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
LAMAZE INTERNATIONAL
Employer identification number
13-6104296
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.") ....
1,621,871
1,104,222
151,915
131,020
136,529
3,145,557
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
1,621,871
1,104,222
151,915
131,020
136,529
3,145,557
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)..
1,839,906
6
Public support. Subtract line 5 from line 4.
1,305,651
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..
1,621,871
1,104,222
151,915
131,020
136,529
3,145,557
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
1,237,029
1,279,181
1,565,847
2,015,217
2,152,122
8,249,396
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
598,310
395,840
22,345
1,414
1,017,909
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
10,885
10,885
11
Total support (Add lines 7 through 10).
12,423,747
12
Gross receipts from related activities, etc. (see instructions)
..................
12
2,935,887
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
10.510 %
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
11.060 %
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
LAMAZE INTERNATIONAL MEETS THE FACTS AND CIRCUMSTANCES TEST BY REPRESENTING THE BROAD INTERESTS OF THE PUBLIC, MAINTAINING A DEFINITIVE PROGRAM FOR ACCOMPLISHING ITS CHARITABLE WORK IN THE COMMUNITY AND APPEALING TO PERSONS WITH BROAD COMMON INTERESTS AND PURPOSES. LAMAZE INTERNATIONAL REACHES OVER 3 MILLION EXPECTANT WOMEN AND THEIR FAMILIES EACH YEAR THROUGH CHILDBIRTH CLASSES TAUGHT BY MORE THAN 9,000 CHILDBIRTH EDUCATORS, INFORMATION THROUGH A BROAD ARRAY OF EDUCATIONAL CONTENT, FREELY AVAILABLE TO THE PUBLIC, ON THE LAMAZE WEB SITE AT WWW.LAMAZE.ORG, INCLUDING VIDEOS, ONLINE FORUMS AND BLOGS. THE ORGANIZATION ALSO PROVIDES PROFESSIONAL EDUCATION AND CERTIFICATION TO PREPARE LAMAZE CERTIFIED CHILDBIRTH EDUCATORS TO PROVIDE EVIDENCE-BASED INFORMATION AND EDUCATION TO EXPECTANT PARENTS ABOUT NATURAL, SAFE, AND HEALTHY BIRTH, AND OFFERS PROFESSIONAL EDUCATION PROGRAMS AND AN EVIDENCE-BASED PEER REVIEW PUBLICATION, THE JOURNAL OF PERINATAL EDUCATION, AVAILABLE TO LAMAZE MEMBERS AND TO OTHER MATERNITY-CARE PROFESSIONAL SUBSCRIBERS. LAMAZE ACTIVELY COLLABORATES WITH OTHER ORGANIZATIONS ON INTERNATIONAL, NATIONAL, AND COMMUNITY LEVELS.
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
LAMAZE INTERNATIONAL
Employer identification number
13-6104296
Identifier
Return Reference
Explanation
FIRST ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4A
THE EFFORTS IN OUR COMMUNICATIONS HAS PROVEN SUCCESSFUL IN INCREASING THE FOOTPRINT AND ENGAGEMENT WITH LAMAZE INTERNATIONAL.
SECOND ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4B
ARMING THEM THE INFORMATION AND EVIDENCE THEY NEED TO HELP WOMEN THROUGH LABOR.
ALL OTHER ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4D
ALL OTHER ACCOMPLISHMENTS: ANNUAL CONFERENCE, INSTITUTE FOR SAFE AND HEALTHY BIRTH, AND EXECUTIVE/GOVERNANCE.
MANAGEMENT DELEGATED
FORM 990, PAGE 6, PART VI, LINE 3
THE ORGANIZATION HAS CONTRACTED SMITHBUCKLIN CORPORATION TO PERFORM ALL MANAGEMENT FUNCTIONS.
SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS
FORM 990, PAGE 6, PART VI, LINE 4
IN OCTOBER 2012, THE LAMAZE INTERNATIONAL BYLAWS WERE REVISED PROPOSED AND APPROVED BY THE MEMBERSHIPS WITH PROVISIONS TO: "UPDATE THE LAMAZE PHILOSOPHY OF BIRTH STATEMENTS USING LANGUAGE CONSISTENT WITH OUR MESSAGING AND COMMUNICATION STRATEGY THAT RESONATES WITH THE PARENTS WE SERVE. "EXPAND THE BOARD OF DIRECTORS FROM NINE TO ELEVEN MEMBERS TO ADD DIVERSITY AND MORE OFFICER SUCCESSION CANDIDATES, AND THEREBY INCREASE THE QUORUM TO CONDUCT BUSINESS FROM FIVE DIRECTORS TO SIX. "REVISE THE TERM OF OFFICE TO ONE FOUR-YEAR TERM WITH THE POTENTIAL OF SEVEN YEARS OF SERVICE IF A BOARD MEMBER IS ELECTED TO MOVE INTO THE OFFICER SUCCESSION PROCESS. "CREATE A LONGER OFFICER SUCCESSION AND MENTORING PROCESS WITH THE MOVEMENT THROUGH THE SECRETARY/TREASURER, PRESIDENT ELECT, PRESIDENT AND PAST PRESIDENT OFFICES. "ADD AN ADDITIONAL MEMBER AT-LARGE TO THE SEARCH COMMITTEE, RECOGNIZE THE PAST PRESIDENT AS THE CHAIR OF THE COMMITTEE AND GIVE THE PRESIDENT THE AUTHORITY TO APPOINT THE REMAINING MEMBERS OF THE COMMITTEE. "MOVE TO A RECOMMENDED SLATE OF CANDIDATES FOR NEW BOARD MEMBER ELECTIONS, INCLUDING A WRITE-IN PROCESS IF A MEMBER IS NOT SATISFIED WITH THE NOMINEES PRESENTED BY THE SEARCH COMMITTEE. "ELIMINATE THE SUBSTITUTE DIRECTOR TO ADDRESS THE "ALSO RAN" STIGMA OF THOSE NOT ELECTED OR HELD IN RESERVE AS A SUBSTITUTE DIRECTOR SHOULD A VACANCY ARISE. "ADD AN ELECTED DIRECTOR WHO HAS SERVED ON THE BOARD OF DIRECTORS FOR AT LEAST TWO YEARS TO THE EXECUTIVE COMMITTEE, WHICH MAY ACT ON BEHALF OF THE BOARD OF DIRECTORS BETWEEN MEETINGS IN ACCORDANCE WITH THE BYLAWS, LAMAZE POLICIES OR BOARD RESOLUTION. "MINIMIZE POTENTIAL CONFLICTS OF INTEREST WITHIN THE LAMAZE GOVERNANCE STRUCTURE BY SELECTING COMMITTEE AND COUNCIL CHAIRS AND MEMBERS WHO ARE NOT CURRENTLY SERVING ON THE BOARD OF DIRECTORS, OTHER THAN SPECIFIC BOARD COMMITTEES AS OUTLINED IN THE BYLAWS. BOARD MEMBERS WILL SERVE AS LIAISONS TO COMMITTEES AND COUNCILS FOR INTRA-ORGANIZATION COMMUNICATION PURPOSES.
CLASSES OF MEMBERS OR STOCKHOLDERS
FORM 990, PAGE 6, PART VI, LINE 6
MEMBERSHIP IN LAMAZE INTERNATIONAL IS OPEN TO HEALTHCARE PROVIDERS, CHILDBIRTH EDUCATORS, HEALTH PROFESSIONALS, AND PARENTS/CONSUMER ADVOCATES WHOSE PRACTICES AND INTERESTS ARE IN THE AREA OF MATERNAL/CHILD HEALTH AND WHO SUPPORT THE MISSION OF LAMAZE INTERNATIONAL.
ELECTION OF MEMBERS AND THEIR RIGHTS
FORM 990, PAGE 6, PART VI, LINE 7A
THERE SHALL BE ONE VOTING MEMBERSHIP CLASS. ALL MEMBERS OF LAMAZE INTERNATIONAL SHALL BE ENTITLED TO VOTE.
DECISIONS SUBJECT TO APPROVAL OF MEMBERS
FORM 990, PAGE 6, PART VI, LINE 7B
EACH VOTING MEMBER OF LAMAZE INTERNATIONAL ON THE DATE OF RECORD SHALL BE ENTITLED TO CAST ONE VOTE ON ANY MATTER VOTED ON BY THE MEMBERSHIP AT A MEETING. ALL SUBSTANTIVE MATTERS WHICH A VOTE IS TO BE CAST SHALL BE INCLUDED ON THE AGENDA FOR THE MEETING AT WHICH THE VOTE WILL BE TAKEN.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
THE BOARD REVIEWS ALL FINANCIAL INFORMATION AND APPROVES THE AUDIT AND THE FORM 990 BEFORE THEY ARE FILED.
ENFORCEMENT OF CONFLICTS POLICY
FORM 990, PAGE 6, PART VI, LINE 12C
THE BOARD OF DIRECTORS CONTINUOUSLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. AT THE BEGINNING OF EACH BOARD OF DIRECTORS MEETING, BOARD MEMBERS, KEY STAFF AND CONSULTANTS ARE REQUIRED TO (1) DISCLOSE THE EXISTENCE OF PERSONAL INTEREST AND (2) ABSTAIN FROM VOTING ON SUCH TRANSACTION OR OTHERWISE ATTEMPT TO INFLUENCE THE DECISION THEREON. IF ANY QUESTION ARISES AS TO WHETHER A PARTICULAR ACTIVITY OR ORGANIZATIONAL ASSOCIATION CONSTITUTES A CONFLICT OF INTEREST, THE QUESTION WILL BE DECIDED BY A MAJORITY VOTE OF THE BOARD MEMBERS PRESENT.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
THE GOVERNING DOCUMENTS, CONFLICTS OF INTEREST, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.