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
2012
Open to Public Inspection
Name of the organization
GIRL SCOUTS OF CENTRAL INDIANA INC
Employer identification number
35-0876381
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 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 monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2,311,518
972,813
936,580
1,942,529
1,163,099
7,326,539
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
0
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
0
4
Total. Add lines 1 through 3
2,311,518
972,813
936,580
1,942,529
1,163,099
7,326,539
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)..
1,297,886
6
Public support. Subtract line 5 from line 4.
6,028,653
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
7
Amounts from line 4..
2,311,518
972,813
936,580
1,942,529
1,163,099
7,326,539
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
253,757
92,917
173,626
139,853
151,671
811,824
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
0
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
20,828
145,538
69,700
91,395
26,687
354,148
11
Total support (Add lines 7 through 10).
8,492,511
12
Gross receipts from related activities, etc. (see instructions)
..................
12
10,039,589
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 2012 (line 6, column (f) divided by line 11, column (f))
.........
14
70.980 %
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
66.920 %
16a
33 1/3% support test—2012.
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—2011.
If the organization did not check a 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—2012.
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—2011.
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) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(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 2012 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2011 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2011 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2012.
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—2011.
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) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information.
Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
OTHER INCOME, SCHEDULE A, PART II, LINE 10, DESCRIPTION - MISCELLANEOUS INCOME, COLUMN A - 20828, COLUMN B - 73680, COLUMN C - 60975, COLUMN D - 68005, COLUMN E - 25687, COLUMN F - 249175; DESCRIPTION - GROSS INCOME FROM FUNDRAISING EVENTS, COLUMN A - 0, COLUMN B - 71858, COLUMN C - 8725, COLUMN D - 23390, COLUMN E - 1000, COLUMN F - 104973;,
Schedule A (Form 990 or 990-EZ) 2012
Additional Data
Software ID:
12000266
Software Version:
v2012.1.0
-
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
2012
Open to Public Inspection
Name of the organization
GIRL SCOUTS OF CENTRAL INDIANA INC
Employer identification number
35-0876381
Identifier
Return Reference
Explanation
PRIOR YEAR REVENUE
FORM 990, PART I, LINE 9
PRIOR YEAR PROGRAM PRODUCT SALES HAVE BEEN RECLASSIFIED FROM "OTHER REVENUE" ON PART I, LINE 11, TO "PROGRAM SERVICE REVENUE" ON PART I, LINE 9, TO BE CONSISTENT WITH CURRENT YEAR REPORTING, WHICH MORE ACCURATELY DESCRIBES THE NATURE OF THIS REVENUE.
Classes of members or stockholders
Form 990, Part VI, Section A, Line 6
THE ORGANIZATION'S GOVERNING DOCUMENTS EXPLAIN THAT THE MEMBERS OF THE ORGANIZATION ARE REPRESENTATIVES SELECTED BY COUNTY CONSTITUENCIES. THERE ARE ALWAYS AT LEAST 200 MEMBERS OF THE SAME CLASS.
Members or stockholders electing members of governing body
Form 990, Part VI, Section A, Line 7a
THE MEMBERS HAVE THE RIGHT TO ELECT THE OFFICERS OF THE COUNCIL, THE MEMBERS-AT-LARGE OF THE BOARD OF DIRECTORS, AND THE MEMBERS OF THE BOARD DEVELOPMENT COMMITTEE. THE ORGANIZATION'S MEMBERS ALSO SELECT THE DELEGATES AND PERSONS TO FILL VACANCIES AMONG THE DELEGATES, SHOULD VACANCIES OCCUR, TO THE NATIONAL COUNCIL OF GIRL SCOUTS OF THE UNITED STATES OF AMERICA, AS EACH COUNCIL ELECTS DELEGATES TO THE NATIONAL COUNCIL. IN ADDITION, THE MEMBERS HAVE THE RIGHT TO AMEND THE ORGANIZATION'S GOVERNING DOCUMENTS.
Decisions requiring approval by members or stockholders
Form 990, Part VI, Section A, Line 7b
WHEN THE GOVERNING DOCUMENTS ARE AMENDED, THE AMENDMENTS ARE SUBJECT TO APPROVAL BY THE MEMBERS. NO OTHER DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO THE MEMBER'S APPROVAL.
Review of form 990 by governing body
Form 990, Part VI, Section B, Line 11b
AN IN DEPTH REVIEW OF A DRAFT COPY OF THE FORM 990 IS PERFORMED BY THE AUDIT COMMITTEE. ONCE REVIEWED BY THE AUDIT COMMITTEE, EACH BOARD MEMBER IS PROVIDED A COPY PRIOR TO THE RETURN BEING ELECTRONICALLY FILED WITH THE IRS.
Conflict of interest policy
Form 990, Part VI, Section B, Line 12c
EACH MEMBER OF THE BOARD OF DIRECTORS AND OFFICERS OF THE ORGANIZATION SIGNS AN ANNUAL CONFLICT OF INTEREST POLICY THAT DISCLOSES ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST THESE STATEMENTS ARE REVIEWED BY THE BOARD CHAIR. WHEN ANY SUCH CONFLICT OF INTEREST IS RELEVANT TO A MATTER REQUIRING ACTION BY THE BOARD, THE INTERESTED PERSON SHALL CALL IT TO THE ATTENTION OF THE CHAIRPERSON, AND SUCH PERSON SHALL NOT VOTE ON THE MATTER. MOREOVER, THE PERSON HAVING THE CONFLICT SHALL LEAVE THE ROOM IN WHICH THE MEETING IS HELD AND NOT PARTICIPATE IN THE FINAL DELIBERATIONS OR DECISION REGARDING THE MATTER UNDER CONSIDERATION. A BOARD MEMBER SHALL ADVISE THE CHAIRMAN IN WRITING OF ANY POTENTIAL CONFLICTS OF INTEREST WHCIH ARISE AFTER SIGNING THE STATEMENT.
Process used to establish compensation of top management official
Form 990, Part VI, Section B, Line 15a
THE GIRL SCOUTS OF CENTRAL INDIANA, INC. HAS A COMPENSATION COMMITTEE WHICH IS MADE UP OF THE BOARD CHAIR AND 3-5 BOARD MEMBERS. THE COMMITTEE IS RESPONSIBLE FOR CONDUCTING AN ANNUAL PERFORMANCE APPRAISAL OF THE CEO. THE COMMITTEE DETERMINES THE ANNUAL MERIT INCREASE ( IF ANY) AND RESULTING SALARY TO BE PROVIDED BASED UPON REVIEW OF OTHER COMPARABLE NONPROFIT ORGANIZATIONS'S FORMS 990. THE DECISION IS DOCUMENTED IN THE EMPLOYEE'S FILE IN THE PAYROLL DEPARTMENT. THE SALARY REVIEW OCCURS ON AN ANNUAL BASIS, WITH THE LAST REVIEW OCCURRING DURING 2011.
PROCESS USED TO ESTABLISH COMPENSATION OF OTHER OFFICERS
FORM 990, PART VI, LINE 15B
THE CEO REVIEWS THE CFO'S COMPENSATION. THIS COMPENSATION REVIEW WAS CONDUCTED IN 2012.
Governing documents, conflict of interest policy and financial statements available to the public
Form 990, Part VI, Section C, Line 19
THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
Other changes in net assets or fund balances
Form 990 , Part XI, Line 9
CHANGE IN VALUE OF BENEFICIAL INTEREST IN ASSETS HELD BY OTHERS - 10196; CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST - 21879; LOSS ON IMPAIRMENT OF LAND, BUILDINGS, AND EQUIPMENT HELD FOR SALE - -60021;
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.