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
Autry National Center of the American West
Employer identification number
95-3947744
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.") ....
15,381,347
12,664,044
17,174,085
11,715,829
18,043,613
74,978,918
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..
340,428
340,426
340,426
340,426
340,428
1,702,134
4
Total. Add lines 1 through 3
15,721,775
13,004,470
17,514,511
12,056,255
18,384,041
76,681,052
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)..
33,110,088
6
Public support. Subtract line 5 from line 4.
43,570,964
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..
15,721,775
13,004,470
17,514,511
12,056,255
18,384,041
76,681,052
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
583,886
184,210
123,997
142,992
176,708
1,211,793
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
2,881
1,065
2,388
2,066
5,176
13,576
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
58,100
174,293
169,839
98,097
65,121
565,450
11
Total support (Add lines 7 through 10).
78,471,871
12
Gross receipts from related activities, etc. (see instructions)
..................
12
1,248,641
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
55.520 %
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
56.020 %
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
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
Autry National Center of the American West
Employer identification number
95-3947744
Identifier
Return Reference
Explanation
Form 990, Part VI, Section A, line 2
Thomas L. Lee - Family Relationship Richard Allen - Family Relationship Sharon Allen - Family Relationship Mary D. Allison - Family Relationship William J. Allison - Family Relationship Sandra J. Ausman - Family Relationship Sheldon I. Ausman - Family Relationship Colleen Caballero-Family Relationship Vince Caballero-Family Relationship John Carter - Family Relationship Lynn Carter - Family Relationship Frank Countner - Family Relationship Susan Countner - Family Relationship Marian Craver - Family Relationship Theodore F. Craver, Jr. - Family Relationship Marvin Elkin - Family Relationship Simona B. Elkin - Family Relationship Sandra Gordon - Family Relationship Gary Gordon - Family Relationship Ellen Jimenez - Family Relationship Federico Jimenez - Family Relationship Colleen Lee - Family Relationship Constance K. Level - Family Relationship Leon J. Level - Family Relationship Greg Martin - Family Relationship Petra Martin - Family Relationship Karon Loter McCarthy - Family Relationship Timothy McCarthy - Family Relationship Sharon Rogers Mckay - Family Relationship Marshall Mckay - Family Relationship James Rea - Family Relationship Jodie Rea - Family Relationship Carl W. Robertson - Family Relationship Susan W. Robertson - Family Relationship Lora A. Sandroni - Family Relationship Robert U. Sandroni - Family Relationship Michael L. Shannon - Family Relationship Ruth B. Shannon - Family Relationship Delaina Sotoodeh - Family Relationship John Sotoodeh - Family Relationship Betsy Ulf - Family Relationship Franklin E. Ulf - Family Relationship Fausto Yturria - Family Relationship Sandra Yturria - Family Relationship Gary M Ruttenberg - Family Relationship Brenda H. Ruttenberg - Family Relationship
Form 990, Part VI, Section A, line 7a
The Autry Foundation shall have the right to designate four (4) of the trustees of the Autry at all times. The Autry Foundation shall have the right to designate two of the foundation-designated trustees as members of the nominating and governance committee. No numerical expansion of the number of trustees comprising the nominating and governance committee shall be permitted without the express written consent of The Autry Foundation.
Form 990, Part VI, Section B, line 11
Prior to filing form 990, a draft copy was provided to audit committee members and the officers for their review.
Form 990, Part VI, Section B, line 12c
In compliance with federal regulations, the Autry requires all officers, directors, trustees, and key employees to complete the "conflict of interest" at least annually. This report is updated once a year or within ten days whenever there is a change in outside financial interest that could give appearance of a conflict of interest. As questions arise, the CFO investigates the situation and discusses the findings with the chair of the governing body. Together they work on finding a solution to the problem.
Form 990, Part VI, Section B, line 15
The process for determining compensation of the organization's officers or key employees includes a review and approval by a board search committee. When searching for executives, the Autry contracts an outside executive search firm to assist with the process of finding the right candidate. Prior to selecting the candidate, the board search committee review salary data provided by both HR manager and the outside executive search firm. The selection,salary determination and review is led by the board's president.
Form 990, Part VI, Section C, line 18
The organization's form 1023 is available upon written request.
Form 990, Part VI, Section C, line 19
The organization's form 990 is available on Guidestar's website and upon request.
Other expenses
Form 990, Part IX, Line 24e
Consulting $ 898,068 Supplies $ 200,350 Art Purchases $ 49,874 Bad Debt $ 235,267 Production $ 187,852 Real Estate Tax $ 27,686 Various Expenses $ 166,561 Bank Fees $ 74,237 Total $1,839,896
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.