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
Assistance League of Bend
Employer identification number
94-3138500
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.") .
126,167
104,196
119,400
123,041
138,752
611,556
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......
72,447
84,580
66,892
130,418
84,814
439,151
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
0
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
0
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
0
6
Total. Add lines 1 through 5.
198,614
188,776
186,292
253,459
223,566
1,050,707
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
3,500
3,500
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.
0
c
Add lines 7a and 7b..
3,500
3,500
8
Public support (Subtract line 7c from line 6.)
1,047,207
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...
198,614
188,776
186,292
253,459
223,566
1,050,707
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
1,576
950
1,150
638
512
4,826
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
0
c
Add lines 10a and 10b.
1,576
950
1,150
638
512
4,826
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
0
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
0
13
Total support. (Add lines 9, 10c, 11, and 12.)..
200,190
189,726
187,442
254,097
224,078
1,055,533
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
99.210 %
16
Public support percentage from 2011 Schedule A, Part III, line 15
...............
16
98.840 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))
......
17
0.460 %
18
Investment income percentage from 2011 Schedule A, Part III, line 17
.............
18
0.860 %
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:
12000229
Software Version:
2012v2.0
-
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
Assistance League of Bend
Employer identification number
94-3138500
Identifier
Return Reference
Explanation
Form 990, Part VI, Line 19
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon written request to:Assistance League of BendP.O. Box 115Bend OR 97709In addition, Form 990 is available on the GuideStar website.
Form 990, Part VI, Line 12c
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts
ALL NEW ACTIVITIES, NEW PROGRAMS, AND CAPITAL PURCHASES ARE PRESENTED DIRECTLY TO THE BOARD OR TO A COMMITTEE FOR REVIEW PRIOR TO PRESENTATION TO THE BOARD. DURING THIS PROCESS, POTENTIAL CONFLICTS OF INTEREST ARE IDENTIFIED AND ALTERNATIVE PLANS ARE CONSIDERED BY THE COMMITTEE. COMMITTEE MEMBERS WITH A POTENTIAL CONFLICT OF INTEREST ARE REQUIRED NOT TO PARTICIPATE IN THE DISCUSSION AND NOT TO VOTE ON WHETHER TO APPROVE THE TRANSACTION OR ARRANGEMENT. MINUTES OF THE COMMITTEE MEETING RECORD THE NAMES OF PERSONS PRESENT, NAMES OF PERSONS WITH A POTENTIAL CONFLICT OF INTEREST, DETAILS RELATED TO THE POTENTIAL CONFLICT OF INTEREST, AND THE COMMITTEE'S DECISION.ADDITIONALLY, ALL MEMBERS ARE REQUIRED TO SIGN AND DATE THE ORGANIZATION'S ANNUAL MEMBER INFORMATION AND DUES REMITTANCE FORM. THE CHAPTER POLICIES AND ACKNOWLEDGEMENT SECTION OF THE FORM REQUIRES MEMBERS TO INITIAL THEIR PERSONAL ACCEPTANCE OF THE CONFLICT OF INTEREST POLICY AND TO INITIAL THAT THEY HAVE (1)NO POTENTIAL CONFLICT OF INTEREST TO DISCLOSE OR (2)TO LIST ANY POTENTIAL CONFLICTS OF INTEREST.
Form 990, Part VI, Line 11b
Form 990, Part VI, Line 11b: Form 990 Review Process
THE PAST TREASURER REVIEWS THE FORM 990 AND DISCUSSES QUESTIONS OR ISSUES WITH THE PAID PREPARER. THE COMPLETED FORM IS SENT TO MEMBERS OF THE BUDGET AND FINANCE COMMITTEE AND THE BOARD FOR THEIR REVIEW. THE PAST TREASURER PRESENTS AN OVERVIEW AND LEADS A DISCUSSION OF THE FORM 990 AT A JOINT MEETING OF THE TWO COMMITTEES. THE BOARD APPROVES THE FORM 990 BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. COPIES OF THE FORM 990 ARE MADE AVAILABLE TO THE MEMBERS FOR THEIR REVIEW.
Form 990, Part VI, Line 7b
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders
Voting members approve:(1) All chapter matters pertaining to the commitment of time and money.(2) Proposed expenditures of unbudgeted funds in excess of $500.(3) Amendment of current bylaws and adoption of new bylaws.(4) The adoption, expansion, or termination of any philanthropic program.(5) The adoption, expansion, or termination of any fundraising activity.
Form 990, Part VI, Line 7a
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body
The organization elects a nominating committee composed of (1)two members and one alternate elected by and from the Board and (2)five members and one alternate elected by and from the voting membership. This committee submits a slate of nominees for the elective board positions. This slate of nominees is submitted to the Recording Secretary and to each voting member at least one month prior to the election meeting. The Board is elected at the election meeting. A majority (51%) of the voting members constitutes a quorum for this election meeting.
Form 990, Part VI, Line 6
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder
The organization has both voting and nonvoting members. Membership as a voting or nonvoting member is open without discrimination to any individual as long as they comply with the responsibilities of membership.
Form 990, Part VI, Line 4
Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents
The organization added two sections to its bylaws describing two additional appointive standing committees added to the organization during the year. The two new committees were the risk management committee and website committe.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.