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
2011
Open to Public Inspection
Name of the organization
Wake Forest University Foundation
Employer identification number
56-2038193
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 the supported organization?
................
11g(i)
No
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
No
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
No
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 support?
Yes
No
Yes
No
Yes
No
(1)
Wake Forest University
560532138
School, Line 2
Yes
No
No
0
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 2
Part II
Support Schedule for Organizations Described in IRC 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) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(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) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(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. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
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 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2011.
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—2010.
If the organization did not check the 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—2011.
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—2010.
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) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 3
Part III
Support Schedule for Organizations Described in IRC 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) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(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) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(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 2011 (line 8 column (f) divided by line 13 column (f))
.........
15
16
Public support percentage from 2010 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f))
......
17
18
Investment income percentage from 2010 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2011.
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—2010.
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) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or 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) 2011
Additional Data
Software ID:
11000144
Software Version:
2011v1.5
-
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
2011
Open to Public Inspection
Name of the organization
Wake Forest University Foundation
Employer identification number
56-2038193
Identifier
Return Reference
Explanation
Trustee services provided to other Related Organizations.
Deborah D. Lambert Trustee, Filing Organization 1 hours per weekTrustee, Wake Forest University 5 hours per week Trustee, WFU Development Foundation 1 hours per weekAdelaide A. SinkTrustee, Filing Organization .5 hours per weekTrustee, Wake Forest University 5 hours per weekTrustee, WFU Development Foundation .5 hours per weekThomas A. Dingledine Trustee, Filing Organization .5 hours per week Trustee, Wake Forest University 5 hours per week Trustee, WFU Development Foundation .5 hours per weekFrederick W. Eubank, II Trustee, Filing Organization .5 hours per week Trustee, Wake Forest University 3 hours per week Trustee, WFU Development Foundation .5 hours per weekPeter C. Brockway Trustee, Filing Organization .5 hours per week Trustee, Wake Forest University 3 hours per week Trustee, WFU Development Foundation .5 hours per weekCandy M. Ergen Trustee, Filing Organization .5 hours per week Trustee, Wake Forest University 3 hours per week Trustee, WFU Development Foundation .5 hours per weekJohn K. Medica Trustee, Filing Organization .5 hours per week Trustee, Wake Forest University 3 hours per week Trustee, WFU Development Foundation .5 hours per weekMitesh B. Shah Trustee, Filing Organization .5 hours per week Trustee, Wake Forest University 5 hours per week Trustee, WFU Development Foundation .5 hours per weekMichael A. J. Farrell Trustee, Filing Organization .5 hours per week Trustee, Wake Forest University 3 hours per week Trustee, WFU Development Foundation .5 hours per weekDonald D. Leonard Trustee, Filing Organization .5 hours per week Trustee, Wake Forest University 4 hours per week Trustee, WFU Development Foundation .5 hours per weekJohn R. Lowden Trustee, Filing Organization .5 hours per week Trustee, Wake Forest University 3 hours per week Trustee, WFU Development Foundation .5 hours per weekKenneth D. Miller Trustee, Filing Organization .5 hours per week Trustee, Wake Forest University 3 hours per week Trustee, WFU Development Foundation .5 hours per weekHarold O. Rosser Trustee, Filing Organization .5 hours per week Trustee, Wake Forest University 3 hours per week Trustee, WFU Development Foundation .5 hours per week
Services Provided to this and other related organizations
The following persons were compensated directly by Wake Forest University, a related(supported) organization of the filing organization, for services performed for the filing organization, Wake Forest University, and other organizations related to Wake Forest University. Each person's position in each organization, and the average hours per week that they devote to each entity, are shown below.Nathan O. Hatch, Ph.D.President, Filing Organization .2 hours per weekPresident, Wake Forest University 29 hours per weekPresident, Wake Forest University Development Foundation .3 hours per weekDirector and Officer, WFU Health Sciences 3 hours per weekOfficer, Reynolda House, Inc. .5 hours per weekDirector, Wake Forest University Baptist Medical Center 4 hours per weekDirector/Board Chair, Piedmont Triad Research Park 2 hours per weekDirector, PTRP Development Corporation 1 hours per weekJ. Reid MorganSecretary, Filing Organization .2 hours per weekSecretary and General Counsel, Wake Forest University 20 hours per weekSecretary, Wake Forest University Development Foundation .3 hours per weekSecretary and General Counsel, WFU Health Sciences 5 hours per weekAssistant Secretary, WFU Baptist Medical Center 6 hours per weekDirector, Secretary, Piedmont Triad Research Park 7 hours per weekDirector, Secretary, PTRP Development Corporation .6 hours per weekSecretary, Idealliance .2 hours per weekSecretary, Idealliance Foundation .2 hours per weekSecretary, Dialysis Centers (Group Return) .5 hours per weekAnita M. ConradAssistant Secretary, Filing Organization 1 hours per weekAssistant Secretary, Wake Forest University 20 hours per weekAssistant Secretary, WFU Development Foundation 1 hours per weekAssistant Secretary, WFU Health Sciences 8 hours per weekAssistant Secretary, Piedmont Triad Research Park 8 hours per weekAssistant Secretary, PTRP Development Corporation 2 hours per weekB. Hofler MilamVice President, Filing Organization .2 hours per weekVice President, Wake Forest University 39.5 hours per weekVice President, WFU Development Foundation .3 hours per week
Form 990, Part VI, Line 19
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
The organization's Articles of Incorporation are available to the public on request and are available on the website of the North Carolina Secretary of State. The organization's bylaws are not published, but provisions from the bylaws are included as necessary in the organization's policies. The organization's conflicts of interest policy is available to the public on request. The organization is included in the consolidated financial statements of related organization, Wake Forest University, which are available to the public on the University's website: www.wfu.edu.
Form 990, Part VI, Line 15b
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees
The filing organization has no employees, but officers and former officers receive compensation for employment with the related organization, Wake Forest University. Compensation review and approval are performed in that entity.
Form 990, Part VI, Line 12c
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts
The organization requires officers and trustees to annually review the organization's Conflicts of Interest Policy and to disclose annually (and as they arise) any potential conflicts of interest. The policy provides a process for the determination of conflicts of interest and the resolution of potential and actual conflicts by the remaining independent Board members (or an independent third party appointed by the Chair, when appropriate).
Form 990, Part VI, Line 11
Form 990, Part VI, Line 11: Form 990 Review Process
The organization sends a draft of the Form 990 to its Board of Trustees prior to its filing, allowing adequate time for follow-up questions and comments. The organization provides a copy of the Form 990 as finalized to all members of the Board of Trustees prior to filing it with the IRS.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.