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
BUILDERS WITHOUT BORDERS INC
Employer identification number
26-0779236
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
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) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
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 2012 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
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.") .
42,799
69,543
108,171
126,115
146,987
493,615
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......
153
102
4
3
262
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.
42,799
69,696
108,273
126,119
146,990
493,877
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.)
493,877
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...
42,799
69,696
108,273
126,119
146,990
493,877
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.)..
42,799
69,696
108,273
126,119
146,990
493,877
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
100.000 %
16
Public support percentage from 2011 Schedule A, Part III, line 15
...............
16
100.000 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))
......
17
0 %
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
Schedule A (Form 990 or 990-EZ) 2012
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
2012
Open to Public Inspection
Name of the organization
BUILDERS WITHOUT BORDERS INC
Employer identification number
26-0779236
Identifier
Return Reference
Explanation
ALL OTHER ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4D
SUPPORT OTHER LIKE-MINDED CHARITIES
RELATED PARTY INFORMATION AMONG OFFICERS
FORM 990, PAGE 6, PART VI, LINE 2
MR. REED HASSON MRS. NICHOLE HASSON TRUSTEE TRUSTEE MARRIED MR. JAMES CHRISTENSEN MRS. STACI CHRISTENSEN TRUSTEE TRUSTEE MARRIED MR. CHRIS EVANS MRS. ANGIE EVANS TRUSTEE TRUSTEE MARRIED MR. ERIC NUTTALL MRS. JULIE NUTTALL TRUSTEE TRUSTEE MARRIED MR. BRAD NORTON MRS. DEBBIE NORTON TRUSTEE TRUSTEE MARRIED MR. DEAN PETERSON MRS. MARIA PETERSON TRUSTEE TRUSTEE MARRIED
POLICIES AND PROCEDURES GOVERNING CHAPTERS
FORM 990, PAGE 6, PART VI, LINE 10B
BUILDERS WITHOUT BORDERS OF UTAH PLAN FOR CHARTERS BENEFITS OF BEING A CHARTER 1. BUILDERS WITHOUT BORDERS IS A 501(C)(3) NON PROFIT ORGANIZATION AS OF AUG. 7, 2007. ALL DONATIONS INCLUDING DONATIONS BY PARTICIPANTS TO PAY TRIP COSTS MAY BE TAX DEDUCTIBLE. 2.WE ARE WORKING WITHIN ALL THE APPLICABLE TAX AND STATE LAWS GOVERNING CHARITIES AND THE SOLICITATION OF FUNDS. 3.PROFESSIONAL PREPARATION OF 990 - PRESUMING BOOKKEEPING REQUIREMENTS ARE FOLLOWED. 4.OUR ORGANIZATION AS A 501(C)(3) OPENS DOORS TO PARTNER WITH OTHER CHARITIES AND FOUNDATIONS TO ENHANCE OUR CHARITABLE CAUSES AND AS ADDITIONAL SOURCES OF FUNDING. CURRENTLY WE HAVE A PARTNERSHIP WITH GLOBUS RELIEF THAT ALLOWS US TO SOLICIT MEDICAL SUPPLIES AT A SUBSTANTIALLY REDUCED COST. 5.WORKING WITH VARIOUS STAKES AND WITH A LARGER NUMBER OF PARTICIPANTS HAS PROVEN TO BE HELPFUL IN PROVIDING IDEAS FOR HUMANITARIAN PROJECTS. 6.CHARTERS ARE ASKED TO PLEASE SUBMIT PICTURES AND VIDEO TO CORPORATE FOR USE IN AN ANNUAL DVD PRODUCE FOR THE PURPOSE OF SOLICITING DONATIONS. 7.ANNUAL TRIP DVD'S, BROCHURES, AND IDEAS FOR HUMANITARIAN PROJECTS WILL BE AVAILABLE FROM CORPORATE FOR ALL PARTICIPANTS. BEING A CHARTER ALLOWS US TO SPREAD THE COST OF THESE MATERIALS TO MORE PARTICIPANTS. 8.WE CAN ACT AS THE OVER DRAFT PROTECTION OF LAST RESORT FOR EACH OTHER SHOULD WE EXPERIENCE A SHORTFALL WHILE IN MEXICO. REQUIREMENTS AND RULES 1.THIRD-PARTY DONATIONS ARE TO BE USED 100% FOR CONSTRUCTION OR HUMANITARIAN PROJECTS. NO THIRD-PARTY FUNDS ARE TO BE USED FOR PARTICIPANT TRAVEL COSTS OR ADMINISTRATIVE COSTS UNLESS SPECIFIED BY DONOR, IE. A SPONSORSHIP. 2.EACH CHARTER SHOULD HAVE A NAME. 3.THE TREASURER OF B W/O B IS TO BE A SECONDARY SIGNER ON ALL CHARTER ACCOUNTS - JULIE NUTTALL 400-5315. 4.CHARTERS SHOULD USE THE OFFICIAL BUILDERS WITHOUT BORDERS OF UTAH BRANDING AND LOGO. 5.ALL TRIPS BY CHARTERS INCLUDING ALL PARTICIPANTS ARE TO FOLLOW "STRENGTH OF YOUTH" STANDARDS. 6.RECEIPTS DOCUMENTING CHARITABLE DONATION CAN ONLY BE ISSUED BY BOARD OF TRUSTEES AND MUST BE SIGNED BY PRESIDENT. CHARTERS ARE NOT AUTHORIZED TO ISSUE THEIR OWN RECEIPTS ALTHOUGH THEY ARE WELCOME TO PROVIDE PICTURES, INFO, ETC THEY WOULD LIKE INCLUDED ON RECEIPTS. 7.AN ADMINISTRATIVE FEE OF 25.00 PER PARTICIPANT PER YEAR WILL BE PAID TO CORPORATE FROM PARTICIPANT FEES. THE ADMINISTRATIVE FEE IS TO PAY FOR STATE AND IRS AND UTAH FEES, PRINTING COSTS, DVD PRODUCTION, WEB SITE CREATION AND MAINTENANCE, (LIABILITY INSURANCE ????), AND OTHER OVERHEAD EXPENSES. WE ONLY INTEND TO COVER THE HARD COSTS OF THESE PRODUCTS AND SERVICES BOOKKEEPING REQUIREMENTS AS A 501(C)(3) NON PROFIT, BUILDERS WITHOUT BORDERS OF UTAH IS REQUIRED TO FILE AN ANNUAL TAX RETURN - FORM 990 - DETAILING ALL ITS COLLECTIONS, BUILDING AND HUMANITARIAN EXPENDITURES, AS WELL AS ALL INDIRECT COSTS OF PROVIDING OUR SERVICES - TRAVEL, INSURANCE, ETC. - AND OUR OVERHEAD. THE FORM 990 IS AVAILABLE FOR INSPECTION BY ALL OUR CHARTER ORGANIZATIONS. WE NEED YOUR ASSISTANCE IN PROVIDING THE RECORD KEEPING REQUIRED TO COMPLY WITH THE IRS RULES AND REGULATIONS. 1. TWO CHECKING ACCOUNTS MUST BE MAINTAINED - ONE FOR PARTICIPANT DONATIONS AND COSTS AND ONE FOR THIRD PARTY DONATIONS. 2.DUPLICATE COPY OF BANK STATEMENTS ARE TO BE SENT TO THE TREASURER EACH MONTH OR THE TREASURER IS TO HAVE ONLINE ACCESS. 3.WE REQUEST THAT EXTRA FUNDS NOT REMAIN UNUSED IN CHARTER ACCOUNTS OVER SEVERAL YEARS. PLEASE REMIT ANY EXTRA FUNDS TO CORPORATE THAT YOU DO NOT ANTICIPATE USING THE NEXT YEAR SO THAT THEY CAN BE USED TO BENEFIT THOSE WITH WHOM WE WORK. WE WOULD LIKE TO MAKE EXTRA FUNDS AVAILABLE TO CHARTERS THAT PERHAPS HAVE A SHORTFALL IN THEIR FUNDING FOR A TRIP IN A PARTICULAR YEAR. 4.CHARTERS ARE TO KEEP ALL RECEIPTS POSSIBLE AND SUBMIT THEM TO CORPORATE NO MORE THAN 8 WEEKS FOLLOWING THE EXPENDITURES - USUALLY THE ANNUAL TRIP. 5.TRIP BOOKKEEPING IS TO BE SUBMITTED TO CORPORATE USING THE APPROVED FORM AND CATEGORIES ALONG WITH THE RECEIPTS FOR EXPENDITURES AND A NOTE OF THE CURRENCY CONVERSION FACTOR USED. 6.NO CHARITABLE DONATION RECEIPTS WILL BE ISSUED UNTIL THE EXPENSE RECEIPTS AND TRIP BOOKKEEPING HAVE BEEN TURNED IN TO CORPORATE. 7.A RECORD IS TO BE KEPT OF ALL DONATIONS INCLUDING NAME AND ADDRESS. 8.A RECORD IS TO BE KEPT OF EACH PROJECT AND THE NAME AND ADDRESS OF THE PROJECT RECIPIENTS WITH AN EXPENSE TOTAL FOR EACH PROJECT. 9.CHARTERS ARE REMINDED TO DOCUMENT DONATIONS-IN-KIND AS WELL. NO VALUATION EITHER WRITTEN OR ORAL IS TO BE GIVEN TO THE DONOR. AS THE PRESIDENT OF THE __________________ CHARTER OF BUILDERS WITHOUT BORDERS OF UTAH, I AGREE TO FOLLOW THE RULES AND REQUIREMENTS AS EXPLAINED IN THE PREVIOUS TWO PAGES. I UNDERSTAND THAT THE FUNDS OF MY CHARTER MAY BE USED TO PAY ANY IRS OR UTAH PENALTIES THAT MAY ARISE FROM MY FAILURE TO COMPLY WITH THE BOOKKEEPING REQUIREMENTS. IN ADDITION, MY CHARTER MAY BE REQUIRED TO PAY FOR PROFESSIONAL PREPARATION OF THE FORM 990 SHOULD I FAIL TO MEET THE TIMING REQUIREMENTS OF SUBMITTING BOOKKEEPING INFORMATION TO THE TREASURER.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
NO REVIEW WAS OR WILL BE CONDUCTED.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
A COPY OF THE GOVERNING DOCUMENTS ARE AVAILABLE TO ANYBODY WHO REQUESTS ONE.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.