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. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
ALZHEIMER'S DISEASE & RELATED DISORDERS ASSOCIATION ST LOUIS CHAPTER INC
Employer identification number
43-1237069
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2,344,035
2,443,824
2,206,214
2,132,672
2,452,042
11,578,787
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
2,344,035
2,443,824
2,206,214
2,132,672
2,452,042
11,578,787
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)..
503,740
6
Public support. Subtract line 5 from line 4.
11,075,047
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
7
Amounts from line 4..
2,344,035
2,443,824
2,206,214
2,132,672
2,452,042
11,578,787
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
20,230
20,887
25,738
20,891
66,243
153,989
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.)..
968
167
1,980
434
3,549
11
Total support (Add lines 7 through 10).
11,736,325
12
Gross receipts from related activities, etc. (see instructions)
..................
12
403,288
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 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
94.370 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
94.310 %
16a
33 1/3% support test—2013.
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—2012.
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—2013.
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—2012.
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(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 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2013.
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—2012.
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
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) 2013
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.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
ALZHEIMER'S DISEASE & RELATED DISORDERS ASSOCIATION ST LOUIS CHAPTER INC
Employer identification number
43-1237069
Return Reference
Explanation
FORM 990, PART III, LINE 2
THE ORGANIZATION EXPANDED SERVICES TO PEOPLE WITH EARLY MEMORY LOSS THROUGH SOCIAL ENGAGEMENT PROGRAMS.
FORM 990, PART VI, SECTION A, LINE 3
BACK OFFICE ACCOUNTING (BOA) IS A FEE-FOR-SERVICE PROVIDED BY THE NATIONAL ALZHEIMER'S ASSOCIATION. THE TYPES OF SERVICES PROVIDED VARIES BY CHAPTER, BUT MAY INCLUDE RESPONSIBILITIES FOR THE INTEGRITY OF THE FINANCIAL REPORTING; DEVELOPING ACCOUNTING POLICY AND CONTROL PROCEDURES; ISSUING FINANCIAL STATEMENTS; PRESENTING FINANCIAL INFORMATION TO CHAPTER EXECUTIVE DIRECTORS AND BOARDS; ASSISTING CHAPTER EXECUTIVE DIRECTORS IN PREPARING ANNUAL FINANCIAL BUDGETS; AND/OR PREPARING THE ANNUAL FINANCIAL STATEMENTS AND DISCLOSURE NOTES THAT ARE EXAMINED BY EXTERNAL AUDITORS.
FORM 990, PART VI, SECTION A, LINE 4
DURING 2013 THE ORGANIZATION AMENDED THE BYLAWS AND REWROTE THE INVESTMENT POLICY. THE INVESTMENT POLICY WAS REWRITTEN TO SERVE AS A GUIDELINE FOR CASH MANAGEMENT INSTEAD OF INVESTMENT. IT IS NOW CALLED THE FINANCIAL POLICY STATEMENT. THE BYLAWS WERE AMENDED TO: 1. MEET SPECIFIC REGULATIONS PROMULGATED BY THE MISSOURI NONPROFIT CORPORATION ACT (RE: ANNUAL MEETING OF THE MEMBERS), 2. CHANGE THE REFERENCE FROM MULTIPLE VICE CHAIRS TO ONE CHAIR ELECT, 3. CLARIFY THE PRESIDENT'S AUTHORITY TO SIGN ON BEHALF OF THE ORGANIZATION, 4. ADD THE POSITION OF CHIEF OPERATING OFFICER, AND 5. RE-ORDER COMMITTEE STRUCTURES.
FORM 990, PART VI, SECTION B, LINE 11
THE 990 IS PROVIDED TO THE AUDIT COMMITTEE FOR THEIR REVIEW AS WELL AS DISTRIBUTED TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C
ALL THE OFFICERS, DIRECTORS, AND EMPLOYEES ARE REQUIRED TO COMPLETE ANNUALLY A CONFLICT OF INTEREST QUESTIONNAIRE WHICH DESCRIBES THE POLICY AND ASKS THEM TO INDICATE IF THEY HAVE ANY CONFLICTS AND NOTES THEY SHOULD GET WRITTEN PRIOR AUTHORIZATION TO TAKE AN ACTION WHICH MAY RESULT IN A CONFLICT OF INTEREST WITH THE CHAPTER OR RELATED ENTITIES. THESE ARE REVIEWED BY THE PRESIDENT AND CONFLICTS ARE ASSESSED AS TO THEIR SIGNIFICANCE. IF A SIGNIFICANT CONFLICT OF INTEREST WERE TO BE IDENTIFIED, THE BOARD WOULD NEED TO PROVIDE WRITTEN APPROVAL.
FORM 990, PART VI, SECTION B, LINE 15A
THE COMPENSATION COMMITTEE, CONSISTING OF 3-5 MEMBERS AND CHAIRED BY A MEMBER OF THE BOARD, RECOMMENDS COMPENSATION FOR THE CHAPTER PRESIDENT BASED ON A THOROUGH REVIEW OF ANNUAL PERFORMANCE, BUDGETED COMPENSATION INCREASES, AND COMPARABILITY DATA. ADDITIONALLY, INPUT IS PROVIDED BY THE NATIONAL ORGANIZATION IN COMPENSATION COMPARABLES, OBJECTIVES AND EVALUTION. THE COMMITTEE PROVIDES THIS INFORMATION DIRECTLY TO BOTH THE PRESIDENT AND THE FINANCE DIRECTOR.
FORM 990, PART VI, SECTION C, LINE 19
THE FORMS 990, 990-T (IF APPLICABLE), AUDITED FINANCIAL STATEMENTS AND ANNUAL REPORTS ARE AVAILABLE UPON WRITTEN REQUEST OR ON THE CHAPTER'S WEBSITE. THE IRS FORM 1023 INITIAL APPLICATION FOR 501(C)3 STATUS WAS FILED PRIOR TO JULY 15, 1987 AND IS NOT AVAILABLE. IN LIEU OF THIS, THE CHAPTER WILL PROVIDE THE MOST RECENT GROUP EXEMPTION LETTER UPON WRITTEN REQUEST. THE CONFLICT OF INTEREST POLICY AND FORM IS AVAILABLE ON THE WEBSITE.
FORM 990, PART VIII:
THE CHAPTER IS AFFILIATED WITH THE NATIONAL ALZHEIMER'S DISEASE AND RELATED DISORDERS ASSOCIATION, INC. (NATIONAL ORGANIZATION). A FORMAL STATEMENT OF RELATIONSHIP AGREEMENT OUTLINES THE RIGHTS AND RESPONSIBILITIES OF THE NATIONAL ORGANIZATION AND THE CHAPTER. THESE RESPONSIBILITIES INCLUDE THAT THE CHAPTER COMPLY WITH POLICIES ESTABLISHED BY THE CONFEDERATION OF CHAPTERS (THE CONFEDERATION) AND THE NATIONAL ORGANIZATION. THE POLICIES INCLUDE SHARED FUNDRAISING, WHICH UNIFIES AND COORDINATES FUNDRAISING EFFORTS WITHIN THE CHAPTER'S TERRITORY. IN LIEU OF DUES, THE NATIONAL ORGANIZATION, THE CHAPTER, AND A MISSION FUND SHARE UNRESTRICTED CONTRIBUTED REVENUE RAISED IN THE TERRITORY. THE MISSION FUND IS A FUND TO BE USED FOR THE BENEFIT OF THE CONFEDERATION AND NATIONAL ORGANIZATION. DURING THE YEARS ENDING JUNE 30, 2014 AND 2013, THE CHAPTER'S PORTION OF REVENUE RAISED IN THE TERRITORY WAS 60%. IN ADDITION, DONORS TO THE CHAPTER SOMETIMES DESIGNATE ALL OR PART OF THEIR CONTRIBUTIONS TO RESEARCH ACTIVITIES. THE CHAPTER FOLLOWS POLICIES ESTABLISHED BY THE CONFEDERATION AND NATIONAL ORGANIZATION REGARDING SUCH GIFTS. BECAUSE THE CHAPTER DOES NOT CONDUCT RESEARCH ACTIVITIES, THESE CONTRIBUTIONS ARE REMITTED TO THE NATIONAL ORGANIZATION IN ORDER TO FULFILL THE DONOR'S INTENT.
FORM 990, PART XI, LINE 9:
CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST 145,931. CHANGE IN VALUE OF TRUSTS 2,610.
FORM 990, PART XII, LINE 2C:
THE ORGANIZATION'S AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED SINCE PRIOR YEAR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.