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
DOR-TRAN INC DBA DOOR-TRAN
Employer identification number
26-4243933
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.") ....
127,553
124,709
252,262
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
127,553
124,709
252,262
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.
252,262
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..
127,553
124,709
252,262
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).
252,262
12
Gross receipts from related activities, etc. (see instructions)
..................
12
23,910
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
100.000 %
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
100.000 %
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
DOR-TRAN INC DBA DOOR-TRAN
Employer identification number
26-4243933
Identifier
Return Reference
Explanation
GRANTS AND SIMILAR AMTS PAID TO INDIVIDUALS
FORM 990-EZ, PART I, LINE 10
25,670 0 0 20,317 0 0
OTHER EXPENSES
FORM 990-EZ, PART I, LINE 16
CASINO NIGHT CRUISE ADVERTISING 959 EXPENSES ADVERTISING 1,737 COMPUTER/COMMUNICATIONS 2,891 INTERNET/WEBSITE 734 TRAVEL AND MEALS 1,792 CONFERENCE, CONVENTION,MTGS 785 INSURANCE 2,032 DUES, SUBSCRIPTIONS, BOOK 337 VOLUNTEER RECOGNITION 264 NON-INVESTMENT DEPRECIATION 212 TOTAL 11,743
OTHER ASSETS
FORM 990-EZ, PART II, LINE 24
ACCOUNTS RECEIVABLE 22,194 21,430 PREPAID EXPENSES AND DEFERRED CHARGES 0 1,804 1,488 1,488 LESS ACCUMULATED DEPRECIATION 213 425 TOTAL 23,469 24,297
DOOR-TRAN IS A CREATIVE COMMUNITY NETWORK DEDICATED TO CONNECTING PEOPLE TO TRANSPORTATION SERVICES THAT ARE AFFORDABLE, AVAILABLE, AND ACCESSIBLE. DOOR-TRAN OFFERS INFORMATION AND REFERRAL SERVICES VIA PHONE, WEBSITE, AND IN PUBLICATION OF AN ANNUAL TRANSPORTATION RESOURCE GUIDE. DOOR-TRAN ALSO PROVIDES CAR POOL MATCHING SERVICES BASED ON INDIVIDUAL NEEDS TO HELP SUCH INDIVIDUALS SAVE ECONOMICALLY AND ENVIRONMENTALLY. PROVIDE ONGOING COORDINATION ACTIVITIES AMONGST GOVERNMENT, NON-PROFIT AND FOR-PROFIT PROVIDERS TO IMPLEMENT AND MAINTAIN SERVICES THROUGHOUT DOOR COUNTY. DOOR-TRAN COLLABORATED WITH THE COUNTY OF DOOR TO IMPLEMENT PUBLIC TRANSIT VIA A SHARED RIDE TAXI (DOOR 2 DOOR RIDES) WITH CONNECTOR SERVICES COVERING MUCH OF THE COUNTY. THIS SYSTEM CURRENTLY PROVIDES OVER 3,000 TRIPS PER MONTH. DOOR-TRAN IMPLEMENTED A HALF-PRICE TAXI VOUCHER PROGRAM IN 2009, WHICH ALLOWS FOR RESIDENTS TO AFFORD RIDES USING PRIVATELY OWNED TAXIS. IN ADDITION, WE ASSIST WITH WASHINGTON ISLAND FERRY TRIPS WHEN A MEDICAL NEED IS VERIFIED THROUGH THE WASHINGTON ISLAND COMMUNITY HEALTH PROGRAM. THIS PROGRAM SERVES MORE THAN 275 INDIVIDUALS AND SUBSIDIZED OVER 3,000 TRIPS IN 2012. DOOR-TRAN ALSO MAINTAINS A VETERAN VOLUNTEER TRANSPORTATION PROGRAM TO ASSIST VETERANS IN GETTING TO VA CLINICS THROUGHOUT WISCONSIN ON A WEEKLY BASIS. TO MEET REMAINING UNMET TRANSPORTATION NEEDS, DOOR-TRAN IMPLEMENTED AND MAINTAINS A COUNTY-WIDE VOLUNTEER TRANSPORTATION PROGRAM TO PROVIDE AFFORDABLE AND AVAILABLE SERVICES TO ALL RESIDENTS TRAVELING WITHIN AND OUT OF THE COUNTY WHEN OTHER PROGRAMS ARE NOT AN OPTION.
FIRST ACCOMPLISHMENT
FORM 990-EZ, PART III, LINE 28
DOOR-TRAN IS A CREATIVE COMMUNITY NETWORK DEDICATED TO CONNECTING PEOPLE TO TRANSPORTATION SERVICES THAT ARE AFFORDABLE, AVAILABLE, AND ACCESSIBLE. IN 2012, DOOR-TRAN SERVED OVER 60 VETERANS WHO NEEDED TRANSPORTATION TO AND FROM VETERAN ADMINISTRATION (VA) CLINICS THROUGHOUT WISCONSIN. 222 TRIPS WERE LOGGED AND OVER 337 VOLUNTEER HOURS WERE DONATED TO THE PROGRAM. DOOR-TRAN ALSO MAINTAINED A HALF-PRICE TRAVEL VOUCHER PROGRAM TO ASSIST LOW-INCOME AND INDIVIDUALS WITH DISABILITIES THE OPPORTUNITY TO AFFORD A RIDE VIA THE FOR-PROFIT TAXI'S OR ON THE WASHINGTON ISLAND FERRY. OVER 3,000 TRIPS WERE SUBSIDIZED THROUGH DOOR-TRAN FUNDING. JULY 2012, THE COUNTY-WIDE VOLUNTEER TRANSPORTATION PROGRAM WAS LAUNCHED TO MEET UNMET TRANSPORTATION NEEDS. THIS PROGRAM ALLOWS FOR MILEAGE REIMBURSEMENT TO VOLUNTEERS WHO TRANSPORT INDIVIDUALS IN THEIR PERSONAL VEHICLES. THIS PROGRAM PROVIDED 22 TRIPS IN 2012. DOOR-TRAN STAFF AND BOARD MEMBERS WORK CONTINUOUSLY ON COORDINATION AND COLLABORATION AMONGST PROVIDERS. TO DATE, THIS COORDINATION HAS RESULTED IN THE FIRST EVER PUBLIC TRANSPORTATION SYSTEM, A SHARED RIDE TAXI, DOOR 2 DOOR RIDES FUNDED BY THE FEDERAL TRANSIT ADMINISTRATION. AUGUST 2012 A CONNECTOR SYSTEM WAS LAUNCHED THROUGH A PARTNERSHIP BETWEEN THE COUNTY OF DOOR AND THE SUNSHINE HOUSE INC. THIS CONNECTOR SERVICE ALLOWS FOR INDIVIDUALS TO CONNECT TO THE DOOR 2 DOOR RIDES SYSTEM USING PROVIDER ROUTES THAT WERE ALREADY SET UP. MORE THAN 80 TRIPS WERE PROVIDED THROUGH CONNECTOR SYSTEM AND DOOR 2 DOOR AVERAGES MORE THAN 3,000 TRIPS PER MONTH.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.