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
American Society for Technion - Israel Institute for Technology Inc
Employer identification number
13-0434195
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.") ....
69,012,794
60,097,954
67,200,800
65,391,706
78,732,133
340,435,387
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
0
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
0
4
Total. Add lines 1 through 3
69,012,794
60,097,954
67,200,800
65,391,706
78,732,133
340,435,387
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)..
54,061,376
6
Public support. Subtract line 5 from line 4.
286,374,011
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..
69,012,794
60,097,954
67,200,800
65,391,706
78,732,133
340,435,387
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
3,013,064
4,864,908
6,833,591
8,965,947
8,006,914
31,684,424
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
1,844,242
1,072,534
0
18,424
68,244
3,003,444
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
18,549
22,650
15,100
23,625
29,600
109,524
11
Total support (Add lines 7 through 10).
375,232,779
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 2012 (line 6, column (f) divided by line 11, column (f))
.........
14
76.319 %
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
79.080 %
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
American Society for Technion - Israel Institute for Technology Inc
Employer identification number
13-0434195
Identifier
Return Reference
Explanation
FORM 990, PART III, LINE 4D (see attachment 4)
OTHER PROGRAM SERVICES
The Technion is known for its world-class research in a range of areas including energy, biotechnology, cancer, defense, life sciences, nanotechnology, neurodegenerative diseases, stem cells and regenerative medicine, and water resources/reclamation. In 2013, the American Technion Society funded research centers including the Ecological Engineering Systems Center and the Bernard M. Gordon Center for Systems Leadership Engineering; and laboratories including the Microjet and Small Turboshaft Engine Research and Teaching Laboratories Complex in the Faculty of Aerospace Engineering, the Molecular Immunology Research Laboratory Complex in the Rappaport Faculty of Medicine and the NitrogenHydrogen Alternative Fuels (NHAF) Reaction Research Laboratory. ATS donors support scholarships for undergraduate students who lack the resources to meet tuition and other basic costs, and fellowships for masters and doctoral students with strong academic records, as well as on-campus housing for graduate students. To attract, and retain, top faculty members, the Technion has created several vehicles that provide new recruits with state-of-the-art, well-equipped research facilities: The Henry and Marilyn Taub Foundation Leaders in Science and Technology Program, the First Steps Program and the Career Advancement Chair. Part VI, Section A, Line 2 family and business relationships Alan Forman & Jonathan Sohnis - Business relationship Harry & Tamara Handelsman - Family relationship Bennett & Ruth Nathanson - Family relationship Arnold & joan Seidel- Family relationship Bernice & Joseph Tanenbaum - Family relationship Irving Shepard & Mary Wartell - family relationship
FORM 990, PART VI, SECTION B, LINE 11
REVIEW OF FORM 990
The form 990 is prepared by an independent accounting firm and reviewed by controller prior to distribution to the senior vice president-Finance, Executive VP, and Audit Committee for review and approval. the final 990 is then distributed to the board of directors in either paper or electronic form prior to filing.
FORM 990, PART VI, SECTION B, LINE 12C
MONITORING AND ENFORCEMENT OF CONFLICT OF INTEREST POLICY
Conflict of interest policy and disclosure forms are distributed to all board members, officers and managerial staff. Each one is required to sign and return the disclosure form. counsel reviews disclosures to determine if any conflicts exist and reports these to the audit committee for review and approval. Directors and staff with a conflict are prohibited from participating in discussions and decisions related to the transaction.
FORM 990, PART VI, SECTION B, LINE 15
Process for determining compensation for the top management official and other key employees The Executive Vice President (EVP) at ATS is the top management official at the organization and the compensation for this position is established by a committee of the board, which is comprised of the following independent individuals: Chair of the Board, Vice Chair(s) of the Board and the President of the Board, while other members of the board may also be invited by the Chair to also participate in the review and deliberation process, as well (e.g., Honorary Chair of the Board and/or Chair of the Personnel Committee). The EVP's total compensation package is documented through a written employment contract and any increase or adjustments on an annual basis are provided to the EVP consistent with the terms of the employment agreement. When deemed appropriate and necessary the committee may engage an independent compensation consultant to provide external third party market data from a variety of sources and then the committee contemporaneously documents the final compensation decision through a memorandum signed by the President of the Board. In regard to the other officers and key employees, ATS will gather information on a periodic basis about the comparable market from a variety of sources to provide insights into comparable market practices for both salary and benefits purposes. The last review of this nature was conducted in October 2011.
FORM 990, PART VI, SECTION C, LINE 19
The Society's Financial statements are posted on its website. copies of Governing documents and conflict of interest policy are provided upon request.
FORM 990, PART XI, LINE 9
OTHER CHANGES IN NET ASSETS:
Present value appreciation of contributions receivable $426,871 Present value appreciation of annuity agreements $1,121,846 ------------ total $1,548,717 ============
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.