN AND THEIR FAMILIES WHILE RECEIVING TREATMENT IN OR VISITING A HOSPITAL OR SIMILAR TREATMENT FACILITY AND (B) MAKING CONTRIBUTIONS AND GRANTS TO ORGANIZATIONS ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, OR EDUCATIONAL PURPOSES AND WHICH ENGAGE IN WHOLE OR IN PART IN (I) ACTIVITIES BENEFITTING CHILDREN, (II) CARRYING ON RESEARCH AS TO PHYSICAL AND MENTAL DISEASES AND OTHER DISORDERS, OR THE DIAGNOSIS, PREVENTION AND TREATMENT THEREOF.
FIRST ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4A
CARE AT A CRITICAL CARE FACILITY. WE ASK A NOMINAL DONATION OF 10 PER NIGHT PER FAMILY, WHICH ONLY PARTLY DEFRAYS OPERATING COSTS. THE HOUSE IS ALSO AN APPROVED LODGING FACILITY FOR FAMILIES COVERED BY MEDICAID AND MEDICARE. MAJOR IN-KIND DONATIONS INCLUDED HOUSEHOLD SUPPLIES, ADVERTISING, HOUSEHOLD SERVICES AND SPECIAL EVENTS SERVICES. A CORE GROUP OF 60 VOLUNTEERS HELP SUPPORT THE STAFF AND GUESTS OF THE RONALD MCDONALD HOUSE BY PROVIDING OFFICE ASSISTANCE, LIGHT HOUSEKEEPING, MEAL PREPARATION FOR FAMILIES, AND GARDENING AND MAINTENANCE.
SECOND ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4B
AND TARGETS STUDENTS WHO HAVE LIMITED ACCESS TO EDUCATIONAL OPPORTUNITIES. RECIPIENTS ARE SELECTED ON THE BASIS OF ACADEMIC ACHIEVEMENT, FINANCIAL NEED, AND COMMUNITY INVOLVEMENT. RMHC ALSO FUNDS A SUMMER CAMP PROGRAM FOR CHILDREN WHO WOULD NOT NORMALLY HAVE THE OPPORUNTIY TO EXPERIENCE THE JOYS OF CAMP.
ALL OTHER ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4D
IN AN EFFORT TO PROVIDE ACCESS TO DENTAL CARE FOR UNDERSERVED CHILDREN IN RURAL NEVADA, RMHC OF GREATER LAS VEGAS, IN PARTNERSHIP WITH NEVADA HEALTH CENTERS MILES FOR SMILES, LAUNCHED A RONALD MCDONALD CARE MOBILE PROGRAM - A MOBILE DENTAL UNIT THAT DELIVERS CARE DIRECTLY TO CHILDREN IN THEIR OWN NEIGHBORHOODS. THE PROGRAM SERVES ELKO, WHITE PINE, HUMBOLDT, EUREKA AND LANDER COUNTIES IN NEVADA, MAKING SCHEDULED VISITS TO ACCESSIBLE LOCATIONS LIKE SCHOOLS, CHURCHES AND COMMUNITY CENTERS. THOUSANDS OF CHILDREN WHO WOULD OTHERWISE GO WITHOUT DENTAL CARE ARE CURRENTLY BEING SERVED THROUGH THE RONALD MCDONALD CARE MOBILE PROGRAM.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
THE RETURN IS GIVEN TO ALL MEMBERS FOR REVIEW AND COMMENT THEN THE BOARD TREASURER IS AUTHORIZED TO APPROVE AND SIGN THE RETURN.
ENFORCEMENT OF CONFLICTS POLICY
FORM 990, PAGE 6, PART VI, LINE 12C
EACH BOARD MEMBER IS REQUIRED TO FILL OUT A QUESTIONNAIRE ONCE EACH YEAR TO MONITOR COMPLIANCE.
COMPENSATION PROCESS FOR TOP OFFICIAL
FORM 990, PAGE 6, PART VI, LINE 15A
THE EXECUTIVE COMMITTEE REVIEWS COMPENSATION EACH YEAR THROUGH THE ANNUAL REVIEW PROCESS.
COMPENSATION PROCESS FOR OFFICERS
FORM 990, PAGE 6, PART VI, LINE 15B
THE EXECUTIVE COMMITTEE REVIEWS COMPENSATION EACH YEAR THROUGH THE ANNUAL REVIEW PROCESS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
AVAILABLE UPON REQUEST.
OTHER CHANGES IN NET ASSETS EXPLANATION
FORM 990, PART XI, LINE 5
UNREALIZED LOSS ON INVESTMENTS 36,865 PRIOR PERIOD ADJUSTMENT 26,692
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.